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Key Clinical Topics in Otolaryngology

I am a ST6 registrar and, to review this book, I decided to use it as my primary revision guide for the exam and it did not disappoint. This book has all the hallmarks of a great adjunct for the...

Clinical Manual of Otolaryngology

This book aims to fill the gap that many ‘generic clinical textbooks’ fail to address; the knowledge and skills required to deal with common ear, nose and throat conditions that present to general practitioners and in emergency departments. Its scope...

Balance Disorders: A Brief Overview

Managing balance patients poses a challenge for many clinicians. Vestibular disorders affect a large part of the population and hence present to various specialties including ENT, audiology, neurology and primary care. The healthcare cost of balance disorders and any resultant...

On-call in ENT Surgery

The On-call in ENT Surgery, as part of the On-call Series, is written explicitly as the “survival guide” for all junior doctors starting out in ENT or as “a tool to aid consolidation of knowledge gathered by more senior ENT...

The effect on taste buds due to severing of the chorda tympani nerve

The long-term histological effect on taste buds following cutting of the chorda tympani in humans is not clear. Confocal laser scanning allows in-vivo examination of the same group of taste buds and is aiding our understanding of why patients recover...

Head and neck myxofibrosarcoma: a case report and review of the literature

Myxofibrosarcoma is the most common soft tissue sarcoma that occurs in late adult life, peaking in the seventh decade, and it is mainly encountered in the lower extremities. Cases within the head and neck region are extremely rare and to...

The unknown primary again

In this retrospective study of 35 patients, the authors followed a systematic protocol for the detection and management of malignant cervical lymph nodes without an apparent primary lesion. Although their one, three and five year survival results are consistent with...

Is bone scanning still of value?

This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...

What about the older adults?

The authors of this paper propose that significant changes in the delivery of services, including speech and language therapy management of swallowing difficulties, may be required. Among the most common causes of dysphagia in older adults are stroke, progressive neurological...

Paediatric vestibular dysfunction

This Malaysian study looked at the awareness amongst otorhinolaryngologists in the investigation and management of paediatric vestibular dysfunction. The authors noted that, although paediatric vestibular dysfunction is a common problem, there seems to be limited literature in assessing the proficiency...

Swallow assessment: is clinical judgement or objective measurement more reliable?

Swallowing difficulties are life threatening and are the most common referral reason to speech and language therapists working with the adult population. Video fluoroscopic examination is a common instrumental tool used to assist in the assessment of the risk of...

Deep space neck infections and their management

This article explores the approach to managing patients with deep space neck infections. Clearly, an understanding of the fascial planes within the neck is required which then provides an understanding of the route of spread in these cases. The authors...