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From the editor MayJun 2020
Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net We are living in extraordinary times. As I write this message, the COVID-19 pandemic is just...Is one glass of wine on call safe?
It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...Update on EU patient safety petition
The European Commission has now replied to the parliamentary question posed earlier this year, when Professors Adrian Agius of Malta and John Fenton of Ireland brought a petition on patient safety.
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...
Radiation-induced dysphagia in head and neck cancer
This is a helpful reference paper that provides an overview of the biomolecular effects of radiation on the tissues of the upper aero-digestive tract. The authors explain that radiation injuries occur in a repetitive and accruing manner over the duration...
To use or not to use: absorbable sutures for facial wounds
This systematic literature review looked at studies comparing facial skin closure with absorbable versus non-absorbable sutures. Studies not published in English or looking at areas other than the head and neck, and studies focused on suture technique rather than material...
Long-term voice outcomes following transoral laser surgery versus radiotherapy for early laryngeal cancers
The oncological outcomes of transoral laser microsurgery (TOLM) for early laryngeal cancers are well-known to be very similar to radiation therapy (RT). The functional outcomes associated with each treatment modality are therefore of significant interest. This study is reported to...
Surgical outcomes of myringoplasty using platelet-rich plasma
Tympanic membrane (TM) perforations can affect people’s quality of life due to recurrent infections. Management is often by surgical repair. In this study, the authors investigated the outcomes of a minimally invasive approach of patch myringoplasty using an atelocollagen sponge...
Infection and other factors influencing post-tonsillectomy haemorrhage
In this detailed narrative review article, the authors have addressed several factors which could be related to postoperative bleeding after tonsillectomy. As regards to microbiology, the significance of micro-organisms present both on surface and within the tonsils is emphasised and...
Measuring radiation fibrosis in patients with head and neck cancer
People treated with radiotherapy for head and neck cancer experience several acute and chronic effects of this treatment, of which fibrosis is perhaps the most common. Fibrosis occurs as a wound healing response and leads to scarring and reduced range...
