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Pharyngocutaneous fistula after total laryngectomy

1 January 2017 |
Pharyngocutaneous fistula (PCF) after total laryngectomy is a serious complication post-surgery, and can lead to prolonged hospitalisation, adding delays in postoperative chemoradiotherapy. This Turkish retrospective study looked at 166 patients who underwent total laryngectomy for laryngeal cancer, although it is...

Paediatric lymphadenopathy – helpful decision making

1 May 2016 | | Biopsy, Cervical, Lymphadenopathy, Neck, Node, Paediatric
The authors present a very helpful algorithm to manage cervical lymphadenopathy in children. The goal of managing children with inflamed lymph glands is to identify the rare malignant case and not over-investigate the vast majority of benign reactive swellings –...

When ears go bad

1 September 2015 | | Cancer, External auditory canal, Squamous cell carcinoma, Surgical management, Temporal bone malignancy, Temporal bone resection
Whilst rare, squamous cell carcinoma is the commonest primary malignancy of the temporal bone and is discussed in this review article. This tumour frequently presents with otalgia, ottorhoea and hearing loss; less commonly, with facial palsy or parotid mass. Investigations...

Ultrasound assessment of metastatic disease

1 July 2015 |
This Japanese study of 10 patients over 15 years, assesses the role of ultrasonography in assessing metastatic disease to the thyroid gland, specifically renal clear cell carcinoma (RCCC). Whilst uncommon, the authors state that there is a favourable prognosis when...

10 steps to improving transition to adult services

1 January 2017 | | Audiology - Paediatric, Audiology - Adult, ENT, Paediatric ENT
Children and parents like the reassurance that staying under the care of the team who looked after them from birth gives, but as the child approaches adulthood he / she must come under the care of a new team. This...

Intratympanic steroids in Ménière's disease: what’s the evidence?

2 September 2022 | | ENT, Audiology - Diagnostic, Audiology - Adult, Otology
The days of drastic surgery for Ménière's disease are long gone. We know that intratympanic injections can deliver high doses of medication to the inner ear with minimal discomfort and minimal risk. But how do we choose from the myriad...

RSM ‘Otology Dragon’s Den’

1 May 2015 | | ENT, Otology
The Royal Society of Medicine Otology Section recently held an ‘Otology Dragon’s Den’ event. Following on from our interview with Professor Gerry O’Donoghue, RSM Otology Section President, in the run-up to this event, we interviewed Steve Broomfield, Consultant Otologist in...

Cochlear implantation in children with single-sided deafness: rationale and early findings

31 October 2018 | | Audiology - Paediatric, Audiology - Diagnostic
Cochlear Implantation (CI) in children with single-sided deafness (SSD) is a controversial treatment option. Profs Karen Gordon, Papsin and Cushing discuss the rationale and early findings on the relative success of achieving binaural hearing for SSD with CI. If you’d...

The Graham Fraser Foundation

1 July 2016 | | ENT
Graham Fraser (1936-94) was a pioneering otolaryngologist, in whose memory the Graham Fraser Foundation was set up, and an eponymous annual lecture and a travelling fellowship in otology were established. It’s an honour to profile the Foundation in this extended...

Thyroid nodules – time for a rational imaging approach

1 May 2014 | | ENT, Thyroid / Parathyroid Surgery
“The more you know, the harder it is to take decisive action. Once you become informed, you start seeing complexities and shades of gray. You realize that nothing is as clear as it first appears. Ultimately, knowledge is paralyzing.” Calvin,...

Singing after laryngectomy: Shout at Cancer

1 September 2016 | | ENT, Laryngology / Swallowing / Voice
Thomas Moors is an ENT junior doctor with a background in music and singing. Combining these interests, he has set up a charity to help patients who have had a laryngectomy. He has achieved considerable public attention, and he tells...

The National Bone Conducting Hearing Implant Registry

1 November 2016 | | Auditory Implants, ENT, Otology
Are you an otologist with an interest in implant surgery? Is your unit on the registry? If not, you’d better have a good excuse after reading this… What is the National BCHI Registry? The National Bone Conducting Hearing Implant (BCHI)...