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Thyroid nodule update

This excellent article summarises the current diagnostic difficulties with an endocrine gland that frequently produces nodules, some of which may harbour malignancy. At 50 years of age and over there is about a 50% chance of having a nodule; at...

Chronic rhinosinusitis management: back to the future?

Immunology is a dim and distant medical school memory to many ENT surgeons, but the increasingly complex immunology of chronic rhinosinusitis is fascinating (honestly!). Medical management options in CRS no longer just involves saline and steroids, and we need to...

Leading and managing audiology service through a social enterprise model

As these things sometimes happen, our first conversations about Social Enterprise happened pretty much by chance and in our case were a by-product of discussions about a new department having outgrown the current one. The National Health Service (NHS) Audiology...

In conversation with Professor Janet Wilson

As she approaches her retirement from clinical practice, Professor Janet Wilson speaks to our Editor (and fellow laryngologist) Declan Costello about surgical training, research, diversity, literature and the future. You have had an immensely successful career in ENT – how...

Why one should not be seduced into organising a conference

Having enjoyed yourself at so many meetings, it may strike you or be suggested to you by ‘friends’, that it would be a good idea to organise an international conference. Think of the kudos, the fame, the financial gain for...

Neuroimaging WG3. Neuroimaging as a window on the heterogeneity of tinnitus

Pim van Dijk and Sven Vanneste describe the hope that brain imaging techniques used for research will provide a better understanding of the heterogeneity of tinnitus through large-scale analysis. Their project will create a procedure whereby researchers can submit their...

Genetic discovery using animal models: presbyacusis

By their very nature, late-onset hereditary disorders offer a large window of opportunity for therapeutic intervention. However, before we can begin to think about strategies we need knowledge of the genetics and pathology underlying the condition. In this article we...

Pocket Tutor Otolaryngology – Second Edition

The Pocket Tutor series has succeeded again with a visually different second edition of Otolaryngology. Mr Bhattacharyya has now joined with fellow ENT Consultant, Ms Ifeacho and ENT trainee, Mr Zhang, to produce a revised pocket companion fit for the...

Time to endoscopic sinus surgery and outcomes

A well written prospective study, which demonstrates that patients who require endoscopic sinus surgery, should be operated on without long delay since this achieves better and more sustained outcomes. There were 1493 patients undergoing primary nasal surgery who had completed...

Hearing loss in the contralateral ear after mastoid drilling

It is difficult to conceive that most of the noise generated by drilling the mastoid would not be conveyed to the contralateral cochlea, by direct transmission through the skull bone, where the attenuation factor is only 5-10 dB. Only a...

The power of (younger versus older) lips

The Directional into Velocity of Articulators (DIVA) model theorises that we require both auditory and sensory feedback - from our articulators - in order to ensure we are able to produce precise and powerful articulatory movements. This study aimed to...

Increasing tongue strength to reduce dysphagia: what is the potential benefit of a device driven exercise?

Weakness in tongue muscle strength and laryngeal elevation is known to have an adverse impact on swallowing function. Various swallowing exercises are often recommended to improve function of these important structures with the goal of preventing aspiration and improving swallow...