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American Journal of Otolaryngology cover image.

Prophylactic gastrostomy tubes in advance of chemoradiotherapy for advanced head and neck malignancies – are they worthwhile?

2 September 2022 | | Head and Neck | Chemoradiation, Head and neck cancer, Prophylactic percutaneous endoscopic gastrostomy, Tube dependence, Weight loss
It is well recognised that radical chemoradiotherapy (CRT) for head and neck cancers can significantly affect swallowing, especially if radiotherapy is delivered to the hypopharynx and/or both sides of the neck. As such, prophylactic gastrostomy tubes are often advocated in...

In conversation with Erwin Offeciers

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, ENT, Otology, Paediatric ENT
Professor Erwin Offeciers is a renowned adult and paediatric otologist, living and working in Antwerp, Belgium. He has extensive experience in cochlear implantation and has also spearheaded the well described bony obliteration technique. He is to sit on the forthcoming...

The sleep nasendoscopy learning curve

1 July 2017 | | DISE, Drug-induced sedation endoscopy, Obstructive sleep apnea hypoapnea syndrome, Sleep disordered breathing, Sleep endoscopy, VOTE classification
There seems to be no accepted way of surgically assessing patients with sleep disordered breathing (SDB). Because of this, clinicians fall roughly into three camps: those who just use one operation for all patients, those who have given up surgery...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENT, Thyroid / Parathyroid Surgery
Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Imaging tinnitus

1 May 2014 | | Audiology - Adult, ENT, Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

Coblation tongue channelling

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

Giacomo Puccini’s laryngeal cancer

1 September 2015 | | ENT, Laryngology / Swallowing / Voice
Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

Endoscopic ear surgery in children

1 May 2016 | | ENT, Paediatric ENT, Otology
The benefits of endoscopes in otologic surgery, which have become increasingly widely appreciated in recent years, are very well suited to the management of paediatric middle ear disease. Although one might imagine that the smaller ear canal of a child...

Staphylococcus aureus as a cause of refractory chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
Staphylococcus aureus has long been linked to chronic rhinosinusitis, particularly recalcitrant cases. In this article, Alkis Psaltis describes how newer techniques have shown higher rates of S. aureus infection than were previously thought, and explains how the bacteria are able...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENT, Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Shooting for Gold: ENT surgery and the Commonwealth Games

1 November 2016 | | ENT, Head and Neck
What are the secrets to success in your career, sports and life in general? Sharp-shooter Parag Patel hits the bullseye again. I write this article following a wave of summer sporting brilliance, from the record Great Britain 67 medal haul...

The National Bone Conducting Hearing Implant Registry

1 November 2016 | | Auditory Implants, ENT, Otology
Are you an otologist with an interest in implant surgery? Is your unit on the registry? If not, you’d better have a good excuse after reading this… What is the National BCHI Registry? The National Bone Conducting Hearing Implant (BCHI)...