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Management of stage IV pharyngolaryngeal lesions
This is a retrospective study of 63 patients presenting with stage four laryngeal and/or hypopharyngeal squamous cell carcinoma. The aim was to define the factors influencing the oncological and functional outcomes of the patients. All patients had T4 lesions with...
To monitor the nerves or not?
Whilst intraoperative nerve monitoring has become the standard of care for mastoid and parotid surgery, its benefit in thyroid surgery remains unclear. In the UK NICE was agnostic on the subject in 2008, stating that it was potentially helpful and...
Helicobacter pylori and chronic tonsillitis
Helicobacter pylori infection in the stomach has long been associated with chronic gastritis, duodenal and peptic ulceration and even gastric cancer. Whether laryngopharyngeal reflux (LPR) brings up these organisms and induces chronic tonsillitis is an interesting concept, which the authors...
Radiology and paediatric neck lumps
This is a comprehensive article examining the modalities available for children presenting with suspected congenital neck lumps. Each modality is explained in turn, with pros and cons highlighted, but also in the context of the emergency patient and the elective....
Application of balloon dilatation in chronic eustachian tube dysfunction
Chronic eustachian tube dysfunction prevails in 1% of the adult population and can predispose to middle ear disease. There are subjective and objective features of this condition that can affect quality of life. The common methods to treat eustachian tube...
The effect of vertigo on sleep
The authors analysed data of 20,950 individuals who completed the balance and dizziness supplements of the ongoing NHIS survey in 2008. The survey used a strict algorithm to identify individuals reporting vestibular vertigo and information on sleep duration and a...
Expanding horizons: from speech therapy to communication therapy for people with Parkinson’s disease
This article explores the perspective of people living with Parkinson’s disease before and after participating in speech treatment delivered by a speech and language therapist (SLT). Semi-structured interviews were conducted with 11 participants. These interviews were held face to face...
Apps in allergic rhinitis
Utilising smart-phone applications to gather data is an expanding field in medicine. However, it is not without limitations including bias. The European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) introduced the Allergy Diary application as part of...
Predicting postoperative respiratory complications following paediatric adenotonsillectomy
This systematic review aimed to compare the presence of clinical features versus the polysomnography results in predicting major postoperative respiratory complications in children undergoing adenotonsillectomy for OSA. The study was prepared according to the PRISMA checklist. Overall 22 studies met...
Managing the thyroglossal duct cyst
Although the operation to remove thyroglossal cysts and their tracts is commonly performed, a full understanding of the possible anatomical locations of the tracts may be less appreciated. This article helps the reader understand the possible variations available which should...
No increase in papillary thyroid cancer during pregnancy
This small study of 19 pregnant patients, who were diagnosed with papillary thyroid cancer before or during the early stages of pregnancy (up to 20 weeks), assessed the changes of thyroid tumours during pregnancy. Conducted at a single centre over...
