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Lingual tonsils and obstrucive sleep apnoea syndrome (OSAS)
Obstructive sleep apnoea can be due to narrowing of the retrolingual space by hypertrophic lingual tonsils. The authors studied 11 patients (five males and six females with a mean age of 44.3 years and a mean BMI of 28.6). All...World Hearing Day 2023
The World Health Organization (WHO) is to launch a training guide on 3 March 2023 to mark this year’s World Hearing Day.
Paediatric versus adult pituitary adenomas
This retrospective study compares paediatric with adult patients undergoing pituitary adenoma surgery over a period of 26 years at a single institution. All surgeries were performed via a sublabial approach using the operating microscope. An endoscope was used occasionally for...
Systemic steroid therapy for reduction of macrophage migration inhibition factor in the control of nasal polyposis
It is believed that macrophage migration inhibitory factor mediates inflammation by stimulating the release of other pro-inflammatory cytokines. The use of systemic steroids in control of nasal polyposis is an established treatment. In this study the authors have aimed at...
Bilateral medialisation thyroplasty for presbylaryngis
This retrospective case series explores the voice outcomes for 21 patients diagnosed with presbylaryngis who underwent bilateral medialisation thyroplasty at a university medical centre in Portland, Oregon, USA. Silastic was implanted in 17 patients; hydroxyapatite in four. Significant improvements were...
Physician burnout and resident wellness
Physician burnout and high rates of mental health issues amongst physicians are an important concern today. Several articles on this subject have been published recently. However, few articles have been written about starting life balance training early during residency. This...
Death related to epistaxis
One of the commonest emergencies presenting in ENT is epistaxis. The presentation can be through accident and emergency or through ward referrals. In this national audit of epistaxis management involving 113 centres, it was noted that 33 of the 985...
Long-term quality outcomes of bimaxillary surgery of obstructive sleep apnoea
This is a review of 12 patients at two years postoperatively and again at at least 17 years. Successful outcome of a decrease in apnoea-hypopnoea index (AHI) of greater than 50% was thought to be success. Eight of the initial...
Everyone has the right to say no
Despite the introduction of the Mental Capacity Act in 2005, healthcare professionals remain uncomfortable with individuals who choose not to follow medical advice - who make informed decisions to decline a treatment or management plans. This paper highlights that speech...
Head, Neck and Thyroid Surgery: An introduction and practical guide
This is an outstanding practical guide to head, neck, thyroid and parathyroid surgery for the trainee starting in the head and neck rotations but also preparing for board college exams such as the MRCS, FRCS or the EBEORL. The authors...
Association of diabetes mellitus type 2 with age-related changes in the larynx
Diabetes affects the body with changes in the neurological, muscular and vascular systems. It is therefore conceivable that the larynx, which is a musculoskeletal organ, can be adversely affected by type 2 diabetes mellitus. To explore this possibility, 174 Caucasian...
