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Serum urea and epistaxis

1 September 2015 |
This was a small retrospective review from Swansea looking at 278 patients who attended a teaching hospital Accident and Emergency department with a diagnosis of epistaxis. Only 119 of these patients had their serum urea measured. The investigators found that...
European Archives of Oto Rhino Laryngology journal cover image.

Inpatient or outpatient thyroidectomy?

2 September 2022 | | Head and Neck | Hemithyroidectomy, Outpatient, Bayesian meta-analysis, Systematic review, Hematoma, Thyroidectomy
This systematic review and meta-analysis discusses the safety of hemithyroidectomy in an outpatient vis-à-vis an inpatient setting. Thyroidectomy has traditionally been performed as an inpatient procedure. Currently, an increasing number of surgeons are performing thyroidectomy in outpatient settings. The main...

New biomarkers for salivary gland tumours

1 November 2019 | | Maxillofacial Surgery
Salivary gland tumours comprise approximately 6-8% of head and neck neoplasms. Elevated haematological inflammatory markers, such as neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR), have been shown to be predictive and prognostic in various malignancies. This...

Management of oral white patches with malignant potential

1 November 2017 | | malignant, management, proliferative verrucous leukoplakia
This paper focuses on a rare but aggressive form of leukoplakia with malignant potential and is an important reminder of the need for specialist management to those in allied specialties such as ENT that may initially be referred these oral...

Postoperative recovery in children after ENT surgery

1 March 2017 | | Otorhinolaryngologic diseases, ambulatory surgical procedures, child, recovery of function, self report
This Belgian prospective study reported on the postoperative recovery time after routine ENT surgery (grommets, adenotonsillectomy), and compared parental estimations of postoperative pain with those of the child themselves (however, the authors do admit that many of the children included...

Surgical technology and operating room safety failures: lessons from vascular and general surgery

1 January 2014 | | ENT
Background – surgical technology and otolaryngology An estimated 234 million major surgical procedures are performed annually worldwide. This requires the interaction of multidisciplinary teams with varying contributions of surgical technology and therefore makes surgical procedures prone to multiple sources of...

Simulation: human factors scenario training

1 January 2014 | | ENT
It is said that surgical training has suffered as a result of a combination of factors – through the introduction of work time restrictions such as the European Working Time Directive (EWTD) [1], a limit on the number of years...

Advances in vestibular function testing

1 November 2015 | | ENT, Vestibular Disorders
Vestibular function testing has historically been limited by difficulties in testing individual parts of the vestibular apparatus. Jas Sandhu describes new tests available to clinicians that address this problem. Advances in vestibular function testing Vestibular function testing has historically been...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENT, Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Shooting for Gold: ENT surgery and the Commonwealth Games

1 November 2016 | | ENT, Head and Neck
What are the secrets to success in your career, sports and life in general? Sharp-shooter Parag Patel hits the bullseye again. I write this article following a wave of summer sporting brilliance, from the record Great Britain 67 medal haul...

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...

Are ENT patients who research their symptoms online better informed?

1 September 2017 | | ENT
All our patients look up their symptoms online before they visit us, don’t they? And patients who do so are better informed than those who don’t, right? Well, that’s not actually the case… The ‘information era’ More information is now...