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Incidental thyroid nodules: should we observe or operate?
Thyroid nodules are extraordinarily prevalent, detected by physical examination in 7% and by imaging studies in 67% of the population. Although most of these nodules are benign, up to 20% are found to be malignant on excision. It’s a very...
Active surveillance for papillary thyroid cancers – what is the risk of progression?
Papillary thyroid cancers (PTCs) are generally considered to be indolent malignancies with favourable outcomes. Active surveillance (AS) has consequently been trialled as a management option for small PTCs with no evidence of regional lymph node involvement, especially papillary thyroid microcarcinomas...New curricula: trainees’ and trainers’ thoughts
After the disruption to training and clinical practice from COVID, it is interesting and perhaps encouraging that plans are in place to support ENT training in both mainland Europe and the UK with new formal curricula. We hear trainees’ and...COVID-19 innovations
The coronavirus pandemic has mobilised medical innovators in an amazing way. We take a look at just a few of the hundreds of innovative products and techniques that have been developed and used in the last few weeks. Some of...AOT Conference 2024
Shared Knowledge, Built Community Anita Sedghi FY1, Northwick Park Hospital, London Northwest NHS Trust The AOT Conference this year focused on a diverse range of presentations, catering to trainees at all levels. The program started with a thought-provoking talk by...Nuclear heads – and necks
Imaging of the extra-cranial head and neck is challenging due to the anatomic complexity of the region. CT, MRI and ultrasonography (US) are amongst the most frequently utilised radiological modalities in head and neck imaging but do not always provide...
Sinus airflow after FESS using models and fluid dynamics
This is a very interesting study from Australia and New Zealand looking at flow of air into the nose and sinuses after FESS surgery. There is plenty of data regarding computational fluid dynamics for preoperative cases but not much for...2020 Unmasked: Hidden strengths and vulnerabilities laid bare - By Joseph Sinnott
Masks were everywhere in 2020. The most visible to stop the spread of COVID-19 but others concealed soon-to-be revealed strengths and weaknesses. In April 2020, the UK Prime Minister was taken to intensive care suffering with this new and frightening...Scientific advances in mapping syndromic hearing loss
From more than 22000 genes that we humans have, approximately 3000 genes are associated with human communication. There are tens of syndromes which have been identified to be accompanied by hearing loss. Disorders of almost every organ of the body...
Sublingual gland tumour resection
This paper from South Korea analyses the pathology arising from 20 malignant sublingual gland tumours. Adenoid cystic carcinoma followed by mucoepidermoid carcinomas were the most common. Tumour invasion into the lingual nerve was detected in 40% of cases, and into...RSM ‘Otology Dragon’s Den’ - Interview with Professor Gerard O’Donoghue
Paula Bradley interviews Professor Gerard O’Donoghue, President Elect, Otology Section Council; Royal Society of Medicine on the upcoming ‘Otology Dragons’ Den’ event. Tell me a bit about the proposed event? When is it? Where? This event, the ‘Otology Dragons’ Den’,...
