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Which patients are suitable for surgery in recurrent head and neck cancer?

Currently, radiotherapy and chemotherapy is the most common modality used in the management of primary head and neck squamous cell carcinomas (HNSCC). Unfortunately, around 50% of patients experience disease recurrence (rHNSCC). Surgery is therefore often used as a salvage treatment....

Eustachian tube dilatation can be done as an office procedure

Symptoms of eustachian tube dysfunction can often prove stressful and the treatment can be quite challenging in terms of sustained improvement. In this study, 31 patients underwent eustachian tube dilatation under local anaesthesia. The procedure is based on the concept...

Laryngocele: a rare but complex disease associated with laryngeal cancer

The incidence of laryngocele is very low – 2.5 per million but its occurrence can be associated with cancer of the larynx. In this retrospective study of 14 cases over 10 years, the authors have elaborated on aetio-pathology, which is...

Hear Glue Ear - affordable bone conduction and microphone kits

Glue ear is a very common problem in children. This article explores a simple and affordable solution to help overcome some of the challenges it can cause. Background Glue ear (also known as otitis media with effusion – OME) is...

Airway stenting in paediatric ENT

Although experience in the use of airway stents in adults is considerable, their use in children is more recent and more limited. Cláudia Schweiger and Michael J Rutter provide an overview of stents and their use in paediatric airway. Stenting...

FESSing up

This story is dedicated to my dear friend and much-missed colleague, Heinz Stammberger, with whom some of these moments were shared (or endured). Having used a rigid endoscope in my postgrad thesis in the early 1980s to show that the...

‘Bare below the elbows’

So it has finally happened. I have reached that stage of reactionary bewilderment known as middle age. As well having my finger nowhere near the pulse of contemporary culture, I am finding the siren charms of BBC Radio 2 and...

Cocaine-induced ENT pseudo-GPA (CIEpGPA): an underdiagnosed entity

Cocaine-induced ENT pseudo-GPA is increasingly seen in our ENT clinics. The authors of a new ENT UK guideline offer a concise overview for day-to-day recognition and management. Use of cocaine has steadily increased in Europe since 2010 and now represents...

Importance of face-to-face communication in clinical practice

Breakdowns in communication with patients who have difficulty in understanding, speaking or hearing may occur during a consultation. The authors of this paper studied the hearing-related breakdowns in communication especially amongst older adults with hearing impairment (HI) using conversational analysis...

Four lessons: the development of speech and language therapy research for people with dementia care

Dementia has been described as the biggest expanded caseload for speech and language therapists. Everyone with dementia experiences communication difficulties. The late Prof Audrey Holland revolutionised the work of speech-language pathologists in this field through four key lessons. Lesson 1:...

Speech and language therapists have the skills to provide all practisable supports in compliance with Mental Capacity Act guidance

Deciding where to live can be complex. However, people with communication difficulties can find this even more difficult, and they are often completed excluded from the process. In the past, people with complex communication difficulties may have been placed in...

Addressing the non-use of hearing aids

We all know non-use of hearing aids occurs, but why, and what can we do about it? Numerous studies have investigated the challenges surrounding the underutilisation of hearing aids, examining factors such as reluctance to seek assistance, the impact of...