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The lateral neck cystic mass – diagnostic dilemma. Can HPV status help?

1 January 2019 | | Branchial cleft cyst, Cystic lymph node metastasis, Cystic neck mass, Fine needle aspiration cytology, HPV DNA
Solitary cystic masses in the lateral neck can present a significant diagnostic dilemma as they can be metastases from tumours of the oro or nasopharynx. This retrospective paper detailed all patients presenting to a university hospital in Germany, from September...

Role of sentinel lymph node biopsy in managing papillary thyroid cancer

1 January 2017 |
Although studies have shown that the presence of lymph nodes metastases in papillary thyroid carcinoma does not alter survival, other studies have shown that it increases morbidity and mortality and that the presence of cervical lymph node metastasis at diagnosis...

Differing types of pharyngeal pouch

1 November 2016 | | Dysphagia, Hypopharyngeal diverticulum or pouch, Cricopharyngeal myotomy, Swallowing, Zenker’s diverticulum
This article raised an eyebrow on the grounds that apparently more than one type of pharyngeal pouch exists! They differ in terms of aetiology, site and approach to treatment, therefore awareness of them is advised to ensure the appropriate surgical...

Preoperative imaging for thyroid cancer according to 2015 ATA guidelines

1 September 2016 |
The 2015 American Thyroid Association (ATA) management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer suggest that thyroid sonography with survey of the cervical lymph nodes should be performed in all patients with known or suspected thyroid...

Audiological management of autistic children

3 May 2022 | | Audiology - Paediatric
Philippa James and Lucy Shiels explain the development of the ‘Autism Listening Clinics’, highlighting a recommended clinical approach for audiologists, the importance of remote microphone technology and sharing some wonderful caregiver experiences. Auditory challenges in autistic children Autism spectrum disorder...

In conversation with Nash Patil and Gerry O’Donoghue

3 June 2019
In celebration of Nash Patil’s inauguration as President of the Irish Otolaryngology Society (IOS), we dropped by to ask him a few questions, along with Gerry O’Donoghue, BACO 2020 Master. We’re particularly pleased to hear that Nash is looking forward...

Cochlear implantation in the developing world: perspectives from the Indian subcontinent

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, ENT, Otology
Cochlear implants are an expensive technology, yet profound hearing loss is far from a developed-world phenomenon. On the contrary, incidences of both congenital and acquired hearing losses are high in the developing world. This article explains how an initiative in...

Machine learning and the future of otolaryngology

9 September 2020 | | ENT, Head and Neck, Imaging
If you are over 30 years of age, you have witnessed a technology revolution that has grossly affected how we live: computers have come from being an oddity to an everyday feature in our households and places of work; the...

Hearing care systems in Europe – can we do more?

1 July 2019 | | Audiology - Adult, Audiology - Paediatric
52 million Europeans experience hearing loss but many don’t find their way to professional hearing care. Lidia Best looks at strategies to improve the uptake of amplification at a national level [1]. With rising numbers of people experiencing hearing loss,...

Early detection pathways for congenital cytomegalovirus for infants referred from the newborn hearing screen

4 March 2024 | | Audiology - Paediatric, Audiology - Diagnostic
This article discusses requirements for an early congenital cytomegalovirus (cCMV) detection pathway to ensure children do not miss out on the opportunity for timely diagnosis and treatment. The pathways described are currently in use in England and apply to well...

Simulation: human factors scenario training

1 January 2014 | | ENT
It is said that surgical training has suffered as a result of a combination of factors – through the introduction of work time restrictions such as the European Working Time Directive (EWTD) [1], a limit on the number of years...

Extended benefits of cochlear implantation in the elderly

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Auditory Implants, ENT, Otology
With the challenges presented by an ageing population, Louise Craddock and Charlie Huins describe the benefits of cochlear implants for deaf elderly adults that go beyond improvement of hearing and speech understanding. Introduction People aged over 65 make up 7.4%...