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Strength of evidence in otolaryngology research – do women make the difference?

3 July 2023 | | ENT | evidence-based medicine, levels of evidence, randomized controlled trials, research
Clinicians around the world understand the need for research and publication of gathered evidence to inform practice and improve patient outcomes. The introduction of the Oxford Centre for Evidence-based Medicine (CEBM) Levels of Evidence guideline in 2011, has been invaluable...

What is the prognostic value of lymph node yield and density in head and neck cancer?

1 September 2018 | | head and neck cancer, lymph node ratio, lymph node yield, prognostic value, systematic review
Neck dissection in addition to surgery of the primary site is commonly recommended in head and neck cancer treatment. However, there has been no consensus on the number of nodes that need to be removed to constitute a sufficient neck...

Deep space neck infections – salivary gland as source is commoner in elderly patients

1 January 2017 |
Whilst deep space neck infections (DNI) can originate from many sources, dental and salivary glands are commonly the culprit. This paper details 44 patients treated for deep space neck infections originating from salivary gland and compares them to a previously...

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...

Imaging tinnitus

1 May 2014 | | Audiology - Adult, ENT, Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

The role of macrolide antibiotics in chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

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...

Rhinology: what does the future hold?

1 May 2017 | | ENT, Rhinology / Sinus
David Kennedy surveys the past, the present and the future of rhinology practice and research. An evolution of understanding in rhinology The dramatic growth of clinical and translational research within the field of rhinology in recent years is illustrated by...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

Audiovestibular findings in children with enlarged vestibular aqueduct

1 November 2015 | | Audiology - Paediatric, Vestibular Disorders
Enlarged vestibular aqueduct is reported to affect up to 15% of the paediatric population with sensorineural hearing loss. Devin McCaslin and Bridget Smith provide an up-to-date overview of the mechanisms and clinical symptoms underlying the condition and share some of...

Knowledge is power: the power of mobile technologies to enhance hearing-related knowledge

1 March 2017 | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
In recent years, the widespread use of smartphones has made it increasingly possible to improve knowledge, understanding and delivery of hearing healthcare. Melanie Ferguson tells us about the advances in mobile-health applications. Think back to five years ago - what...

The mounting burden of hearing loss worldwide: gearing up global collaboration

1 November 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
As audiology and ENT professionals we all have an inkling about the prevalence and impact of hearing loss, but the true gravity of the situation is even greater than previously thought… It may seem hard to believe, but in the...