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“Rhinosweetometry”
An article that elicits a wry smile from the reader is worth drawing attention to particularly in the winter months. This account of brave self-experimentation is unlikely to lead to a future Nobel prize but nonetheless reinforces the important principle...Unexplained dizziness in elderly patients
How do we explain unexplained dizziness in elderly patients? How far should we go with investigations? And most importantly, how should we manage this challenging and expanding group of patients whose balance affects their safety? Richard Ibitoye and Diego Kaski...Ergonomics in otorhinolaryngology
Raewyn Campbell is a rhinologist and skull base surgeon in Sydney, Australia. Prior to training in medicine, she was trained as a physiotherapist, and she brings both disciplines into her research on ergonomics in surgery. Surgeons need to look after...A new clinical device to monitor nasal blockage
Chia-Hung Li, a Medical Device PhD student from University College London’s (UCL) Institute of Healthcare Engineering, is currently leading a PhD project to develop a clinical device to monitor nasal blockage. Jo Rimmer spoke to him about what he is...Dr Huw Cooper, Consultant Clinical Scientist: upcoming Chair of British Society of Audiology
Can you start by telling me something about your own background? After my first degree in Psychology at Reading and a year doing other things, I went to Southampton to do the MSc in 1982. My first job after that...
Fluorescein use during parotidectomy
The authors of this study retrospectively reviewed the surgical charts of seven patients who underwent parotidectomy for tumour resection. In all these patients, Fluorescein sodium was used to enhance the contrast between parotid tumour tissue and the facial nerve. Using...
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....
CAD/CAM assisted mandibular reconstruction or freestyle?
The gold standard for the reconstruction of the mandible is a free bone flap and the fibula is commonly used. The fibula is a straight bone and presents considerations and difficulties in the formation of a U-shaped neo-mandible. Computer aided...
An overview of microsurgical reconstruction of the head and neck worldwide
Microsurgical reconstruction is an integral part of the treatment following ablation for malignancy or trauma. Currently there are no clear treatment guidelines following tumour resection. This was recognised a few years ago and in 2008 various collaborative groups were founded...
Margin control using optical techniques in head and neck surgery
Emerging optical techniques such as high-resolution microendoscopy (HRME) are currently being examined for their reliability in discriminating benign from neoplastic epithelium. These techniques may offer the potential to detect the margin of an upper aerodigestive tract tumour in a non-invasive...
Post-cancer prosthodontic reconstruction
A functional outcome after head and neck cancer resection is aimed at restoring speech and swallow. Dental reconstruction greatly facilitates this, particularly by enabling the patient to chew food. The authors reinforce the need for careful presurgical planning with treatment...
