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Sylvester O’Halloran Perioperative Symposium 2025
Dr Nyamateja Kaare - SHOThe 20th anniversary meeting of the Head & Neck section of the annual Sylvester O Halloran Peri-operative Symposium was held on 1 March 2025 at the University of Limerick Medical School.An attending 'Brains Trust' of John...ENT UK Spring Meeting & YCOHNS Event
Young Consultants in Otolaryngology and Head and Neck Surgery (YCOHNS) Annual MeetingBehrad Barmayehvar, ENT ST6 registrar, Birmingham Children’s Hospital, West Midlands Deanery, UKAttending my first YCOHNS meeting as a senior registrar preparing for fellowship and consultant applications, I found it...Is there a doctor in the house?
Occasionally at medical meetings, a member of the audience will be unfortunate enough to fall ill. An elderly ex-obstetrician of the Queen had a transient ischaemic attack at the podium of the Royal Society of Medicine in front of a...In conversation with Professor Rory McConn Walsh
Professor Rory McConn Walsh. I am delighted that you have taken up the role of president of the Irish Institute of Otorhinolaryngology, Head & Neck Surgery (IIOHNS). What is your vision for the institute and what you intend to achieve...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...Prudent audiology
Introduction In January 2014, Professor Mark Drakeford, Minister for Health and Social Services, defined Prudent Healthcare as, “Healthcare that fits the needs and circumstances of patients and actively avoids wasteful care that is not to the patient’s benefit.” ‘Prudent’ healthcare...The role of training programmes in protecting patients
ENT trainees are fully registered doctors who have responsibilities to comply with the requirements of Good Medical Practice. This includes ensuring that they put the interests of their patients at the heart of their practice. This duty is complementary to...
To monitor the nerves or not?
Whilst intraoperative nerve monitoring has become the standard of care for mastoid and parotid surgery, its benefit in thyroid surgery remains unclear. In the UK NICE was agnostic on the subject in 2008, stating that it was potentially helpful and...
What are the non-inflammatory causes of a conductive loss?
This retrospective study looked at patients with an intact tympanic membrane with non-inflammatory causes – i.e. otitis media and cholesteotoma. They document their findings based on exploratory tympanotomy. They operated depending on the findings with either a stapedectomy or a...
Robot controlled mastoid surgery!
This is a fascinating piece of work by a Korean team developing a human-robot collaborative control. Their model uses image guidance surgery to locate the drill tip’s position. Important structures can be highlighted – in this case the facial nerve....
Risk factors for post laryngectomy fistula
This is a meta-analysis looking at the postoperative pharyngocutaneous fistula rates following total laryngectomy. The authors ended up with 34 studies with about 2500 patients. The most striking finding was that preoperative radiotherapy was a significant risk factor as well...
