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Impact of the updated cancer staging system on HPV-positive disease

The AJCC cancer staging manual was updated in 2017 (8th edition). It is used in the MDT setting for planning treatment and assessing prognosis for individual patients, and is also widely used internationally in clinical trials. Unlike previous iterations of...

IFOS 2021: imagining inspirational continuing professional development

If you expect a virtual presentation to be the same as an in-person presentation, just without the live person in front of you, then you have no imagination. Irrespective of the challenges facing us currently with meeting in person during...

AOT ENT Education - A new initiative

AOT is to curate a national and free resource of consultant delivered teaching. So far we have edited, time-stamped (to save scrolling) and mapped to curriculum over 50 videos from national ENT education schemes from around the country, totalling...

Extranodal extension following surgical resection of HPV-positive oropharyngeal cancer – is adjuvant radiotherapy alone sufficient?

Human papillomavirus (HPV) is a known aetiological factor in oropharyngeal squamous cell carcinoma (OPSCC). HPV-positive OPSCC is recognised to have a more favourable prognosis than HPV-negative disease. Treatment deintensification for HPV+ OPSCC has therefore been an area of research focus...

Pocket Tutor Otolaryngology – Second Edition

The Pocket Tutor series has succeeded again with a visually different second edition of Otolaryngology. Mr Bhattacharyya has now joined with fellow ENT Consultant, Ms Ifeacho and ENT trainee, Mr Zhang, to produce a revised pocket companion fit for the...

Reflux, a pre-disposing factor in paediatric OME?

It is almost 20 years since the Lancet publication by Tasker et al describing gastric juice in the glue ear of children. This paper attempts to look at the body of literature which has focused specifically on the clinical association...

Obstructive sleep apnoea: Does maxillomandibular advancement work?

This is a paper from the Netherlands reviewing 62 patients who underwent maxillomandibular advancement for moderate to severe obstructive sleep apnoea. The authors observed a 71% success rate with mean apnoea hypopnea index (AHI) reduction of 69%. There was no...

Safety factors in use of balloon tuboplasty

Various medications used to restore eustachian tube function have unpredictable results and these are often disappointing. Balloon dilatation of eustachian tube came around 2010 but has not really gained momentum, mainly due to apprehended complications. In this review article, the...

Impact of lingual pumping in Parkinson’s patients with dysphagia

Dysphagia in Parkinson’s disease (PD) is one of the most important causes of mortality in these patients. Swallowing difficulty in Parkinson’s disease is associated with lingual pumping or festination, anterior escape, premature loss of bolus, oral and pharyngeal retention, multiple...

Fungal rhinosinusitis

Allergic fungal rhinosinusitis (AFRS) has been defined by the following characteristics: presence of nasal discharge, nasal obstruction, decreased sense of smell or facial pressure for 12 weeks, mucin within the sinus cavity containing fungal hyphae and degranulating eosinophils, endoscopic evidence...

In conversation with Professor Jos Eggermont

Having known Jos for many years, I jumped at the opportunity to catch up with him for our Nov/Dec 2020 series of tinnitus items. My questions reached him during lockdown, and he was enjoying the chance to get on top...

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...