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Adjuvant radiotherapy for T4N0 laryngeal cancers treated with laryngectomy

A total laryngectomy remains the gold standard for the initial treatment of advanced (T4) squamous cell carcinomas of the larynx without evidence of distant disease. Adjuvant radiotherapy (RT) is also recommended for such cancers. In the absence of other adverse...

New innovative Head & Neck Ultrasound Course at St George’s Hospital London

The St George’s Emergency Head & Neck Ultrasound Course (18 September 2025) Emergency head and neck ultrasound is an increasingly vital diagnostic tool in acute care settings. It offers rapid, non-invasive assessment of critical structures including the airway, neck vessels,...

What’s new in hearing aid technology? Requisites for successful implementation of eHealth in hearing health care

Like Eeyore in AA Milne’s Winnie the Pooh stories it appears we all will soon have a personal cloud, but unlike Eeyore this will be something to celebrate! The future of hearing aid technology is in the cloud argues Uwe...

The basis of the bargain: outcomes not inputs

There are international drivers focusing our attention on measuring outcomes; Anthony Hogan looks at the data to see how we are currently measuring up. Introduction A global paradigm change is impacting on the provision of disability services. At its heart,...

Medicine by the lake: an observership within RhinoEdu

Two trainees reflect on a RhinoEdu observership in Italy, exploring surgical training, clinical culture and how ENT practice differs across international healthcare systems. The beginning of the new year marked a transition for both of us – though in different...

Hyperacusis-related distress and comorbid psychiatric illness

Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

Audiology in this issue...Advances in the Diagnostic Test Battery (Mar/Apr19)

Priya Carling, AuD, Director and Consultant Audiologist,Kent Hearing Ltd, UK. E: priya@Kenthearing.com The 3 March is the World Health Organisation’s World Hearing Day 2019. This year, the theme is ‘check your hearing’ to encourage early identification and management of hearing...

Introduction to speech testing

Let’s get back to basics: Dr Schoepflin introduces the concepts behind speech testing for hearing care professionals. While pure tone threshold testing is considered the ‘gold standard’ for assessing auditory sensitivity, the results of pure tone testing provide only limited...

Octreotide in the medical management of chyle fistula post neck dissection

Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...

Persistent postural perceptual dizziness following stroke: the risk factors

The primary motivation for the study, as stated by the authors, was that the factors behind persistent postural perceptual dizziness (PPPD) have not been clearly determined in stroke patients. To that end, a prospective study of adults presenting to a...

Prednisolone and/or acyclovir for Bell’s palsy

Landmark Paper: Sullivan FM, Swan IRC, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s Palsy. N Engl J Med 2007;357(16):1598-607. Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long-term effects on...

An audio inclusivity project

Hackney has become the hub of a new initiative for audio inclusivity, with three of the London borough's leading music venues now boasting state-of-the-art, audio-inclusive acoustics. Audio inclusivity is a concept developed to ensure venues and experiences are accessible and welcoming for people of all hearing abilities, including those who are noise-sensitive.