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The changing spectrum of cancer of the oropharynx: dilemmas and future directions
The association of HPV in oropharyngeal cancer has identified a ‘new disease’, with its unique biologic behaviour, and challenges for clinicians in selecting therapeutic combinations offering maximum efficacy and minimum morbidity or long-term sequela currently under study in clinical trials....Medical and surgical management of performing vocalists
Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...
Surgery or medicine: when should we stop trying to be conservative?
Although most otolaryngologists would agree that surgery improves the outcomes of patients with CRS when medical treatment has failed, both Cochrane reviews state that there is no proof of improved efficacy of surgery over medicine – however, that was after...
A review of endoscopic sinus surgery outcomes
This review discusses the outcome measures that may be considered in the assessment of patients with chronic rhinosinusitis (CRS) as well as the outcomes of endoscopic sinus surgery (ESS) published so far. The authors also discuss the role of peri-operative...
Medical trends in sleep disordered breathing
This duo provide an eloquent outline of sleep disordered breathing in general, with particular emphasis on the medical impact and associations of the condition. The increasing prevalence of the condition is described, with increasing worldwide obesity, increased association of cardiac...
Mastering Medical Photography of the Head and Neck
Medical photography has always been an integral part of the medical profession with benefits that span diagnosis, follow up, assessment of results and teaching. The popularisation of digital photography has made it more accessible to most doctors and other health...In conversation with Dr Narveshwar Sinha
‘Only if you hear, you speak’ – early diagnosis of deafness On the occasion of World Hearing Day, Vikas Malik interviewed Narveshwar Sinha, Chairman of IDEAL Charity, a UK-based charity working for the hearing impaired in less developed countries for...#BecauseIhearIlive – an international message from Smiling Crocodile
There are 34 million children worldwide afflicted by disabling hearing loss, 60% of whom are suffering from hearing loss due to preventable causes [1]. This article is an account of the Smiling Crocodile Charity, founded in 2009 by Dagmar Herrmannová,...Development of a new negative-pressure ventilatory support device: Exovent
The pandemic has driven innovation in ways that we have not seen for many decades. Intensive care medicine and ENT have been at the forefront of these advances, and our good friends David Howard (never one to put his feet...
Development of an ENT undergraduate curriculum
With over a third of medical schools not including any clinical attachment in the subject, this is a laudable attempt to confront the deficiencies in undergraduate ENT teaching within the UK. The Delphi process is an established method of developing...
