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Margin control using optical techniques in head and neck surgery
Emerging optical techniques such as high-resolution microendoscopy (HRME) are currently being examined for their reliability in discriminating benign from neoplastic epithelium. These techniques may offer the potential to detect the margin of an upper aerodigestive tract tumour in a non-invasive...
T1 lip cancer and cervical lymph node metastases
The management of large lip squamous cell carcinoma (SCC) (T2, T3, T4 tumours) or those with nodal disease is well established. However the management of T1N0 tumours is controversial due to the assumed low risk of occult lymph node metastases....
Endoscopic findings and prediction of outcome in unilateral vocal cord paralysis
Unilateral vocal cord paralysis which is not due to irreversible causes such as malignancy, systemic disease or trauma varies considerably in terms of full recovery and restoration of voice. Usually electromyography is used to make possible predictions, but this facility...
Ultrasound assessment of metastatic disease
This Japanese study of 10 patients over 15 years, assesses the role of ultrasonography in assessing metastatic disease to the thyroid gland, specifically renal clear cell carcinoma (RCCC). Whilst uncommon, the authors state that there is a favourable prognosis when...
Relationship between ART and language development
Assisted Reproduction Technology (ART) and especially more invasive techniques of ART may be associated with an increase in neurodevelopmental problems including language delay. Some studies have reported slightly worse perinatal outcomes of IVF babies compared to naturally conceived babies. The...
mAXIS stapes prosthesis
Since Shea’s first description of stapes mobilisation procedure, improvements in the technique have resulted in the development of alloplastic stapes prosthesis. The authors prospectively conducted a single-centre study to determine the safety and efficacy of the MED-EL mAXIS stapes prosthesis...
Promotion of trust with adult hearing impairment in hearing healthcare
The goal of this study was to assess how trust is promoted among adult hearing impaired patients seeking hearing healthcare. Previous interview transcript data collected from 29 adults across hearing health care centres in four countries was re-analysed thematically in...
Assessment in ENT: Intra-operative videos
An article examining the reliability and validity of remote scoring; a video assessment of myringotomy and grommet insertion. The primary outcome measures were to determine construct validity (differentiating between different grades of surgeons) and reliability of video scoring. Unfortunately, the...
Importance of nasal septal cartilage perichondrium for septum strength mechanics: a cadaveric study
This experimental cadaver study aimed to investigate the biomechanical qualities of the perichondrium and cartilage, and to determine the strength of the septal cartilage against bending forces. The nasal septal cartilages of 14 fresh cadavers (eight hours post-mortem) without nasal...
