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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...

Bevacizumab, NF2, hearing and age

Introduction NF2-related schwannomatosis (NF2-SWN) is an autosomal dominant disorder leading to the development of schwannomas, meningiomas and spinal cord ependymomas. Younger age is a negative prognostic factor. Treatment includes observation, surgery, radiotherapy and medical therapy with bevacizumab (VEGF monoclonal antibody)....

In conversation with Professor Claire Hopkins

There can be few ENT surgeons who have had such a pivotal role in the COVID pandemic as Claire Hopkins. She has been instrumental in changing the diagnostic criteria, and has been a frequent presence in the media, as Sean...

Robotic Head and Neck Surgery: The Essential Guide

This is a very well-written textbook of robotic surgery in the field of head and neck, written by world-renowned specialists. The book covers the topics of training and education and application of robotic surgery in the management of both benign...

The hidden dementia in motor neurone disease

It is now well recognised that people with motor neurone disease (also known as amyotrophic lateral sclerosis) are at risk of developing frontotemporal dementia. It can be difficult to recognise the symptoms of cognitive decline in this group due to...

New international collaboration: Young Otolaryngologists of IFOS – ‘YO-IFOS’

The Young Otolaryngologists of IFOS, founded in Paris in 2017, has an ambition to fulfil four key missions at an international level: education, research, networking and congress-related activities. Kate Stephenson tells us more about this exciting initiative. During the recent...

Maxillofacial and neck surgery in Iraq and Afghanistan

Introduction Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the...

High intensity, high impact: tackling waiting lists one HIT at a time

A monthly high intensity theatre list in Sheffield shows how smart planning, teamwork and focus can dramatically reduce long ENT waiting lists. Finally, after many years of training, I’ve started my first consultant post – only to become part of...

Recalcitrant chronic rhinosinusitis: What to do next?

Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Less Than Full time Training in Otolaryngology

A recent Statement from the Association of Surgeons in Training (ASIT) stated that in 2011 there were 17 otolaryngology trainees in Less Than Full Time training (LTFT) [1]. Otolaryngologists in LTFT posts (17/151) is the largest group after general surgery...

Audiology Answers for Otolaryngologists

Audiology Answers for Otolaryngologists aims to provide a grounding in audiology for otolaryngology residents and other professionals allied to audiology, who would otherwise have limited exposure to clinical audiology. It is written by senior audiologists at Washington University School of...

Advances in laryngeal surgery

We are seeing many advances in laryngology: from the lab, from equipment manufacturers and from developments in surgical techniques. The field of laryngology has been under constant change in recent years, with the introduction of new technologies and research. The...