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Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Paediatric salivary gland tumours

This is a review article of a rare group of neoplasms that frequently present as painless preauricular mass in older children. There is a wide differential including first branchial arch abnormalities, inflammatory and granulomatous processes. Those masses that are painless,...

From the editor May/Jun 2026

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. TW / X: @Voicedoctor_uk In our last edition, we featured the amazing work of Prof Shahed Quraishi and his ENT Masterclass® – the organisation...

The power of the multidisciplinary team in paediatric cochlear implant assessment

Marette, Kate and Justine from the Birmingham Paediatric Centre give a detailed insight into how their team works together to assess children and young people for potential cochlear implantation. Cochlear implants and the specialist MDT The multidisciplinary team in cochlear...

Automated audiometry: in conversation with the creator of AMTAS®, Robert Margolis

As automated audiometry becomes more widespread for busy clinics and tele-audiometry, Laura Prigge from GSI interviews Dr Robert Margolis to discuss his automated method for testing auditory sensitivity (AMTAS®). What motivated you to think of automated audiometry? When I was...

Vestibular functions of hereditary hearing loss patients with GJB2 mutations

Mutations of the GJB2 gene are a common cause of deafness, being found in 15-25% of cases of congenital deafness. Over 100 mutations are now recognised and may be associated with a hearing loss ranging from mild to profound. This...

JAMA Network Reader

Accessing content from The Journal of the American Medical Association (JAMA) and its nine specialty journals (including JAMA Otolaryngology – Head & Neck Surgery) has now become a bit easier, thanks to an app designed for viewing JAMA articles on...

Managing CRS in pregnancy

An International team of experts from both sides of the Atlantic set out to perform a systematic review of the management of chronic rhinosinusitis in pregnancy. Despite a thorough search no scientific evidence was found that could form the basis...

GIRFT: improving ENT care through standardised clinical pathways

Clinical pathways can help to ensure consistency of approach and efficient use of resources. We hear about new developments in the UK. Variation in ENT care In today’s data-driven healthcare landscape, significant variation persists in the provision of ENT services...

The effects of hormonal changes across menstrual cycle on high frequency auditory thresholds

Physiological changes during the menstrual cycle are well documented; do these changes extend to the auditory system? Lalsa Shilpa Perepa and Rewa Indurkar delve into the literature to find the evidence. Menstrual cycle refers to a series of changes that...

Paediatric lymphadenopathy – helpful decision making

The authors present a very helpful algorithm to manage cervical lymphadenopathy in children. The goal of managing children with inflamed lymph glands is to identify the rare malignant case and not over-investigate the vast majority of benign reactive swellings –...

Assessment in ENT: Intra-operative videos

An article examining the reliability and validity of remote scoring; a video assessment of myringotomy and grommet insertion. The primary outcome measures were to determine construct validity (differentiating between different grades of surgeons) and reliability of video scoring. Unfortunately, the...