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Lymph node ratio is a significant predictor for loco-regional recurrence after neck dissection in patients with papillary thyroid cancer

Lymph node metastases are common in papillary thyroid cancer (PTC), yet the impact of nodal metastases on survival remains unclear. Lymph node density (LND) is the ratio between the number of positive lymph nodes excised and the total number of...

What is balloon eustachian tuboplasty (BET)?

Eustachian tube dysfunction (ETD) is the result of a combination of factors that interfere with the mucosal functional or cartilaginous structures. Failure to open the eustachian tubes can cause aural pain, pressure in the ears, muffled hearing, crackling/popping sounds in...

Sleep before and after nasal polyposis surgery

This prospective French study looked at the change in nasal symptoms related to sleep, in a questionnaire before and after nasal polyposis surgery. Sixty-three patients who underwent endoscopic sinus surgery completed the DyNaChron questionnaire before, at six weeks and at...

Healthcare economics and device approvals

We use several FDA-approved devices in our clinical practice but are rarely aware about the stringent procedures followed by manufacturers, as well as the FDA, before the devices become commercially available. The authors of this paper undertook a comprehensive review...

Are vascular loops at the CPA of any clinical significance?

Neurotologists have grappled with this question for many years. The aim of the study was to determine the clinical relationship of vertigo symptoms with vascular loop compression syndrome using 3D T2WI turbo spin echo high-resolution MRI. The study included 417...

Reduce medical errors by improving communication: supporting vulnerable people

This article starts by emphasising that communication failures are a fairly common cause of medical errors. They highlight that people with dysarthria can experience significant communication difficulties and are at particular risk of this type of breakdown in care. People...

Poor allergic rhinitis control increases the overall costs

Allergic rhinitis and asthma are common and can have significant effects on quality of life. However, not many studies have focused on the economic effects. The authors of this study performed a large-scale (over 60,000 patients) observational study to analyse...

Laryngeal Function and Voice Disorders

This is a detailed, 323-page resource covering laryngeal function and voice disorders, basic science and clinical assessment. Spanning nine chapters, the authors cover the anatomy and physiology of phonation, survey of voice disorders, voice diagnostics, acoustic analysis, aerodynamic analyses, endoscopy...

Handbook of Otolaryngic Allergy

This book is an excellent companion for doctors dealing with allergy and rhinological complications of allergy. It contains detailed information of immunological pathways, from cells to systemic effects, of cellular reaction. It is well organised and takes the reader through...

Key topics in Otolaryngology – Third Edition

Eighteen years after the second edition of Key Topics in Otolaryngology, Nick Roland and his co-editors have published the long-awaited third edition. This concise book has been the friend of the examinee for the last two decades within UK and...

Cerebrospinal Fluid Rhinorrhea: Comprehensive Guide to Evaluation and Management

Cerebrospinal Fluid Rhinorrhea: A Comprehensive Guide to Evaluation and Management stands out as a vital resource for professionals in otolaryngology, neurosurgery, ophthalmology, neurology, and radiology. This comprehensive guide covers an array of CSF leak causes, offering in-depth insight into their...

What blood tests should be requested to investigate vocal cord paralysis?

Patients who are discovered to have a vocal cord palsy with no obvious cause on history or examination routinely undergo investigations to exclude an underlying pathology. Cross-sectional imaging of the relevant recurrent laryngeal nerve is required, but considerable variability has...