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Active smoking predicts poor outcome in HPV positive oropharyngeal squamous cell carcinoma

Tobacco smoking is a well-known risk factor in human papilloma virus (HPV)-negative head and neck squamous cell cancer. Its effects include increased risk of treatment failure, distant metastases and reduced overall survival. HPV has been increasingly implicated as a causative...

Dysphagia in people with HPV-related oropharyngeal cancer

Human papilloma virus (HPV) associated oropharyngeal cancers are becoming much more prevalent and, in some geographic areas, have overtaken tobacco as the leading cause of oropharyngeal cancer. HPV-associated cancers are also reported to have better prognosis in general, and research...

Recurrent facial palsy

Recurrent facial palsy is relatively rare, and its clinical features are not well known. The authors set out to investigate this further by undertaking a retrospective study of patients with recurrent facial palsy over a 14-year period. Only Bell’s palsy...

Bell’s palsy incidence in Korean population

Bell’s palsy is an acute idiopathic paresis or paralysis of the peripheral facial nerve. It is the most common cause of facial nerve palsy with a reported incidence ranging from 11.5–55.3 per 100,000. The aetiology remains unclear. Several studies have...

When dinosaurs ruled the earth

Optimism is abundant in medical research, but frequently ends up being tempered with reality. In his inimitable style, Chris Potter looks back over his career – starting with his medical school memories of Bentley-driving ENT consultants, and moving forward through...

Rhoton’s Atlas of Head, Neck, and Brain

Albert Rhoton was a renowned American neurosurgeon with an intense interest in anatomy. This book was published after his death in 2016 and aims to continue Rhoton’s philosophy of patients benefit deriving from surgeons’ knowledge and understanding of complex anatomy....

International classification of BPPV

In the past few years, the Bárány Society has made great strides in defining and classifying vestibular disorders along the lines of the international classification of diseases. This article addresses the diagnostic criteria for BPPV, the commonest cause of vertigo....

Perceptions in facial ageing

A determinant of a youthful face is based on how facial aesthetic units flow together. Facial ageing results in surface and subsurface structural changes. These factors contribute to the position of bony landmarks, formation of wrinkles and lines and variability...

A new criterion for diagnosing chronic tonsillitis?

It is essential to establish the diagnosis of recurrent tonsillitis in patients undergoing tonsillectomy. This is based mainly on history which itself can be inaccurate and is supported by clinical findings which are not truly specific. There seems to be...

Ida Institute tackles clinician burn-out

Founded in 2007, Denmark’s Ida Institute is dedicated to the health of people with hearing loss. Its new four-part course, however, is aimed at another group: the medical professionals whose jobs can compromise their own health.

Do we need to intervene after complications of acute sinusitis in children?

omplications of acute sinusitis in children are not uncommon and some are managed surgically. The authors of this paper reviewed their experience of subsequent chronic rhinosinusitis (CRS). Nine of 86 patients required surgery in the 12 months after their initial...

Connected hearing healthcare: the realisation of benefit relies on successful clinical implementation

Connected hearing healthcare is the one of best tools for improving access to, as well as the overall quality, of hearing healthcare. Evelyn Davies-Venn and Danielle Glista discuss the benefits and important factors that contribute to successful implementation of this...