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Patient initiated follow-up in head and neck cancer
Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...Staphylococcus aureus as a cause of refractory chronic rhinosinusitis
Staphylococcus aureus has long been linked to chronic rhinosinusitis, particularly recalcitrant cases. In this article, Alkis Psaltis describes how newer techniques have shown higher rates of S. aureus infection than were previously thought, and explains how the bacteria are able...
Validating a new international cholesteatoma classification – a necessary but challenging task
A European and Japanese joint consensus statement was published in 2017 which proposed a new cholesteatoma staging classification (EJS), with four stages. This follow-up publication aims to assess the internal and external validity of the staging system using existing prospectively...
EBM Stats Calc: there’s a stat for that
Quantifying the value of a specific test or intervention for a patient is no easy feat. Even when the value of a given test or intervention has been established, there may be additional case-specific factors to consider that are not...Introduction to virtual healthcare job interviews
What’s the best way to run a video job interview? Matthew Wu and Elliott Kozin provide some top tips – both for interviewer and interviewee. The ongoing COVID-19 pandemic has changed almost every aspect of society. For the foreseeable future,...
Quality of life after cochlear implantation in the older population
Cochlear implants (CI) have been increasingly adopted in older adults with severe to profound hearing loss as a result of the growing and ageing world population. There is much interest in the cost-effectiveness and quality of life in CI users....
Expanding horizons: from speech therapy to communication therapy for people with Parkinson’s disease
This article explores the perspective of people living with Parkinson’s disease before and after participating in speech treatment delivered by a speech and language therapist (SLT). Semi-structured interviews were conducted with 11 participants. These interviews were held face to face...
Metaplasia of the concave septum
This group conducted a one year prospective study and sampled mucosa from 42 randomly selected patients with septal deviation at a single centre. They found significantly higher rate of squamous metaplasia and lymphocytic infiltration in septal mucosa on the concave...
Quality of life outcomes in paediatric endoscopic sinus surgery
This prospective cohort study evaluated chronic rhinosinusitis patients aged 5-18 years undergoing endoscopic sinus surgery in terms of quality of life. General and chronic rhinosinusitis surveys were completed by the parents and the child pre-ESS and at 30-90 days post-operatively....
What characterises dysphagia in unilateral vocal fold impairment?
The closure of the vocal folds during swallowing is known to contribute to airway protection along with epiglottic inversion and closure of the false vocal folds. It is therefore plausible to expect that unilateral vocal fold impairment without complete closure...
Drug eluting stent vs INCS for CRS
A prospective, randomised study from Finland to compare a drug eluting stent (DES) and intranasal corticosteroids (INCS) in 63 patients as assessed by SNOT-22, VAS, endoscopy, CT and rhinometry pre-treatment, at three and six months post treatment. Recruitment was over...
