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American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care

1 March 2016 | | ENT, Head and Neck
The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....

Biologic therapies for chronic rhinosinusitis with nasal polyps: a new paradigm

5 July 2022 | | ENT, Rhinology / Sinus
Surgery for nasal polyposis has evolved significantly in the last 30 years, and now the medical management may be on the cusp of a revolution. Biologics using monoclonal antibodies to target specific immune pathways have introduced a paradigm shift in...

Thyroid dysfunction and Meniere’s disease: is there a relationship?

1 July 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Vestibular Disorders
The set of symptoms described as Meniere’s disease may have several causative factors. Timothy Hain and Patthida Maroongroge look for a relationship in the literature between Meniere’s disease and hypothyroidism. Meniere’s disease (MD) affects around two in 1000 people and...

Parathyroidectomy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

The curse of Sports Illustrated

1 November 2016 | | ENT
“Not a supernatural curse, but a basic statistical concept of blinding simplicity.” What is ‘regression to the mean’? I am reliably informed that our former North American colonies publish a periodical known as Sports Illustrated (note, incidentally, the characteristically incorrect...

The future of head and neck cancer surgery

1 March 2019 | | ENT, Head and Neck
Neil Sharma paints an exciting picture of the future of head and neck surgery with nanobots and robot augmented humans – science fiction or reality? Time will tell. ‘May you live in interesting times’ reads the old Chinese curse. The...

Audiological monitoring in ototoxicity - Are we doing enough?

1 November 2016 | | Audiology - Adult
In this article Ghada Al-Malky explores the dichotomy of life-saving, yet hearing loss-causing medication, and questions whether the hearing healthcare community is doing enough to prevent preventable hearing loss. Ototoxicity is the damage to hearing and / or balance functions...

Chronic rhinosinusitis management: back to the future?

1 July 2016 | | ENT, Rhinology / Sinus
Immunology is a dim and distant medical school memory to many ENT surgeons, but the increasingly complex immunology of chronic rhinosinusitis is fascinating (honestly!). Medical management options in CRS no longer just involves saline and steroids, and we need to...

Systemic agents in thyroid cancer

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
For those patients who have disseminated or unresectable thyroid cancer, Dr Arabella Hunt and Dr Kate Newbold review systemic treatments, their differences, toxicities and outcomes. Thyroid cancer is the most common endocrine malignancy. It is subdivided into differentiated (papillary, follicular...