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Measuring the ‘impact’ of preoperative immunonutrition
Using preoperative nutritional supplements as part of ‘enhanced recovery’ in surgical patients is not a new concept. This interesting paper looks at the latest development in optimising patients undergoing head and neck oncological surgery. Immunonutrition (Nestle’s ‘Oral Impact’ in this...
Depth of invasion of oral cancer should be incorporated in new AJCC staging system
Since 1977, when the first edition of the Manual for Staging of Cancer was published by the American Joint Committee on Cancer (AJCC), the primary tumour staging for oral squamous cell carcinoma (SCC) has remained unchanged. In the last four...
Active smoking predicts poor outcome in HPV positive oropharyngeal squamous cell carcinoma
Tobacco smoking is a well-known risk factor in human papilloma virus (HPV)-negative head and neck squamous cell cancer. Its effects include increased risk of treatment failure, distant metastases and reduced overall survival. HPV has been increasingly implicated as a causative...
Benefit of prolonged voice rest following phonosurgery
The recommendation for voice rest following surgery is not agreed amongst surgeons, regarding either the type of voice rest (absolute or relative) or the optimal duration. In this ongoing study, 31 elective patients operated on for benign laryngeal lesions were...
Practical Neurotology and Skull Base Surgery
The introduction describes this text as being useful for a wide readership including the medical student, physician assistant, nurse practitioner and physical therapist dealing with dizziness. I would be of the opinion as indicated in the preface that this is...Audiology Training – Time to change our Spots? A student’s perspective of the Scientist Training Programme
In the “Just-so Stories”, the accomplished wordsmith Rudyard Kipling details how the leopard got his spots. Which concludes that the leopard will never change his appearance again as he is quite content just the way he is. The former degree...KUDUwave™ Boothless Audiometer
The KUDUwaveTM was designed to replace the need for a sound booth and enable truly portable audiometry in almost any environment. ENT & Audiology News’ own Gareth Smith, Priya Carling and Alex Griffiths Brown met in London to put the...
Children like to talk
When a health professional, including speech and language therapists, treats a child, they will often ask the parent or relative of the child for information on the issue and its impact. Yet children will frequently have an opinion on their...In conversation with Duncan Boak, founder of Fifth Sense
Anosmia Our sense of smell is something we take for granted – but imagine if it wasn’t there… We see many patients who struggle with anosmia, but perhaps don’t always appreciate how much of an effect it has on their...Patient initiated follow-up in head and neck cancer
Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...
Algorithm for malignant otitis externa
Timely detection and effective management of this potentially fatal condition cannot be overemphasised. This study presents 16 cases over 12 months in a tertiary referral centre. Most patients had diabetes and others were immunocompromised due to radiotherapy, immunosuppressive medication or...
