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Incidental thyroid nodules: should we observe or operate?

Thyroid nodules are extraordinarily prevalent, detected by physical examination in 7% and by imaging studies in 67% of the population. Although most of these nodules are benign, up to 20% are found to be malignant on excision. It’s a very...

Complication rates for grommet insertion in H&N cancer patients

Otitis Media (OM) can be the direct result of H&N malignancy itself or secondary to treatment of malignancy. Both surgery and radiotherapy can cause lasting changes to the physiologic function of the ET, middle ear, tympanic membrane and ear canal....

Impact of the updated cancer staging system on HPV-positive disease

The AJCC cancer staging manual was updated in 2017 (8th edition). It is used in the MDT setting for planning treatment and assessing prognosis for individual patients, and is also widely used internationally in clinical trials. Unlike previous iterations of...

Are organ-preserving treatment strategies for T3 laryngeal cancers reducing patient survival?

This article presents the 10-year results of a single institution’s treatment of advanced laryngeal cancer. The institution established a protocol based on the Dutch Head and Neck Society consensus document on laryngeal cancer diagnostics and treatment published in 1991. This...

Importance of the time interval between surgery and postoperative radiation therapy in head and neck cancer

The ideal time to start postoperative radiation therapy (PORT) in head and neck cancer patients has been an issue of debate. In the USA, the National Comprehensive Cancer Network (NCCN) recommends initiating radiotherapy within six weeks from surgery. The six-week...

The role of the multidisciplinary team in laryngology and airway – the Charing Cross experience

As the National Centre for Airway Reconstruction, the Charing Cross laryngology MDT provides expert care to patients with airway problems as well as voice and swallowing disorders. In this article, the team explain their raison d’etre and why the MDT...

BSFPS Annual Meeting 2023 and Juniors Day

Haseem Raja, ST4 ENT Registrar at University Hospital North Midlands, and Edward Balai, ST5 ENT Registrar at Charing Cross Hospital. The British Society of Facial Plastic Surgery (BSFPS) Annual Meeting took place in the vibrant city of Manchester, with leading...

Teaching the art of cooking to a hearing impaired chef

Today catering is a hugely popular career choice for many people and there’s a new cookery competition or programme on our TV screens every week. But beyond the media glamour, the kitchen is a challenging and noisy working environment, in...

Leadership reflections

For the past year, Lisa Vaughan Christensen has been the President of the American Academy of Audiology. In this article, she shares the journey that led her to this position and offers some brilliant advice to anyone interested in leadership....

Victoria Possamai, Consultant Paediatric ENT Surgeon - A Tribute

Victoria Possamai, Consultant Paediatric ENT Surgeon, Evelina London Children’s Hospital. 30 August 1977 – 6 December 2024 It is with great sadness that we reflect on the loss of our wonderful colleague and friend Victoria ‘Vikki’ Possamai, Consultant Paediatric ENT...

OBITUARY: Prof Shanmugam Kameswaran (1923-2021)

Professor Shanmugam Kameswaran was born in 1923 and did his MBBS and MS at Madras Medical College, India, under PV Cherian who later became the Governor of Maharashtra, India. He worked as his assistant and left for the UK in...

Machine learning and the future of otolaryngology

If you are over 30 years of age, you have witnessed a technology revolution that has grossly affected how we live: computers have come from being an oddity to an everyday feature in our households and places of work; the...