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What to do with incidental findings on FDG PET/CT?

18F-fluoro-deoxy-glucose positron emission tomography/computed tomography (FDG PET/CT) is commonly used in head and neck cancer staging. This investigation frequently identifies incidental findings unrelated to the index head and neck cancer. To assess the nature of these incidental findings, notes of...

A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars

This single blinded RCT compared 43 patients with 50 symptomatic keloids that were randomised to two matched groups of 25 scars, receiving either 5-fluorouracil (5-FU) or current first line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments was unblinded,...

Blood-sampling prognostic predictors for Bell’s palsy

Bell’s palsy is generally defined as an acute-onset unilateral idiopathic mononeuropathy in the facial nerve. It is of unknown aetiology, however, inflammation is considered a major cause. Electroneurography assessing nerve excitability is the most reliable examination for predicting prognosis of...

Outcomes of office-based biopsies for laryngopharyngeal carcinoma – faster diagnoses and equivalent oncological outcomes as compared to biopsies under general anaesthesia

Patients in the UK with head and neck cancers are the most likely to face long waits to treatment in comparison to other cancer sites, with only just over half commencing treatment within 62 days of being referred on a...

Ramsey Hunt causes more widespread vestibular dysfunction that other causes of acute peripheral vestibulopathy

The extent of semicircular canal dysfunction in different conditions causing acute vestibular syndrome (AS) has not been widely studied. The authors share their findings in a retrospective study of patients presenting with AVS in three conditions: Ramsay Hunt syndrome (RHSD),...

Transferable skills in audiology: one audiologist’s journey

Ever wonder about transferable skills in audiological practice? In this issue, we hear about one audiologist’s journey from clinical practice to applying transferable skills gained in audiology to other healthcare sectors. In 1997, as a 16-year-old starting my career in...

The 5th Annual Meeting of the Japan Society of Immunology Allergology and Infection in Otorhinolaryngology

Shigeharu FujiedaThe 5th Annual Meeting of the Japan Society of Immunology Allergology and Infection in Otorhinolaryngology (JIAIO) was held successfully with 427 attendees and 215 presentations, in Akita City, Japan.This society comprises approximately 1,000 members, primarily practicing otolaryngologists from across...

Teenagers with misophonia

Misophonia can be a distressing condition for teenagers and can have devastating effects upon their home and school lives. There is little research in this area and, as Lucy Partridge explains, more is greatly needed in order to identify interventions...

Destination unknown

We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

Paediatric ENT trauma

Managing trauma in children often strikes terror in doctors who do not deal with children regularly. Kate Stephenson explains the approach to a child who has suffered ENT trauma and specific things to look for in children. ENT injuries are...

Drawing pictures and telling stories: treating tinnitus in childhood

There is increasing awareness that tinnitus is not restricted to adults. Indeed, the available evidence suggests that some experience of tinnitus in children is fairly common [1]. For many, tinnitus has little effect and requires limited or no intervention. For...

Cognitive spare capacity: what is it and why does it matter?

Cognition refers to thinking and memory. So why would cognition be a useful concept for ENTs and audiologists? Audition provides our main channel of communication and when we speak to each other, we want to exchange thoughts and remember what...