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Stuttering and bullying - everyone’s business
This article emphasises that bullying (distinct from teasing- the former being defined as repeated actions intended as harmful, compared to good-natured interactions enjoyed by everyone) is an issue that can impact significantly on a child or young person’s ability to...
Strategies to improve early development of vocabulary post-cochlear implantation
Cochlear Implantation (CI) is now the standard of care for rehabilitation of children with bilateral severe to profound sensorineural hearing loss. It improves the children’s linguistic input and helps them to develop language. The literature published so far has shown...
Predictors of postoperative improvement after endoscopic sinus surgery in patients with chronic rhinosinusitis
Improvement after endoscopic sinus surgery in patients with chronic rhinosinusitis varies considerably. If elaborate preoperative and intraoperative data could be used to predict the postoperative course, management and length of the follow-up could be adjusted to provide optimal care. Two...
Does surgery work for acquired stenosis of the ear canal in the long term?
The surgical treatment of acquired post-inflammatory atresia of the external auditory canal (EAC), namely meatoplasty, is challenging with variable long-term outcome. This study looked at the clinical, audiological data, long-term outcome and patient satisfaction after performing meatoplasty. Sixteen patients were...
A review of significant issues in the management of obstructive sleep apnoea in children
There are considerable variations in the management of obstructive sleep apnoea in children and this suggests a need for more research and evidence-based information. In this review article, the authors address four key issues. Literature compares tonsillectomy with tonsillotomy, the...
Is a chest x-ray necessary in making urgent referrals for suspected head and neck cancer?
The article presents an audit on urgent referrals for suspected head and neck cancer in 2144 patients. Only 8.6% of cases proved positive for head and neck cancer. The Scottish Referral Guidelines were adhered only in 55.1% of cases. Interestingly,...
Synchronous bilateral tonsil cancer
There is a long-standing debate regarding either unilateral or bilateral tonsillectomy for histological confirmation of tonsil cancer. Bilateral tonsillectomy is the standard of care in Denmark for proven or suspected tonsil carcinoma, and in the diagnostic work-up of the unknown...
Can comorbidities predict complications after total laryngectomy? Utility of the Modified Frailty Index (mFI) score
Decision making regarding appropriate treatment for laryngeal cancer is complex. Patients undergoing total laryngectomy experience significant changes in anatomy and physiology and are at risk for significant postoperative complications. These patients represent a group with significant comorbidities. In addition, patients...
Prioritisation of surgery for pituitary tumours
This study is based on the findings of internationally renowned skull base surgeons who convened to recommend this stratification scheme. The study authors report that incidental diagnosis of pituitary tumours during routine imaging as well as early identification of visual...
To monitor the nerves or not?
Whilst intraoperative nerve monitoring has become the standard of care for mastoid and parotid surgery, its benefit in thyroid surgery remains unclear. In the UK NICE was agnostic on the subject in 2008, stating that it was potentially helpful and...
Microsurgical and Endoscopic Approaches to the Skull Base
This is a comprehensive book which covers both microsurgical and endoscopic techniques. The introductory section focuses on setup for microsurgical and endoscopic techniques, with images to support this. A detailed description of instruments is also provided, which would be extremely...
