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Evidence-based hospital management of epistaxis

1 September 2016 | | ENT, Rhinology / Sinus
Epistaxis is the most common presentation to acute ENT services in the UK. However, there are currently no nationally accepted guidelines for its management. The British Rhinological Society, ENT UK and INTEGRATE (The National ENT Trainee Research Network) are working...

Clinical features of BPPV in Meniere’s disease

1 July 2019 | | Neurotology, Tinnitus | Benign paroxysmal positional vertigo, Meniere’s disease, canalith repositioning procedure, nystagmography
It is an observation that BPPV appears to be commonly associated with Meniere’s disease (MD). This five-year study compared features and treatment outcomes between patients presenting with MD in conjunction with unilateral BPPV and a group of BPPV patients without...

What is the prognostic value of lymph node yield and density in head and neck cancer?

1 September 2018 | | head and neck cancer, lymph node ratio, lymph node yield, prognostic value, systematic review
Neck dissection in addition to surgery of the primary site is commonly recommended in head and neck cancer treatment. However, there has been no consensus on the number of nodes that need to be removed to constitute a sufficient neck...

Beware the skinny patient…

1 July 2018 | | Arytenoid dislocation, BMI, Cricoarytenoid joint three-dimensional reconstruction, High-resolution computed tomography, Risk factor
The adverse health impacts of an excessive BMI are well known. This study highlights one laryngeal pathology for which a low BMI appears to be a significant risk factor. The records of 28 patients treated for arytenoid cartilage dislocation were...

Suspect the unsuspecting in thyroid cancer

1 July 2018 | | Thyroid cancer, Invasive thyroid cancer, Aerodigestive tract invasion
This article reminds readers of how often invasive thyroid disease can appear, as the symptomatology is minimal. Noticeable airway symptoms appear after 50% of the airway is involved and surgeons can often fall in the unsuspecting trap of discovering locally...

Simulation and otologic surgery

1 May 2018 | | Otology skills, Otology training, Simulation training, Surgical education, Surgical simulation
Ensuring adequate exposure and developing surgical skills for trainees has been an ongoing challenge. In this article, the authors reviewed the role of simulation and its role in developing skills in otologic surgery for trainees. Virtual-reality (VR) simulation models have...

Associated findings in MRI used for detecting acoustic neuroma

1 May 2017 | | Audiovestibular Symptoms, Incidental Findings, Internal Auditory Meatus, MRI, Vestibular Schwannoma
Presently, gadolinium enhanced magnetic resonance imaging is the ‘gold standard’ for investigating acoustic neuroma. There are often ‘incidental’ findings that may or may not be significant. In this study of 109 scans, the authors noted an uptake of 0.9% for...

From the editor September/October 2023

4 September 2023 |
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk Who do you think you are? And – perhaps equally important – how do you come across to other people? For...

Nuclear heads – and necks

1 May 2014 | | ENT, Head and Neck
Imaging of the extra-cranial head and neck is challenging due to the anatomic complexity of the region. CT, MRI and ultrasonography (US) are amongst the most frequently utilised radiological modalities in head and neck imaging but do not always provide...

Congenital CMV: investigations and management in the audiology setting

1 July 2017 | | Audiology - Paediatric, Audiology - Diagnostic, Vestibular Disorders
Congenital cytomegalovirus (cCMV) is the only cause of congenital sensorineural hearing loss (SNHL) for which there is a medical treatment available to prevent further hearing loss. Dr Simone Walter discusses cCMV infection, cCMV-related hearing loss, and how to facilitate their...

Endoscopic airway interventions in children

6 January 2023 | | ENT, Paediatric ENT
Open surgery for paediatric airway pathologies such as subglottic stenosis was hailed as revolutionary when many of today’s paediatric ORL specialists were in training. Equipment, facilities and training has moved on and the high-quality optics in modern endoscopes, coupled with...

Wilde and the foundations of medical epidemiology

26 June 2020 | | ENT, Otology
William Wilde (father of Oscar) was renowned as an otologist, but less well known for his work in epidemiology. The bedrock of the modern discipline of public health is good data collection, and we hear from our good friend, Ray...