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CO2 Laser Dohlmans: Does It Still Have A Role In Pharyngeal Pouch Management?
Background The commonest active management of a pharyngeal pouch is the division of the “interparty” wall using a stapling device [1, 2]. The technique is relatively straight forward to perform and theoretically should have less complications than other techniques such...Globalisation, interconnectivity and unintended consequences
Drs Mom and Lea have thrown down the gauntlet, challenging us all to openly assess the global impact we have as countries, societies, surgeons and individuals. Being a surgeon is not all about surgery. How we respond will define our...Systemic agents in thyroid cancer
For those patients who have disseminated or unresectable thyroid cancer, Dr Arabella Hunt and Dr Kate Newbold review systemic treatments, their differences, toxicities and outcomes. Thyroid cancer is the most common endocrine malignancy. It is subdivided into differentiated (papillary, follicular...
Deaf Culture: Exploring Deaf Communities in the United States
This book is intended as an introductory text for those studying deaf studies or American Sign Language in the USA. It is written by a mix of deaf and hearing authors and perhaps some of its shortcoming in feeling like...Professor Ray Clarke retires from NHS
At the end of May 2022, former ENT & Audiology News editor, Professor Ray Clarke, retired from NHS work. Despite his exhortations for ‘no fuss,’ colleagues and friends at Alder Hey Children’s Hospital, Liverpool, UK, where he worked as Consultant...
The Temporal Bone: Anatomical Dissection and Surgical Approaches
The Temporal Bone: Anatomical Dissection and Surgical Approaches does exactly what it says on the tin. It is an excellent combination of anatomical atlas and dissection manual for temporal bone surgical procedures, designed to be kept open at the benchside...
Evidence for diagnostic role of narrow band imaging in the outpatient setting for head and neck squamous cell carcinoma
Narrow band imaging (NBI) uses light in the blue and green spectrum to differentiate areas of carcinoma from normal or inflammatory tissue. This tertiary referral head and neck unit in Spain used white light endoscopy as initial screening for all...
Anticoagulated patients and epistaxis
This systematic review looks at the increasing complexity in this space as anti-thrombotics become more sophisticated and move away from the more well understood management of warfarinised patients. After a thorough search, 29 papers were found to be relevant and...
What is the evidence for contralateral tonsillectomy in TORS for known unilateral tonsil malignancy?
The concept of field changes by carcinogens within the upper aerodigestive tract is well established with reported rates of synchronous tumours of 4% and second primaries of 36%. The tonsil in particular has the highest rate of synchronous tumours, postulated...
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...
Help or hinder: how and why do SLTs make clinical decisions around swallowing?
Dysphagia is a relatively common consequence of stroke, with estimates between 50% and 60% of people presenting with swallowing dysfunction following stroke. It is associated with pneumonia, malnutrition and dehydration which in turn lead to increased length of hospital admission,...
