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ENT Training: a Singapore perspective
I recently had the opportunity to participate in a week’s observation with Associate Prof Thomas Loh, a head and neck surgeon with a special interest in nasopharyngeal carcinoma at the National University Hospital of Singapore (NUHS). What was striking from...Accurately diagnosing reflux to direct personalised treatment
Laryngopharyngeal reflux (LPR) frequently causes severe extra-gastrointestinal symptoms – such as a persistent cough, vocal problems, asthma or difficulty swallowing – that can be easily confused with a common cold and allergies.
People with dementia and their families want to see speech and language therapists!
Language and communication difficulties are common in Alzheimer’s disease and, of course, language-led dementia (primary progressive aphasia). Communication difficulties are highlighted as one of the biggest burdens for family members caring for loved ones with dementia. This is often associated...VES2 is ready to bring ear surgery into your living room
The VES2 virtual reality bone drilling simulator is ready and it is freeware! After a long development period we are now able to invite everybody to try the simulator and use it for training, for a inner ear anatomy, and...
The snotty child?
This article is interesting for those of us who see children regularly in secondary care but rarely see them with chronic rhinosinusitis. The authors remind the reader of the EPOS guidelines for diagnosis of CRS in children: two or more...
An alternative view and access point
Fungal sinusitis is a common problem and it is well recognised that it can be difficult to remove all of the fungal matter from the maxillary sinus to ensure no recurrence or residual disease. This study describes a technique utilising...Physician health and wellness amidst a global pandemic
Dr Westerberg attended a workshop on Physician Wellness hosted by Dr Osler a few years ago at our Canadian Society of Otolaryngology-Head and Neck Surgery meeting. The list of symptoms of stress and burnout resonated as typical of almost a...
Systemic steroid therapy for reduction of macrophage migration inhibition factor in the control of nasal polyposis
It is believed that macrophage migration inhibitory factor mediates inflammation by stimulating the release of other pro-inflammatory cytokines. The use of systemic steroids in control of nasal polyposis is an established treatment. In this study the authors have aimed at...
A mouth-rinse test that can screen for oral cancer?
This paper presents a promising screening tool for oral cancer – using a simple chlorhexidine mouth-rinse. The hypermethylated ZNF582 and PAX1 markers were chosen based on previous studies using oral scraping methods of collection and have been shown to be...
‘Close’ surgical margin in oral tongue redefined, 2.3mm is as good as 5mm
Gold standard treatment of squamous cell carcinoma (SCC) of the oral tongue remains surgical resection of the primary tumour with negative margins. The primary goal is the complete excision of the tumour with no residual cancer cells left behind. A...
Paediatric pituitary surgery - is it lagging behind?
Endoscopic sellar surgery, especially for adenomas, is a relatively safe, straightforward surgery with (mostly) reproducible results and few complications. However, the evolution of pituitary surgery was a long process, starting from open/transfrontal approaches all the way to transsphenoid to the...
