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Microvascular free flap failures – looking beyond surgical technique
Microvascular free flaps are commonly used in reconstruction for head and neck defects. Failures of these flaps, however, are associated with a significant morbidity and mortality. Flap failures within the first 72 hours are commonly attributed to technical failure of...
What is the right balance to strike in the management of anaplastic thyroid cancer?
This is a pragmatic article on a difficult and much debated subject. Management of anaplastic thyroid cancer (ATC) can feel like making decisions between a rock and a hard place, and this article suggests one path to help navigate some...Why and what should hearing care professionals know about cognitive impairment and dementia
Good reasons to care about cognitive impairment and dementia in audiology If asking people what they fear most when getting to old age, it is cognitive decline that is named most often. This comes with the expectation of limitations in...Kelvin Kong made Member of the Order of Australia
Congratulations to Professor Kelvin Kong, Australia’s first Indigenous ENT surgeon, who has been given one of the country’s most prestigious honours.
SurgeOn social networking app
Over the last few weeks, I have had the pleasure of exploring a modern-day surgical social media platform through the innovative SurgeOn app – launched in the UK in January 2025 after seeing success in the US. SurgeOn is easily...
Is Dymista® useful for paediatric allergic rhinitis?
Allergic rhinitis (AR) affects up to 14.6% of the paediatric population. Whilst a recent Cochrane review has considered the evidence for intranasal corticosteroids as `weak and unreliable’ in paediatric AR, this product is a novel formulation combining Fluticasone and Azelastine...
Landmark Papers in Otolaryngology
“It is the supreme art of the teacher to awaken joy in creative expression and knowledge” says Peter Rea in his foreword to this book. He is quoting Albert Einstein, of course, and also introducing this book with a delightfully...
What is the optimum duration of voice rest after microlaryngoscopy procedures?
Recent survey data looking at the opinions and practices of otolaryngologists in the US and the UK demonstrate that there is a wide variation in recommendations made for voice rest after vocal fold surgery. In the US, the most common...
Superstructure-preserving stapes surgery in otosclerosis
Stapedectomy is a well-established procedure for otosclerosis but it has a small risk of a non-hearing ear, which can be devastating for patients. The development of a procedure which is safer and with a less steep learning curve for junior...
All videoswallows are not performed equally…
Videofluoroscopy is one of the main instrumental tools used to assess swallowing biomechanics and physiology. In the UK, it is mainly within the remit of speech and language therapists (SLT) to perform videoswallows but there is considerable variability in both...
Systemic steroids for sensorineural hearing loss
This Japanese retrospective study looked at whether the dosage of prednisolone affects the response rate in patients with idiopathic sudden sensorineural hearing loss. The authors included a total of 159 patients over a 14-year period who were treated with 200mg/day...
