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Imaging of the parathyroid glands in primary hyperparathyroidism: where do we stand?

Primary hyperparathyroidism (PHPT) refers to an intrinsic parathyroid gland abnormality that produces excessive secretion of parathyroid hormone. PHPT is diagnosed biochemically, and surgical excision of the abnormal parathyroid tissue represents the only definitive cure. Historically, the standard operative management of...

Narivent – an effective, fast-acting non-vasoconstrictive nasal decongestant?

The nasal obstruction associated with acute and chronic rhinitis is often considered one of the most unpleasant symptoms associated with these conditions. Whilst topical over-the-counter vasoconstrictors such as xylometazoline and oxymetazoline are highly effective at alleviating nasal obstruction, they are...

Dirty Work

Gabriel Weston’s new novel chronicles four traumatic weeks in the life of its narrator, Dr Nancy Mullion. Nancy is a young trainee in obstetrics and gynaecology, the subject of a General Medical Council (GMC) investigation into her clinical performance following...

What’s hidden in hidden hearing loss?

In order to truly understand the many key aspects of acquired sensorineural hearing loss, the role of cochlear synaptopathy or ‘hidden hearing loss’ must be considered. Dan Guo and Sharon Kujawa review and summarise what we know to date, including...

Surgical challenges in advanced or recurrent thyroid malignancy

The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

Robotic head and neck surgery: current state of the art and future innovations

Technology and innovation has provided modern head and neck surgeons with successive generations of robotic surgical systems, fibre-optic lasers, and novel tools which have ushered in a new era of minimally invasive surgery for tumours of the pharynx and larynx....

New curricula: trainees’ and trainers’ thoughts

After the disruption to training and clinical practice from COVID, it is interesting and perhaps encouraging that plans are in place to support ENT training in both mainland Europe and the UK with new formal curricula. We hear trainees’ and...

Vertigo Rehabilitation Protocols

The authors of Vertigo Rehabilitation Protocols, describe this book as an “invaluable resource” for neurologists, ENT doctors, orthopaedists and other rehabilitation specialists. However, I believe it would be directed more towards senior clinicians rather than those new to the field,...

Salivary Gland Neoplasms

Salivary Gland Neoplasms is another useful addition to the Advances in Otolaryngology series. This issue (Vol 78) sees Prof Patrick Bradley (Nottingham) and David Eisele (Baltimore) co-edit a 206-page edition, nicely divided into 23 chapters, covering basics like molecular pathology,...

Professional Communication in Audiology

This introductory book is aimed at providing understanding of communication in the clinical audiology setting and focusses on newly graduated clinicians and students. The book is divided into two sections: (1) verbal communication with patients; (2) written communication with healthcare...

Surgeon, Heal Thyself

Once a taboo topic, stress and psychological illness in doctors is now much more widely discussed. This is probably partly due to changing societal attitudes (with more acceptance of the importance of acknowledging mental illness) and changes amongst medics themselves,...

The Auditory System: Anatomy, Physiology and Clinical Correlates: Second Edition

This book details the anatomy and physiology of the auditory system, with well-balanced coverage of the peripheral and central nervous systems, and an emphasis on clinical applications of the scientific theory. The clinical correlates make for very interesting reading, often...