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Sustainable Practice

3 November 2023 |
Guest Section Editor Brian D Westerberg, MD, FRCSC, MHSc, Clinical Professor, University of British Columbia, Canada; Head, Division of Otolaryngology – Head and Neck Surgery, Providence Health Care, Vancouver, Canada. Climate change is the greatest threat to human health today....

Assessment and management of dysphagia in the elderly

1 March 2019 | | Laryngology / Swallowing / Voice, Otology | Ageing, Dysphagia, Geriatric, Management, Older, Presbyphagia
This article covers dysphagia in older patients, which is an important topic due to an ageing population, and a relatively common symptom that we see in clinic. Dysphagia could be due to presbyphagia secondary to changes in head and neck...

The snotty child?

1 January 2019 | | Endoscopic sinus surgery, Children, Uncomplicated chronic rhinosinusitis
This article is interesting for those of us who see children regularly in secondary care but rarely see them with chronic rhinosinusitis. The authors remind the reader of the EPOS guidelines for diagnosis of CRS in children: two or more...

Grading dysphagia as a toxicity in treating head and neck cancer

1 September 2018 | | Clinical trials, Deglutition and deglutition disorders, Head and neck cancer, Toxicity grading
Common Terminology Criteria for Adverse Events (CTCAE) is a system used by clinicians to grade the toxicity of oncology treatments in a standardised manner. Dysphagia is perhaps the most common long-term toxicity of head and neck cancer treatment. Currently, a...

Low risk options following failure of intratympanic gentamicin for Meniere’s

1 May 2017 | | Meniere’s Disease, Intractable disease, Gentamicin, Surgery
This article is a useful summary of the options available when intratympanic gentamicin (ITG) fails to adequately control vertigo episodes in Meniere’s patients. The authors describe the anatomical reasons that may impede drug delivery to the round window with the...

Giacomo Puccini’s laryngeal cancer

1 September 2015 | | ENT, Laryngology / Swallowing / Voice
Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

What’s in a name?

1 March 2016 |
Kate Granger is a doctor and the founder of the #hellomynameis campaign; she is also a cancer patient. In this article she explains why she started the campaign, and why patient-centred care starts with an introduction. Chris and me the...

International Federation of Head and Neck Oncologic Societies (IFHNOS): its programmes and impact on head and neck cancer worldwide

1 March 2016 | | ENT, Head and Neck
In the first article of this edition, we introduce IFHNOS, which has created a major impact on the landscape of head and neck cancer treatment and education over the past quarter of a century by offering a global platform amongst...

Electronic nicotine delivery systems (e-cigarettes): what you need to know

1 January 2017 | | ENT, Laryngology / Swallowing / Voice, Paediatric ENT
As an aid to stopping smoking e-cigarettes may have a role, but they are heavily promoted by industry as a leisure pursuit and desirable fashion accessory. Sneh Biyani and Craig Derkay gives a thorough account of what we know about...

Tonsillectomy in adolescents

1 January 2017 | | ENT, Head and Neck, Laryngology / Swallowing / Voice, Paediatric ENT
Tonsillectomy is one of the most common operations performed across the developed world. Salil Sood and Ray Clarke discuss the special considerations that apply when performing this procedure on adolescent patients. Tonsillitis in teenagers can be exceptionally painful and disruptive....

Manuel Patricio Rodriguez Garcia (1805-1906): The ‘inventor of the laryngoscope’ and world-renowned singing teacher

1 May 2017 | | ENT, Laryngology / Swallowing / Voice
Paris was the birthplace of the laryngoscope, invented by Manuel Garcia. As we are in Paris for IFOS 2017, Neil Weir tells us about this fascinating man, who travelled the world and was a renowned singer and laryngologist. Manuel Patricio...

Surgeons and swearing

1 July 2017 | | ENT, Head and Neck
We will all know colleagues who have raised the act of swearing to an art form; just as Malcolm Tucker in The Thick of It could cut a workmate in half with a well-placed swear word, surgeons can be equally...