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Can smaller cancer centres deliver high quality care for patients with laryngeal cancer?

1 September 2014 |
There is a continuing conflict between treating patients as close to their homes as possible and centralising specialised services, taking into consideration the critical mass and the multi-disciplinary expertise available. This is a report of outcomes in the treatment of...

Otolaryngology Head and Neck Surgery: Clinical reference guide - Fourth Edition

1 September 2016 | | ENT
This textbook, well known to North American residents, is now in its fourth edition. It has been extensively revised to include more up-to-date topics, such as robotic surgery, sleep medicine and paediatric otolaryngology. Authors Raza Pasha and Justin Golab aim...

What is the evidence for contralateral tonsillectomy in TORS for known unilateral tonsil malignancy?

1 January 2018 | | bilateral tonsillar cancer, contralateral tonsillar cancer, tonsillar cancer, transoral robotic surgery (TORS)
The concept of field changes by carcinogens within the upper aerodigestive tract is well established with reported rates of synchronous tumours of 4% and second primaries of 36%. The tonsil in particular has the highest rate of synchronous tumours, postulated...

In conversation with Professor Anne Schilder

1 January 2016 | | ENT
Flying the flag for research in ENT, hearing and balance Anne Schilder is an NIHR Research Professor and leads the evidENT team at the Ear Institute at University College London. She also holds a Chair in Paediatric ENT at UCL...

Sublingual immunotherapy

1 September 2014 |
This paper reviews the recent European studies on sublingual immunotherapy (SLIT). SLIT is currently widely used in Europe and is gaining popularity in the United States. It is known that longer treatment is needed with SLIT compared with subcutaneous immunotherapy...

Advancing the tongue in OSA surgery

1 May 2016 | | Genioglossus, genioglossal, OSA, sleep surgery
This article further delineates the options for hypopharyngeal OSA and describes the technique of genioglossus advancement to improve the tension in the tongue base. The authors take the reader through the relevant anatomy appropriate to the procedure and describe the...

Elasticated retraction in head and neck surgery – a trainee’s perspective

1 May 2017 | | ENT, Head and Neck
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENT, Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

The ENT operating theatre viewed down the retrospectoscope

7 January 2021 | | ENT
We learn much of our future by looking at our past; Douglas MacMillan provides us with a fascinating glimpse into his years as a junior doctor. The operating theatre was a somewhat alien environment in the late 1960s: theatre sisters...

World Health Assembly adopts a resolution on hearing loss: a defining moment for the global hearing health community

1 November 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
The World Health Assembly recently adopted a resolution on hearing loss. In this article Shelly Chadha and Alarcos Cieza outline how the resolution came to be and how the World Health Organization and its partners plan to implement it. The...

Hyperacusis-related distress and comorbid psychiatric illness

1 May 2019 | | Audiology - Adult, Audiology - Diagnostic, Tinnitus
Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

National selection: is the research section of the portfolio fit for purpose?

3 November 2022 | | ENT
Applications for ENT training roles in every country require certain criteria to be met. In the UK, ST3 recruitment applications have scores allocated to research experience. In this opinion piece, the authors share their assessment of the potential issues around...