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What should be considered a ‘close’ margin in oral cavity squamous cell carcinoma?

Achieving clear margins during surgical resection in oral cavity squamous cell carcinoma (OCSCC) is thought to reduce local recurrence (LR) and improve prognosis; however, what constitutes a clear, close, or involved margin is inconsistent in the literature and in practice....

Four lessons: the development of speech and language therapy research for people with dementia care

Dementia has been described as the biggest expanded caseload for speech and language therapists. Everyone with dementia experiences communication difficulties. The late Prof Audrey Holland revolutionised the work of speech-language pathologists in this field through four key lessons. Lesson 1:...

Genomic testing for deafness and its implications

Gene therapies for hearing loss are rapidly advancing and will be transitioning to clinical practice. Here, the authors explain why clinicians involved in managing these disorders need to be aware of these advances. Genomic testing in England was significantly reconfigured...

A binaural detection task that reveals deficits in listeners having ‘slight’ or ‘hidden’ hearing loss

The association of degraded binaural processing in adults with clinically defined ‘slight’ or ‘hidden’ high frequency hearing loss is of great interest to clinicians if it can be measured. Leslie R Bernstein and Constantine Trahiotis share their findings in measurements...

When dinosaurs ruled the earth

Optimism is abundant in medical research, but frequently ends up being tempered with reality. In his inimitable style, Chris Potter looks back over his career – starting with his medical school memories of Bentley-driving ENT consultants, and moving forward through...

Subtypes of vestibular migraine

The authors argue that the current Barany criteria (ICVD) for vestibular migraine (definite and probable – dVM and pVM) are too restrictive. For instance, whereas a category of chronic migraine with or without aura is recognised in ICHD-3, ‘chronic VM’...

The big ask – maintaining the entrepreneurial spirit in academic facial plastic surgery in the USA

en·tre·pre·neur, noun a person who organises and operates a business and who has qualities of leadership, initiative and innovation. In the United States, facial plastic surgery (FPS) services are divided among private and academic practices. The vast majority of academic...

Young ESPO’s thoughts about ESPO and the future of paediatric ORL

ESPO, and paediatric ORL in general, has a long tradition of encouraging our younger colleagues. This has led to innovative developments in clinical work, in research endeavours and in how paediatric ORL educational events are run. This article outlines some...

Facing changes after surgery through portraiture

‘Facing Out: Life After Treatment for Facial Cancer’ was a two-year arts-for-health project funded by Arts Council England and The National Lottery which culminated in an exhibition at The Whitworth Art Gallery, Manchester, in February 2019. Here, artist and project...

Comprehensive Dictionary of Audiology – Third Edition

This resource is useful for students and professionals in the audiology field. It is an updated collection of over 7000 defined audiology terms and includes clear, concise figures and a glossary of abbreviations and audiometric symbols. It seems to be...

Sarcoidosis and the nose

This retrospective case note review from Mount Sinai in New York looked at just 14 patients with sarcoidosis. Individual ENT units in the UK are likely to see relatively few of these patients, unless there is a major tertiary referral...

Tinnitus in children

This is a review article about the management of tinnitus in children. In the end the authors came up with just three papers that made the grade. Maybe the most interesting finding was from Vianni in the JLO in 1989....