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TEN testing in paediatric patients
Threshold equalising noise (TEN) testing is used to identify dead regions (DRs) of the cochlear. Alexandra Lusty considers the challenges of using the TEN test in the paediatric population as well as the importance of identifying DRs. Diagnosing dead regions...Fifteen years of vestibular implant research in humans
Implants: it’s all in the balance! Prof Guyot and his team give us an update on their research in addressing bilateral vestibular deficits via an implant. Doctors are often unaware that people, even young, may lose vestibular function on both...Hidden genetic disorders in children that may present to the otolaryngologist
Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...The challenges in the risk stratification of thyroid nodules and cancers: the role of molecular testing
Around the world, molecular testing is becoming more widely used to personalise the management of thyroid nodules. Thyroid nodules are relatively common. They are palpable in ~5% of the population, while high-resolution ultrasound (US) incidentally finds them in 19–68% of...
Parathyroid Surgery: Fundamental and Advanced Concepts
A delight to see yet another comprehensive textbook, dealing exclusively with multiple aspects of parathyroid disease and its current management. David Terris, William Duke and Janice Pasieka have co-edited this 248 page textbook divided into 22 well thought out chapters...
The septum, outside!
Extracorporeal sculpturing of the septum during septorhinoplasty (SRP) is a well-established technique. However, the extent of manipulations of the septum varies amongst authors. In a series of 630 patients undergoing SRP, the authors used a complex extracorporeal septal three dimensional...
Sublingual gland tumour resection
This paper from South Korea analyses the pathology arising from 20 malignant sublingual gland tumours. Adenoid cystic carcinoma followed by mucoepidermoid carcinomas were the most common. Tumour invasion into the lingual nerve was detected in 40% of cases, and into...Super Surgeon Vin Paleri
Prof Vin Paleri, one of ENT & Audiology News’ star contributors, has featured in a recent episode of Channel 4’s Super Surgeons.
Changes in swallowing function after thyroidectomy
Evaluation of functional impact following thyroidectomy tends to be focused on voice quality. The aim of this study was to document early (seven days postoperatively) and late changes (60 days postop) in swallowing function after thyroidectomy. A preoperative naso-endoscopic evaluation...
Hearing loss and QOL
This article evaluates the impact of hearing loss and its rehabilitation on the quality of life (QoL) of adults. The authors suggest that the currently used scale, Aphab, is long, complicated and does not take into account minor changes. The...
“Close” surgical margin in oral tongue redefined, 2.2mm is as good as 5mm
Gold standard treatment of squamous cell carcinoma (SCC) of the oral tongue remains surgical resection of the primary tumour with negative margins. The primary goal is the complete excision of the tumour with no residual cancer cells left behind. A...
