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Mentally and physically safe workplaces: the challenge of doctors’ well-being

Our ENT consultant colleague Eric Levi bravely tackles the very real elephant in the room of that stigma which is not really discussed until it is often too late. It takes courage to tackle a difficult topic like doctors’ mental...

Cutting burr otoplasty and conchal setback to correct prominent pinna: a ‘step by step approach’

Prominent ears can cause significant social and psychological effects on an individual. The two most common anatomical defects for a prominent pinna are an underdeveloped anti-helical fold and / or enlarged conchal bowl. In the senior author’s practice over the...

Head and neck robotic surgery – considerations for the surgical trainee

In 2021, training in head and neck cancer surgery would be incomplete without some robotic resections under the belt. Henry Zhang explains how he did it and outlines the options available. With a wide range of applications in both benign...

Professional voice: the science and art of clinical care – Fourth Edition

The field of laryngology has vastly expanded over the last 30 years and this latest edition illustrates its continuing evolution. This three-volume edition has been updated and expanded with the addition of 20 new chapters, including paediatric voice disorders and...

Smartphone hearing test

Our Editors’ Choice for this edition reviews an article looking at the use of a smartphone app for hearing screening. We have all had to integrate telehealth into our practice to some extent recently and this paper examines a teleaudiology...

Work and the risk and carcinoma of the larynx

This is a census on the national cancer registry in France to detect professions at a higher risk of squamous cell carcinoma of the larynx. During the period 2001-2016 there were 244 registered cases of cancer of the larynx. Amongst...

Prognostic value of neutrophil-to-lymphocyte ratio in HPV-positive oropharyngeal cancer

The authors propose that high neutrophil-to-lymphocyte ratio (NLR) is associated with poor disease-free survival (DFS) in patients with human papillomavirus positive (HPV+) oropharyngeal cancer (OPC). This is a retrospective study that compared the outcomes of 43 patients treated for HPV+...

First International Congress on the Management of Head & Neck Paragangliomas

Renato Mariani-Costantini, MD, Center for Advanced Studies and Technology, Gabriele d’Annunzio University, 66100, Chieti, Italy, and Karel Pacak, MD, PhD, DSc, FACE, Section on Medical Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of...

Out of Africa: Audiovannah audiology clinic in Zimbabwe

Audiovannah reception area. In 2015 two Danish audiologists, Jenny Pedersen and Nicolai Pedersen, relocated to Zimbabwe and opened a full service audiology clinic (Audiovannah) in the capital city of Harare. The focus has been to give back as much as...

CSF leak – endoscopic or open repair?

Cerebrospinal fluid (CSF) rhinorrhoea is well known to the ENT surgeon. It commonly occurs secondary to a predisposing event such as accidental or iatrogenic trauma. When it occurs spontaneously, it can be associated with benign intracranial hypertension. The commonest CSF...

BPPV and bone mineral density

Over the years, attempts have been made to identify modifiable risk factors for BPPV. Due to the chemical composition of otoconia, the role of calcium metabolism and its associated conditions have been studied with no firm conclusions. The authors studied...

Personal music systems are causing hearing loss

Sitting next to a teenager on a train with their iPod turned up loud enough for the entire carriage to hear is annoying, most will agree. Perhaps I might educate them about the risks of ‘music’ (if you can call...