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Polidocanol – a safer and equally effective alternative to ethanol for the treatment of thyroid cysts?
Percutaneous needle aspiration is a minimally invasive treatment option for thyroid cysts but suffers from a high recurrence rate (86% in 1 case series). This recurrence rate can be reduced substantially with the instillation of ethanol following aspiration. Ethanol instillation...
Preoperative imaging for thyroid cancer according to 2015 ATA guidelines
The 2015 American Thyroid Association (ATA) management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer suggest that thyroid sonography with survey of the cervical lymph nodes should be performed in all patients with known or suspected thyroid...
Imaging of the parathyroid glands in primary hyperparathyroidism: where do we stand?
Primary hyperparathyroidism (PHPT) refers to an intrinsic parathyroid gland abnormality that produces excessive secretion of parathyroid hormone. PHPT is diagnosed biochemically, and surgical excision of the abnormal parathyroid tissue represents the only definitive cure. Historically, the standard operative management of...
REARRANGED: An Opera Singer’s Facial Cancer And Life Transposed
Rearranged is a wonderfully positive memoir telling of Kathleen Watt’s ordeal through maxillary osteosarcoma. As an early career opera singer in the New York Metropolitan Opera’s chorus, her dreams are derailed and life transformed when this most rare diagnosis hits....Beware of Bicycle Face!
Many of us were told as children that we would get square eyes from watching too much television. But spare a thought for those late Victorian ladies, embracing their first taste of liberty on a bicycle, who were threatened with...
A higher aspiration for fine needles
Fine needle aspiration biopsy (FNAB) has aided in the diagnosis and management of thyroid nodules for decades. Now a rapid evolution is hoped to benefit an increasing cohort of patients with small nodules and non-diagnostic investigations. This review discusses the...
ENT Vivas: A Guide to Passing the Intercollegiate FRCS (ORL HNS) Viva Examination
ENT Vivas is a clear and well-structured guide for trainees preparing for the FRCS (ORL HNS) viva examination. The exam demands not only knowledge but the ability to think aloud, justify decisions and stay composed under pressure; this book supports...
Carotid paragangliomas and their management
Paragangliomas in the head and neck are most frequently associated with the carotid artery, classically at its bifurcation and splaying the internal and external vessels. Despite their commonality at this site, large studies of these rare tumours are still lacking...Treatment regret in head and neck cancer – trading function for survival
Treatment for H&N cancer can be extremely tough for patients. How do we explain the likely impact as they try to make decisions? And what happens when they regret their choice? Treatment regret is a form of decision regret, involving...ENT in this issue - Global rhinology: ERS2023
Prof Dr Wytske Fokkens, MD, PhD, General Secretary ERS; Professor, Dept of Otorhinolaryngology, Amsterdam University Medical Centres, Amsterdam, the Netherlands. This issue of ENT & Audiology News centres around the ERS Congress taking place in Sofia in June this year....
Biologicals for severe chronic rhinosinusitis with nasal polyps. Any use?
Recent advances and knowledge of inflammatory endotypes of chronic rhinosinusitis with nasal polyps (CRSwNP) led to introduction of biological agents such as monoclonal antibodies targeting IgE (omalizumab) and Interleukins (ILs) such as IL4R alpha (dupilumab) and IL5. The European Academy...
