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The unknown primary again
In this retrospective study of 35 patients, the authors followed a systematic protocol for the detection and management of malignant cervical lymph nodes without an apparent primary lesion. Although their one, three and five year survival results are consistent with...
Neck Rejuvenation
The May issue of this popular facial plastic journal is dedicated to detailed discussion of surgical and non-surgical procedures for rejuvenation of the neck. Following descriptions of relevant neck and face anatomy, techniques are discussed for neck and face rejuvenation....
Inflammation associated with presbyacusis
Inflammaging and presbyacusis is a topic that few audiologists consider in their daily clinical routine due to lack of training in this area. Inflammaging is a chronic state of inflammation present throughout the body. The classic 1965 work by Rosen...
Cochlear implants with an absent or hypoplastic cochlear nerve?
The cornerstone of successful cochlear implantation has been the presence of a population of cochlear nerve endings which are able to mount a neural response to electrical stimulation. The authors of this paper present their experience of five children with...
An analysis of 60 treated cystic lesions in children
This is a retrospective single-centre study of 60 consecutive cases in children. Children aged four months to 14-years-old underwent intervention under general anaesthetic from 2000 to 2012. As one might expect, most of these cysts were mucoceles and ranulas. Of...
Resection margins in head and neck surgery
Although an increasing proportion of head and neck malignancies are treated with non-surgical modalities, when surgery is undertaken an incomplete clearance results in significantly worse prognosis. However, the intraoperative assessment of an adequate margin is difficult. The personal practice of...
Speech perception in the ageing population
Speech perception can present a challenge as we grow older. One of the factors responsible is, of course, hearing loss. Now research indicates that other non-auditory factors like cognitive decline may also contribute to difficulties in understanding speech. The authors...
Improving smell outcomes after sinus surgery: impregnated dressings?
There is much we can do to improve the airway of patients with chronic sinus disease, especially those with polyps. However, the olfactory outcomes are usually disappointing and patients miss this important sensory modality, which has an effect on their...
Management of metastatic neck disease
This article publishes the findings of a recent expert-led evidence based management symposium in the UK with recommendations according to the SIGN level of evidence and grading. The article neatly summarises the key points, and its clarity despite the complexity...
Sublingual immunotherapy
This paper reviews the recent European studies on sublingual immunotherapy (SLIT). SLIT is currently widely used in Europe and is gaining popularity in the United States. It is known that longer treatment is needed with SLIT compared with subcutaneous immunotherapy...
What works better for type 3 tympanoplasty?
This is a systematic review comparing incus transposition (IT) and partial ossicular replacement prosthesis (PORP). There is a total of 14 articles, obtaining 1055 patients: 614 for the IT group and 441 for the PORP group. All included patients had...
