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Microvascular free flap failures – looking beyond surgical technique

Microvascular free flaps are commonly used in reconstruction for head and neck defects. Failures of these flaps, however, are associated with a significant morbidity and mortality. Flap failures within the first 72 hours are commonly attributed to technical failure of...

ESPO Congress Fellowship 2025

The next International Congress of the European Society of Pediatric Otorhinolaryngology will be held in Stuttgart, Germany from 3-6 May 2025. Applications are invited for the ESPO Congress Fellowships 2025, which will enable the holder to attend the Congress.

Pediatric Sensorineural Hearing Loss

Not only is Paediatric Sensorineural Hearing Loss extremely informative, it is also exceptionally easy to read due to the clever structuring of sections and chapters. The authors have very cleverly divided the book into sections that almost perfectly follow the...

IL-25 and nasal polyps, another target

Immune response in chronic rhinosinusitis with nasal polyps (CRSwNP) is mainly via type 2 T-helper (Th2) cells while Th1 cells characterise chronic rhinosinusitis without nasal polyps (CRSsNP) immune response. CRSwNP is heterogeneous on a cytological level causing a varied response...

Endolymphatic duct, a bit more than what meets the eye

It is theorised that the endolymphatic duct (ED) and the endolymphatic sac (ES) system play a role in both the production and absorption of endolymph. This system could be responsible for development of endolymphatic hydrops (EH). Recently, the presence of...

The Indian method: Sushruta’s influence on modern nasal reconstruction

Ancient Indian medicine, as documented in the Sushruta Samhita, contains one of the earliest known references to nasal reconstruction, including surgical techniques still resembling modern practices. (The Sanskrit word ‘Samhita’ is used to define a collection of written work, similar...

Neuromod publishes results of second large-scale clinical trial for tinnitus, shows greater improvement of symptoms

Neuromod Devices, the medical device company specialising in tinnitus, has published the results of its TENT-A2 (Treatment Evaluation of Neuromodulation for Tinnitus – Stage A2) clinical trial in the scientific journal, Nature – Scientific Reports in a paper titled ‘Different bimodal neuromodulation settings reduce tinnitus symptoms in a large randomized trial’.

Facing changes after surgery through portraiture

‘Facing Out: Life After Treatment for Facial Cancer’ was a two-year arts-for-health project funded by Arts Council England and The National Lottery which culminated in an exhibition at The Whitworth Art Gallery, Manchester, in February 2019. Here, artist and project...

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...

Facing up to the challenge of behavioural observation in infant hearing assessment

The ability to assess detection and discrimination of speech by infants has proved elusive. Dr Iain Jackson and colleagues discuss how new technologies and fresh approaches might offer valuable insight into young infants’ behavioural responses to sound. The limits of...

Management of smell and taste disorders – A practical guide for clinicians

This textbook with 240 pages is well laid out, very well illustrated including colour photographs and has excellent summary boxes at the end of individual sections. Up to one fifth of adults have some form of olfactory dysfunction and as...

Are vascular loops at the CPA of any clinical significance?

Neurotologists have grappled with this question for many years. The aim of the study was to determine the clinical relationship of vertigo symptoms with vascular loop compression syndrome using 3D T2WI turbo spin echo high-resolution MRI. The study included 417...