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Unanswered questions in adult ototoxicity associated with platinum-based chemotherapy
Do the potential side-effects on hearing and tinnitus need to be a ‘necessary evil’ of platinum-based chemotherapy? How strong is our evidence base when offering advice to patients and fellow clinicians? David Baguley and his team from the University of...OBITUARY: Randall Payne Morton (1948 - 2025)
Randall Payne Morton. Sadly I report the recent death of Randall Payne Morton, Professor of ORL-HNS in Auckland, New Zealand, on the 11 September 2025, after a long and protracted illness. I first met and worked with Randall during his...Smart cochlear device: how biosensors could revolutionise hearing care
Smart cochlear implants could monitor inner ear health, deliver drugs and adapt in real time, merging biosensing, microfluidics and personalised hearing care. From passive hearing aids to smart implants Hearing technology has advanced dramatically over the last few decades, yet...MBE for John FitzGerald
Dr John FitzGerald, Consultant Clinical Scientist and Head of Audiology Services at Norfolk and Norwich University Hospitals (NNUH) NHS Foundation Trust has been made an MBE in the King’s Birthday Honours in June.
Head and neck high dependency unit - an alternative to ITU?
Close observation of the airway is a primary requirement for patients undergoing major head and neck surgery. It is also necessary for patients with upper airway infection and trauma. Wound care, drains, feeding and analgesia also require specific attention. Whilst...
How well are we managing epistaxis cases?
Epistaxis constitutes 34.5% of all emergency admissions to otolaryngology departments nation-wide. Presently there are no detailed consensus guidelines for this commonest emergency, and there is tremendous variation of practice. Quite often, non-ENT trained doctors manage this emergency. This paper reviews...
Botox application for drooling shrinks salivary glands
The large majority of sialorrhoea (drooling) in paediatric patients is managed conservatively. However in severe cases, often where there is associated developmental delay or a motor disorder, medical and surgical techniques can be used to decrease salivary flow. Botulinum toxin...
Transnasal oesophagoscopy: prospective cohort review
This paper looked at 257 patients undergoing the procedure in a tertiary otolaryngology department. In light of the morbidity of upper GI endoscopy associated with the sedation required, the safety profile of transnasal oesophagoscopy is a clear advantage. This cohort...
Narrow band imaging improves diagnosis of malignant laryngeal lesions
The manufacturers of narrow band imaging (NBI) claim better visualisation of mucosal abnormalities when compared with simple white light. The primary aim of the study was to compare the diagnostic accuracy of NBI and white light to diagnose malignant laryngeal...
Assessing post-extubation dysphagia on the intensive care unit
The incidence of post-extubation dysphagia (PED) is reported to be about 12% in the general ICU population and around 18% in patients admitted to ICU as emergencies. PED was found to be an independent predictor of 28-day and 90-day mortality....
Thyroidectomy and hypnosis
This is a retrospective study comparing thyroidectomy under conventional general anaesthesia and surgery under hypnosis. Patients are interviewed and evaluated before the surgery and the process explained. During the surgery, they are induced into a hypnotic trance in a controlled...
