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Direct intratemporal facial nerve to hypoglossal nerve coaptation for facial reanimation

The hypoglossal nerve is a common axonal source for dynamic facial nerve rehabilitation. In its regular and modified forms of splitting the nerve it is associated with tongue hemiatrophy, speech and swallow dysfunction, facial movement and hyper contracture. This case...

Voice and unilateral vocal fold paralysis

Voice outcomes are the main comparators when managing unilateral vocal fold paralysis (UVP). In a review of the literature, 11 voice indicators are included in 80% of all articles. However, when surgeons were surveyed on their clinical preferences and their...

What I look for at a conference (and why you should go to BACO 2023)

Professor Claire Hopkins has attended more than her fair share of international meetings, and she shares her top tips. COVID has changed the face of medical education forever – who would have thought only a few years ago that we...

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...

The role, aims and organisation of the 2017 IFOS World Congress

IFOS is a truly international organisation – indeed, its rules state that the Executive Committee must have representation from every continent. IFOS President, Chong Sun Kim, tells us more. Dear friends and colleagues, I am very pleased to welcome all...

The association between pregnancy and otosclerosis could be due to psychosocial factors around parenthood rather than biological factors

The association between pregnancy and otosclerosis is controversial. If pregnancy physiologically increases the likelihood of otosclerosis progression, then one would expect that there would be a difference between male and female patients with regards to whether having children affects how...

Semi dynamic reconstruction of the lower lip

The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...

Hyaluronic acid injection laryngoplasty

This systematic review discusses the use of hyaluronic acid in injection laryngoplasties. Unilateral vocal cord paralysis leads to incomplete vocal fold adduction and dysphonia. For patients not improving with voice therapy, surgical procedures include injection laryngoplasty or open laryngeal framework...

Surgically improving pharyngeal paralysis and associated dysphagia

This was an interesting article explaining the current methods used to try and improve dysphagia and in some cases associated problematic aspiration following vagal injury. These patients are often those with other associated cranial neuropathies, with skull base lesions, brain...

Thyroid cancer – the last decade

Professor Ashok Shaha describes the evolution in the treatment of thyroid cancer that he has witnessed over the last decade and the invaluable progress made by himself and others, from their contributions to staging systems and guidelines. Nuances and paradigm...

In conversation with Gregory W. Randolph, President of the AAO-HNS

The American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS) is the world’s largest otolaryngology, head and neck surgical organisation. Declan Costello caught up with its new President, Dr Gregory W. Randolph. Dr Gregory W. Randolph. Congratulations on your...