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Surgical management of refractory osteoradionecrosis
This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. A total of 36 segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used,...
What is the right balance to strike in the management of anaplastic thyroid cancer?
This is a pragmatic article on a difficult and much debated subject. Management of anaplastic thyroid cancer (ATC) can feel like making decisions between a rock and a hard place, and this article suggests one path to help navigate some...
Vestibular schwannoma surgery and inner ear injuries
Iatrogenic inner ear injury during vestibular schwannoma (VS) surgery ranges between 20% and 30% in the literature. However, there is no up-to-date quantification of such injuries, hence this study. The authors conducted a US-multicentre database search looking for patients who...ECHNO 2025
Jonathan Fussey, Consultant ENT Head & Neck Surgeon, University Hospitals BirminghamThis year marked the 11th European Congress on Head and Neck Oncology, held in the impressive Beurs Van Berlage in the centre of Amsterdam. Delegates from around the world convened...Globalisation, interconnectivity and unintended consequences
Drs Mom and Lea have thrown down the gauntlet, challenging us all to openly assess the global impact we have as countries, societies, surgeons and individuals. Being a surgeon is not all about surgery. How we respond will define our...The Patrick (Pat) Bradley Scholarship
The inaugural Patrick (Pat) Bradley Trainee Scholarship was launched at the recent regional East Midlands Cadaveric Dissection Course. Alex Charlton, an ST7 registrar on the East Midlands rotation will be the first recipient of this prestigious award.
Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas
This book is a well-designed colour atlas of sinus surgery which is up to date with all the modern techniques used in endoscopic sinus surgery. The multiple authors include well-established and renowned surgeons. It is divided into distinct chapters, with...
Playing hide and seek with parathyroid glands
This article focuses on revision surgery with respect to parathyroid glands. Clearly the stakes are higher with respect to the patients’ risks, but also with respect to the revision surgeon in finding the offending gland in scar tissue, where someone...
Carotid artery involvement with head and neck metastases
This is a retrospective review of 27 patients radiologically diagnosed as having metastases involving the common or internal carotid arteries. All patients underwent a salvage neck dissection with surgical carotid peeling. Thirteen of the 27 achieved loco-regional control, five developed...
Surgery for drooling
This paper looks at the surgical options for sialorrhoea once the first two options of behavioural and physiotherapy interventions and pharmacotherapy have been exhausted. The social impact of sialorrhoea on patients and their families is significant and often lifelong therefore...
Anatomic guidelines to endolymphatic sac in transmastoid approach – a cadaveric study
This study involved cadaveric dissection using transmastoid approach in cadaveric embalmed five half heads and posterior fossa approach in fourteen. The sac was identified by electron microscopy. The relatively consistent measurements were the relationship of the operculum to the internal...
