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Impact of the updated cancer staging system on HPV-positive disease

1 July 2018 | | American Joint Committee on Cancer, National Cancer Data Base, human papillomavirus, oropharyngeal cancer, staging
The AJCC cancer staging manual was updated in 2017 (8th edition). It is used in the MDT setting for planning treatment and assessing prognosis for individual patients, and is also widely used internationally in clinical trials. Unlike previous iterations of...

The video head impulse test: an aid to the diagnosis of spinocerebellar ataxias

1 January 2017 | | Friedreich ataxia, Neuro-otology, spinocerebellar ataxia, vestibular function tests, vestibulo-ocular reflex (VOR)
Spinocerebellar and Friedreich ataxias (SCA and FA) by their nature present in neuro-otology clinics. The diagnosis is ultimately genetic but the authors investigated the characteristics of the VOR using the video head impulse test (vHIT) in order to distinguish between...

Recovery of vestibular function after vestibular neuritis

3 May 2024 | | Neurotology, Vestibular Disorders
It is well known that recovery from vestibular neuritis (VN) is not solely mediated through central vestibular compensation, but also at the peripheral level. The authors conducted a prospective study to track the dynamic changes in recovery from vestibular neuritis...

Olfactory ensheathing cells and their safe harvest

1 November 2016 |
This interesting and unique paper not only demonstrates that biopsy of olfactory mucosa in the region of the superior turbinate is a safe procedure but also provides valuable insight into an engaging area of research by a world class team...

Laryngeal papillomatosis

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Laryngeal papillomatosis remains one of the most frustrating conditions seen by laryngologists. Sam Majumdar gives us an overview of the current science and clinical practice. Human papilloma virus is a small (> 8kb) double stranded DNA virus with approximately 200...

Robotic surgery for squamous cell cancer: the new frontiers

4 November 2021 | | ENT, Head and Neck
Although the da Vinci platform was FDA approved for early-stage oropharyngeal cancers, the indications have expanded. In this article, John Hardman explains how surgeons, with greater understanding of the strengths and limitations of robotic surgery, have systematically set out to...

Endotypes in chronic rhinosinusitis: clinical relevance

3 May 2024 | | ENT, Rhinology / Sinus
Identifying endotypes enables personalised therapies that target specific pathophysiological processes, potentially resulting in better treatment outcomes for patients. The contemporary model of chronic rhinosinusitis (CRS) pathogenesis revolving around endotype, in combination with an expanding toolbox of diagnostics and therapeutics, enables...

Thyroid cancer – the last decade

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Professor Ashok Shaha describes the evolution in the treatment of thyroid cancer that he has witnessed over the last decade and the invaluable progress made by himself and others, from their contributions to staging systems and guidelines. Nuances and paradigm...

Addressing ear and hearing care through task sharing: the Malawian experience

27 February 2020 | | ENT, Otology, Audiology - Diagnostic
How can ear and hearing care be addressed in a setting with limited resources? Wakisa Mulwafu, Chris Prescott and Johan Fagan present an innovative model for training ear surgery technicians to perform endoscopic myringoplasty under local anaesthesia on a large...

Clinical utility and practical interpretation of the video head impulse test

1 November 2015 | | Audiology - Adult, Audiology - Diagnostic, Vestibular Disorders
The head impulse test (HIT) is an essential bedside test to detect peripheral vestibular deficits. The video head impulse test (vHIT) is a new tool quantifying the HIT. In this article Maria Heuberger and colleagues point out the clinical utility...

A practical approach to tinnitus

1 January 2016 | | Audiology - Adult, Otology, Tinnitus
Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...

Development of a new negative-pressure ventilatory support device: Exovent

3 September 2021 | | ENT, Otology
The pandemic has driven innovation in ways that we have not seen for many decades. Intensive care medicine and ENT have been at the forefront of these advances, and our good friends David Howard (never one to put his feet...