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An overview of microsurgical reconstruction of the head and neck worldwide

1 January 2016 | | Free tissue flaps, Head and neck oncology, Microsurgery, OSCC, Perioperative management, Questionnaire
Microsurgical reconstruction is an integral part of the treatment following ablation for malignancy or trauma. Currently there are no clear treatment guidelines following tumour resection. This was recognised a few years ago and in 2008 various collaborative groups were founded...

When ears go bad

1 September 2015 | | Cancer, External auditory canal, Squamous cell carcinoma, Surgical management, Temporal bone malignancy, Temporal bone resection
Whilst rare, squamous cell carcinoma is the commonest primary malignancy of the temporal bone and is discussed in this review article. This tumour frequently presents with otalgia, ottorhoea and hearing loss; less commonly, with facial palsy or parotid mass. Investigations...

Neurosarcoidosis: another aetiologic factor for deafness and labyrinthitis ossificans

1 July 2015 |
Very few studies describe deafness secondary to neurosarcoidosis as the latter is a rare inflammatory disorder of the nervous system usually associated with facial nerve and optic nerve disorders. This interesting case report describes a rare case of cochlear ossification...

Botulinum toxin in ENT

1 May 2015 |
This comprehensive review neatly summarises non-cosmetic uses of botulinum toxin within otorhinolaryngology, it is perhaps easy to forget the medical use of botulinum toxin has now been approved for the last thirty years. Its overall safety profile places it as...

Otorhinolaryngology training in Haiti: a call for accompaniment

25 April 2023 | | ENT, Head and Neck
Haiti is a small Caribbean country in which a group of freedom fighters successfully defied Napoleon and the French military. It has faced embargoes, economic isolation, political crises and devastating natural disasters since its independence. Its GDP is 0.01% of...

Facing up to the challenge of behavioural observation in infant hearing assessment

31 October 2018 | | Audiology - Paediatric, Audiology - Diagnostic
The ability to assess detection and discrimination of speech by infants has proved elusive. Dr Iain Jackson and colleagues discuss how new technologies and fresh approaches might offer valuable insight into young infants’ behavioural responses to sound. The limits of...

Body self-image – the ENT perspective

1 January 2017 | | ENT, Paediatric ENT, Rhinoplasty
Body dysmorphic disorder is a serious psychiatric condition that we all need to be aware of when contemplating aesthetic surgery. It can present in children as well as adults. Prof Vieira and Dr de Carvalho discuss the tell-tale signs and...

In conversation with Bill Gibson, Richard Ramsden and Shakeel Saeed

1 September 2017 | | Auditory Implants, Audiology - Paediatric, Audiology - Adult, ENT, Otology, Paediatric ENT
The surgical aspect of cochlear implantation is both a joy and a challenge – which is why we love it! In this article, Simon Freeman draws on the wisdom of his three previous mentors, sharing pearls from some of the...

Practical training courses for otolaryngology trainees

1 March 2017 | | ENT
In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

BACO: evolution and modernisation

1 January 2018 | | ENT
Chairing the local organising committee is no small task, but it has a personal connection for Tim Woolford, as he tells us. I attended my first BACO in Manchester as a registrar, and have attended every one since. In July,...

Audiology in this issue... Paediatric Audiology Gamechangers (NovDec18)

7 November 2018
Fifty years ago, the National Conference on Education of the Deaf followed up on the Babbidge Report of 1965, recognising the failure of oralism in deaf education. Because young, deaf children at that time did not have access to sound, they could not develop speech and language. Further, because children were identified at two years or later, early intervention was only a dream.

Middle ear muscle disorders: presentation, diagnosis and management

1 March 2019 | | Audiology - Adult, Audiology - Diagnostic
Patients often report symptoms relating to disorders of the middle ear muscles. Prof Bance gives us an overview of the anatomy and function, as well as guides our diagnosis and management. The middle ear muscles (MEMs) are a mystery, both...