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Extracapsular dissection alone for low-grade malignancies of the parotid gland – oncologically sound?

The general treatment strategy advocated for a primary carcinoma of the parotid gland is surgical resection +/- adjuvant radiotherapy. A selective neck dissection is usually recommended in all cases of parotid malignancies, except for small, low-grade tumours. In this paper,...

Targeted focal parathyroidectomy

Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

In conversation with Ray Clarke: Scott-Brown – The Editors’ view…

Ray Clarke. How did you get involved in the forthcoming Scott-Brown ? How does one become editor of a textbook? Editors are approached and appointed by the publishers, but of course publishers will take advice and soundings from within the...

In conversation with Professor Patrick Gullane: My life in Otolaryngology-Head & Neck Surgery

Fellowship RCSEng 2009. Patrick, as you have recently ‘stepped down’ as Chairman and Chief of ORL-HNS at Toronto General Hospital, what next? Firstly, so often I have been asked why I selected this career path, from a quote by Johnny...

Medical training initiative (MTI): stepping outside the box

Medical training initiative (MTI) scheme in the UK are becoming increasingly available and are actively supported by ENT UK. Despite this, knowledge of them is limited and there can be a mismatch between supervisors and potential candidates. Our authors, Manuela...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

From the editor November/December 2023

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk There can be no more pressing and worrying issue in the global consciousness than climate change. The alarming rise of disinformation...

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...

Panos Dimitriadis: my experience of the CEORL-HNS

Many of us are invited to ENT conferences throughout the year and, as a trainee, it can sometimes be difficult to decide on which ones will be suitable for our stage in training. In this article, Amir Habeeb interviews Panos...

Remote care apps: comparing the options

With much of the world in full or partial lockdown and social-distancing measures in full swing, the COVID-19 crisis has sparked renewed interest in remote teleaudiology services. Modern teleaudiology platforms, now offered by all major hearing aid brands, offer audiologists...

Moving forward for better communication for the Deaf and hard of hearing – Wavefront Centre

Now more than ever, guaranteeing accessibility and inclusion is a vital need for people of all abilities. The Wavefront Centre for Communication Accessibility in Vancouver, BC, is a model on to how to effectively address these issues and serve the...

Unpacking the World Health Organization’s World Report on Hearing: what does it say?

The inaugural report on hearing from the World Health Organisation is a tool for advocacy, and for getting hearing loss on government agendas. Nguyen Ngoc Bao Tran was 11 months old when her hearing loss was diagnosed. Despite being informed...