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Surgery for Cochlear and Other Auditory Implants

Make no mistake, this is a big book. Admittedly it’s not as big as Scott-Brown, which Liam Flood couldn’t carry from his office to his car without resting several times, but it’s still a whopping beast. Measuring 32cm in height...

Bluestone and Stool’s Pediatric Otolaryngology – Fifth Edition

What should be the appropriate inter-edition interval of a major multi-volume textbook? The first edition of Bluestone and Stool’s Pediatric Otolaryngology was published as a single volume in 1983, just over 30 years before this fifth edition was in 2014,...

Acupuncture for tonsillectomy pain in children

The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

Electrocochleography and cochlear implants programming

Cochlear implants (CIs) often are the only option for people with severe to profound sensorineural hearing loss to be able to hear. Therefore, effective CI programming seems very important, especially in children who are still developing their speech. Using acoustic...

Button batteries – how can we reduce harm to children?

This article explores the history of button batteries and how clinicians and industries alike could reduce the harm to children following ingestion. Following ingestion, if lodged, button batteries cause an alkaline reaction leading to necrosis of mucosa. Significant oesophageal injury...

Recurrent ENT infections in children – is it a sign of primary immunodeficiency disease?

ENT clinicians often come across children with recurrent ear, sinus and pulmonary infections. These recurrent infections, albeit common in childhood, can represent an early sign of primary immunodeficiency diseases (PIDD). PIDD is an underdiagnosed group of genetic disorders involving absent...

Investigation of the role of KPNA2 biomarker in oral SCC invasiveness

This edition of Head and Neck has a strong focus on studies using immunohistochemistry (IHC) to elucidate potential roles of various cell-signalling molecules in both HNSCC and thyroid cancer. The ‘cellular-protein heavy’ title of this article may be off-putting to...

A raised neutrophil / lymphocyte ratio predicts vestibular schwannoma growth

It has long been known that the neutrophil to lymphocyte count ratio (NLR) is a marker of inflammation and that a higher ratio relates to poorer outcomes in some malignant tumours including some head and neck cancers. Neutrophilia (and therefore...

New MRI technique assesses treatment response in skull base osteomyelitis

This paper describes another useful imaging technique to monitor Necrotising Otitis Externa (NOE). Echoplanar diffusion weighted magnetic resonance (DW MR) shows high signal on the ‘ADC map’ with active disease and this reduces in signal intensity as symptoms improve. This...

Looking for a cost-effective product for post-operative bleeding? Try NETCELL® PVA Nasal Packs

Carefully constructed using exclusive NETCELL® PVA sponge, the ultra-soft surface improves patient comfort and reduces trauma.

Reducing pulse rate in videofluoroscopy: less is not best!

Recently, there has been increasing discussion in clinical meetings about the use of ionising radiation in swallowing assessments and the associated cancer risks. This is therefore a timely publication to inform discussions around whether reducing pulse rate from 30 pulses...

Canal wall down with obliteration of cavity for paediatric cholesteatoma

The authors present evidence that canal wall down (CWD) surgery with primary obliteration is an effective way to treat paediatric cholesteatoma. Fifty-eight ears were operated on and follow-up was for five years on average. Residual cholesteatoma rate was 9.9% with...