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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,...

Giacomo Puccini’s laryngeal cancer

1 September 2015 | | ENT, Laryngology / Swallowing / Voice
Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...
Image showing Intraoperative injection of ICG to identify feeding vessel to aid with preservation.

ICG in ENT surgery

5 July 2022 | | ENT, Thyroid / Parathyroid Surgery
The use of fluorescence imaging is well established in the medical sphere, forming an essential arm of medical diagnostics with liver function, ophthalmic angiography, and assessment in cell biology with fluorescence microscopy. Fluorescence imaging in surgery, however, is an evolving...

Lessons learned from running a national thyroid surgery registry

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
The UK Registry of Endocrine and Thyroid Surgery is now yielding the rewards of meticulous data collection and years of hard work. David Scott-Coombes discusses the advantages and the unintended consequences of their success. The British Association of Endocrine and...

History of innovation in ENT

2 November 2020 | | ENT, Laryngology / Swallowing / Voice, Otology, Rhinology / Sinus
Innovation seems to have been in the strapline of every meeting, conference and course for the last few years. You would be forgiven for thinking it is a new a concept, but as Neil Weir beautifully details, innovation has been...

Hearing loss and Alport syndrome

1 May 2015 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Otology, Genetics
Alport syndrome (AS) includes a group of hereditary diseases caused by mutations in the COL4A3, COL4A4 or COL4A5 genes. These genes are responsible for the biosynthesis of α3, α4 and α5 collagen IV chains, which are located in the glomerular...

Is one glass of wine on call safe?

1 January 2014 | | ENT
It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

The future of rhinology: What will come first, a radical change in rhinological management or the decimation of the world?

1 March 2019 | | ENT, Rhinology / Sinus, Rhinoplasty
In this article, Simon Gane looks forward to what the future holds, on the presumption he survives. Setting aside the questions of the UK even existing, the NHS still working, or the fact we’ll be commuting to our jobs in...

Retrieval of an aspirated voice prosthesis in the awake laryngectomised patient

3 March 2021 | | ENT, Laryngology / Swallowing / Voice
In this article, the authors describe a simple and effective technique for extracting an aspirated voice prosthesis from within the tracheobronchial tree in the awake laryngectomised patient using the Ambu® aScopeTM 4 Broncho endoscope. Surgical voice restoration remains the dominant...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENT, Thyroid / Parathyroid Surgery
Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

When things go wrong

1 September 2018 | | ENT
The new-age, Paediatric Surgeon, Ray Clarke, (fear uasal, íseal), eloquently demands throwing off the shackles of the past and welcomes the dawning of an era of openness, transparency and candour, preferably suffused with compassion for both the patient and the...

The future of head and neck cancer surgery

1 March 2019 | | ENT, Head and Neck
Neil Sharma paints an exciting picture of the future of head and neck surgery with nanobots and robot augmented humans – science fiction or reality? Time will tell. ‘May you live in interesting times’ reads the old Chinese curse. The...