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Precision medicine in allergic rhinitis and chronic rhinosinusitis

Precision medicine (PM) with its ‘four Ps’ (personalised, predictive, preventive and participatory) is about appreciating differences between individuals when offering management options for health problems. Multiple groups interested in rhinology such as EPOS and ARIA supported a review of the...

Whale hearing tests through evoked potential audiometry

Covering over 70% of the earth’s surface and reaching known depths of 11km, the world’s oceans tick the box for an extreme environment. What do we know of the impact of environmental noise on the deep-sea dwellers of this habitat?...

The inaugural UK Remote Access Thyroid/Parathyroid Surgery Meeting

Harrypal Panesar, ST3 Otolaryngology, Royal Berkshire Hospital, Reading, UK An impressive faculty of leading thyroid and parathyroid surgeons from countries across the world was in attendance along with 45 delegates seated in a sold-out lecture theatre. The morning started with...

Wisdom and the cochlear implant clinician

Helen Cullington provides the clinician’s perspective on the challenges faced in building artificial intelligence into cochlear implant clinics. She highlights the importance of including the clinician with their wisdom and experience to help make sense of the patterns of data....

Scary Cases in Otolaryngology

When I was first presented with the Halloween-like graphic that is displayed on the cover of this 230-page book, I wondered what scary stories may lie ahead. To my delight, by the time I’d turned over the first few pages,...

The Frontal Sinus: Surgical Approaches and Controversies

The Frontal Sinus: Surgical Approaches and Controversies is an exceptional resource for surgeons seeking to advance their knowledge in the field of sinus surgery. The book provides a detailed and insightful exploration of the various techniques, challenges, and potential complications...

Textbook of Otitis Media: The Basics and Beyond

This book is a comprehensive resource that discusses the multifaceted condition of otitis media. It aims to serve a wide range of medical professionals, including otolaryngologists, audiologists, paediatricians, and medical students, by providing both fundamental knowledge and advanced insights into...

Should patients with dysphagia be allowed water freely?

Patients with dysphagia often experience dehydration as a consequence of “nil by mouth” or having to consume thickened fluids due to aspiration of thin fluids. However, not all incidents of aspiration develop into an infection. Factors that contribute to aspiration...

Anterolateral thigh cutaneous flap or radial forearm free flap for tongue defect reconstruction?

Free flap reconstruction is the gold standard in tongue reconstruction, aiming to restore function such as swallowing, cosmesis and speech. The anterolateral thigh cutaneous flap and the radial forearm free flap are among the most popular free flaps used for...

What is the evidence for contralateral tonsillectomy in TORS for known unilateral tonsil malignancy?

The concept of field changes by carcinogens within the upper aerodigestive tract is well established with reported rates of synchronous tumours of 4% and second primaries of 36%. The tonsil in particular has the highest rate of synchronous tumours, postulated...

Laser for active mucosal chronic otitis media

Active mucosal chronic otitis media (COM) is a condition characterised by otorrhoea secondary to chronic inflammation of the middle ear and mastoid mucosa associated with granulations and a tympanic membrane perforation. Surgical intervention is often required, but concurrent mastoidectomy with...

Managing high flow head and neck arteriovenous malformations (AVM)

Vascular malformations are lesions where the traditional network of capillaries linking arteries and veins are lacking. Patients usually present with bleeding, pain, disfigurement and tissue expansion and destruction. High flow lesions can be challenging to manage in the head and...