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COVID-19 and oral cancer

This is a Canadian retrospective paper covering the period of March 2018 to March 2022. It identified 190 patients; 91 pre-pandemic and 99 from the pandemic. From this, they found there was no increase in patient delay, professional delay or...

HPV – why equitable protection matters

Human papillomavirus (HPV) is one of the most common viruses in the world, with most people acquiring it during adolescence or early adulthood, often without ever knowing it [1]. HPV lives in the skin and the mucosal linings of the...

Can we predict risk of adverse events preoperatively in patients undergoing head and neck cancer surgery?

Ed’s Choice reviews a paper aiming to create a reliable index to predict postoperative outcomes in head and neck cancer patients. This interesting study identifies variables that may assist in risk assessing prospective surgical candidates. There have been a few...

Advances in diagnosis and management of allergic rhinitis

This article reviews advances in the diagnosis and management of allergic rhinitis. Recent advances in the diagnosis of allergic rhinitis include testing of local immunoglobulin E (IgE), urinary test to diagnose aspirin hypersensitivity and optical rhinometry to assess degree of...

Botulinum toxin and drooling – how much, how often and where?

This was an incredibly useful article covering all aspects of the use of botulinum toxin as a treatment modality in sialorrhoea. The article starts by outlining why treating sialorrhoea is important and describes the non-pharmacological and pharmacological options, highlighting that...

What is the prognostic value of lymph node yield and density in head and neck cancer?

Neck dissection in addition to surgery of the primary site is commonly recommended in head and neck cancer treatment. However, there has been no consensus on the number of nodes that need to be removed to constitute a sufficient neck...

Effects of coronavirus pandemic on presentation of head and neck cancer patients

The COVID-19 pandemic caused unprecedented disruption of NHS services. This was compounded by patients’ reluctance to attend hospitals at that time. How this affected the presentation of patients with head and neck cancer is the subject of this study. Head...

Head and neck cancer and PET-CT

Positron emission tomography-computed tomography (PET-CT) is an imaging technique in which abnormalities of tissue metabolism are precisely superimposed onto the anatomy. It relies on the premise that malignant cells are more metabolically active compared with non-malignant cells. On this basis,...

20th National ENT Masterclass ®

Asad Qayyum, Consultant Otolaryngologist, Peterborough, UK The 20th National ENT Masterclass® took place over two days at the historic Royal Society of Medicine (RSM) in central London. It marked a major milestone – the 20th anniversary of this flagship training...

Is submandibular gland transfer effective in prevention of post irradiation xerostomia in head and neck cancer patients?

Post irradiation xerostomia is a common side effect of irradiation to the head and neck region, with up to 90% of patients reporting some symptoms. Submandibular glands account for 70% of resting saliva production. Surgically transferring the submandibular gland to...

Wolves dressed like sheep – why posterior laryngeal lesions should (almost) always be biopsied

Vocal process granulomas (VPGs) are common benign exophytic lesions of the posterior larynx that can occur secondary to intubation injury, laryngopharyngeal reflux or voice abuse. Notorious for their tendency to recur, a conservative surgical approach can be tempting to employ...