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Visual distraction helps patients tolerate flexible laryngoscopy

With the arrival of flexible fibreoptic laryngoscope some 35 years ago, the examination of the laryngopharynx has become remarkably easier and saves immense time and costs since the days of mirror examination when this examination was not truly satisfactory in...

‘Close’ surgical margin in oral tongue redefined, 2.3mm is as good as 5mm

Gold standard treatment of squamous cell carcinoma (SCC) of the oral tongue remains surgical resection of the primary tumour with negative margins. The primary goal is the complete excision of the tumour with no residual cancer cells left behind. A...

Supracricoid laryngectomy revisited

In this article, the authors report on the long-term (five- and 10-year) survival, local recurrence rate and cause of death in a cohort of 46 patients with T3M0N0 glottic carcinoma undergoing supracricoid laryngectomy. The five- and 10-year survival were 78%...

How can we treat a patient with aural fullness?

Aural fullness is a common complaint that we often come across in many of our otology patients. Management of this condition can be quite challenging. Common differentials include eustachian tube dysfunction, patulous eustachian tube dysfunction, otitic barotrauma, superior canal dehiscence...

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....

Welcome to BACO Liverpool: a city with deep roots in ENT

Liverpool is a city steeped in ENT history, so it is fitting that BACO is being held there once more. Ray Clarke, former editor of ENT and Audiology News, casts his eye over the historical legacy of that fine city....

Information and support for vestibular professionals and their patients

The Meniere’s Society is the UK’s leading charity for people affected by vestibular conditions.

The tip in rhinoplasty

Getting the tip right (both its position and its shape) is vital in rhinoplasty. George Marcells eloquently gives us his perspective on how to get it right. “Many surgeons overly concentrate on the profile at the expense of the frontal...

Music and cochlear implants

Introduction The introduction of multichannel cochlear implants (CIs) in the early 1980s provided children and adults with severe and profound hearing losses with greatly improved speech perception skills. In this paper, however, I am going to focus on an area...

Destination unknown

We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

Developing principles of swallow rehabilitation using novel animal modelling

Never let it be said that we don’t cover a wide range of topics. Camilla Dawson tells us about the crossover between swallowing in seals and in humans. Rehabilitation of swallow is complex, informed by anatomical and physiological systems and...

Developing ENT and audiology services in Southern Africa (Part 2)

In the last issue of ENT & Audiology News, we heard from retired Professor Christopher Prescott on the challenges faced and progress made made locally to address the inequity and inequality of access to ENT and allied health professional services...