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Evidence for diagnostic role of narrow band imaging in the outpatient setting for head and neck squamous cell carcinoma
Narrow band imaging (NBI) uses light in the blue and green spectrum to differentiate areas of carcinoma from normal or inflammatory tissue. This tertiary referral head and neck unit in Spain used white light endoscopy as initial screening for all...
Comprehensive Management of Swallowing Disorders – Second Edition
On first glimpse this 548-page A4 book looked like it was going to be a nightmare to review, but once I started reading, I was pleasantly surprised. This is the second edition of this American book with the first edition...
Pocket Atlas of Sectional Anatomy, Volume I: Head and Neck: Computed Tomography and Magnetic Resonance Imaging
Pocket Atlas of Sectional Anatomy, Volume I: Head and Neck, currently in its 4th edition, gives a thorough account of imaging of the head and neck in this single volume. Across its 792 illustrations, this edition has revised and expanded...
Surgery of the Thyroid and Parathyroid Glands - Third Edition
Surgery of the Thyroid and Parathyroid Glands - Third Edition is an excellent text for trainee and specialist surgeons with an interest in head and neck endocrine surgery. The organisation of the book simply makes sense, showing progression from the...
How safe is sinonasal surgery for the operating surgeon in times of COVID-19?
I’m sure we have all wondered how safe we are in the operating theatre from virus circulating in the room and therefore the risk of subsequent COVID-19 infection. The authors addressed this by measuring the airborne particle concentrations in the...
Swallowing and breathing: speech and language therapy
Swallowing difficulties are a common comorbidity in just over a quarter of people living with chronic obstructive pulmonary disease (COPD). Given the associated risks of aspiration and exacerbation of COPD symptoms, speech and language therapists (SLTs) can offer valuable guidance...
When to operate on a patient without chronic disease?
As ENT surgeons, we spend a lot of time managing chronic rhinosinusitis, so a review and update on the management of the acute disease is always helpful. The standard medical treatment of antibiotics, nasal steroids and nasal decongestants are reported...
Does sleep quality improve when we adequately treat CRS?
In addition to the well-known symptoms associated with chronic rhinosinusitis (CRS), patients often suffer with poor sleep quality which is also detrimental to health and wellbeing. This meta-analysis looked at 35 papers reporting outcomes for CRS patients post surgery on...
Is benign intracranial hypertension underdiagnosed in patients with spontaneous CSF leaks?
In ENT practice we come across spontaneous CSF leaks. Patients present either as unilateral watery rhinorrhoea or otorrhoea, or sometimes as hearing loss with a watery middle ear effusion. Clinicians, after confirming the diagnosis of CSF leak with beta 2...
Can we predict how much benefit patients will get from ESS with a novel monoclonal antibody
Mepolizumab (Nucala) is a humanised IgG1 monoclonal antibody that acts as an IL-5 antagonist. It has been shown to be highly effective in treating severe asthma. It is hypothesised that it will be effective for patients with recalcitrant CRSwNP. This...
Cuff up or cuff down; to occlude or not to occlude? What effect does tracheostomy tube modification have on swallowing outcomes?
Dysphagia is commonly seen in patients with tracheostomy. The current global pandemic has increased interest in the impact of a tracheostomy on swallowing outcomes. This systematic review is therefore a timely addition to the literature and a useful read for...
