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Recalcitrant chronic rhinosinusitis: What to do next?

Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

In conversation with Professor Graeme Clark

As we celebrate the cochlear implant, we celebrate an amazing work of innovative biomedical engineering that is a life-changer to many recipients around the world. We take for granted the arduous journey of the cochlear implant since its conception. Eric...

Robert Vincent: otologie sans frontières

Chris Aldren speaks to French ear surgeon Robert Vincent who’s particularly proud of forming a global otologist network providing free resources for education and patient care worldwide. Robert Vincent Robert, who have been your otological mentors? I did my initial...

Identity: does it affect the training experience?

Our identity can be influenced by many factors, both internal and external to ourselves. One may say that if one has not had to consider one’s own identity at any time, perhaps that in itself is a privilege? Equally, one...

Tactile Sensing and Displays: Haptic Feedback for Minimally Invasive Surgery and Robotics

This book has a catchy title and due to my interest in developing simulation systems for training in surgery I was delighted to be asked to review. However, I found it very hard going and the first few chapters are...

Comprehensive Management of Vestibular Schwannoma

This is the Holy Grail of texts for anyone involved in the management of vestibular schwannoma. Edited by Matthew Carlson from the Mayo Clinic in Rochester, Minnesota, the Associate Editors are from the same department, but the 156 contributors to...

Risk of malignancy in non-diagnostic thyroid FNACs

Thyroid nodules are present in between 21-68% of the general population. The evaluation of these nodules to exclude thyroid carcinoma includes fine-needle aspiration cytology (FNAC) and a non-diagnostic cytology result occurs between 8-20% of the time. This retrospective cohort study...

Positive practical communication skills for medics

Communication training for medical students generally focuses on communicating with unimpaired individuals. This article describes how a speech and language therapy department at the University of Gothenburg in Sweden trialled a new approach to teaching medical students. Fifty-nine undergraduate medical...

Cartilage myringoplasty to treat patulous eustachian tube dysfunction

Patulous eustachian tube (PET) dysfunction, where the eustachian tube is abnormally opened at rest, is a notoriously difficult condition to treat. Symptoms can mimic symptoms of superior semicircular canal dehiscence: autophony, aural fullness, hyperacusis and breathing synchronous tinnitus. Treatment has...

Risk factors for TORS treatment failure in HPV-related oropharyngeal cancers

HPV-related squamous cell cancers are an increasingly common cause of malignancy in the oropharynx. There is evidence that these cancers are associated with a significantly improved overall survival compared to conventional HPV-negative tumours. The optimal treatment for such cancers is...

The rise of AI in the head and neck clinic

There has been a huge focus in recent months on the rise of artificial intelligence (AI) in all aspects of modern life, and the head and neck clinic is no exception it appears. This paper builds on previous work to...

Plunging new depths for the treatment of ranulas

Within our scope of practice, we encounter a number of salivary gland pathologies, including the sublingual gland. Clinical signs are often subtle, and even with meticulous surgical management, morbidity can easily occur. Textbooks advocate excision of the gland as the...