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On-call ENT apps

ENT apps for trainees are few and far between. Here are a couple of them which could be useful for the on-call. ENTSHO.com Born out of the website with the same name, this app is a must-have if you work...

Continuing professional development

In this article Siobhán Brennan explores continuing professional development (CPD) in all its glory! She outlines why it’s important to continue learning throughout our careers, highlights some of the challenges facing those trying to undertake CPD and discusses the variety...

ENT in the Balkans

Shining a light on ENT in the Balkans, Metin Önerci explains the population and challenges in this part of the world. There is no universal agreement on what constitutes the Balkans. However, the following countries are usually included: Albania, Bosnia...

Prominauris: Which surgical technique to use?

Otoplasty accounted for 3.2% of all plastic surgical interventions, and 2.6% worldwide in 2015. Patient satisfaction ranges above 95% for prominent ear correction despite the myriad of available techniques in the literature associated with highly variable outcomes. The authors split...

Can the threshold for drain removal after selective lateral neck dissection be safely raised to an output volume of less than 100 mL in a 24-hour period?

Closed-suction drains are routinely used by most head and neck surgeons after selective lateral neck dissections (SLNDs). A recent survey of more than 360 head and neck surgeons found that more than 60% use a criterion of less than 30...

Sublingual gland tumour resection

This paper from South Korea analyses the pathology arising from 20 malignant sublingual gland tumours. Adenoid cystic carcinoma followed by mucoepidermoid carcinomas were the most common. Tumour invasion into the lingual nerve was detected in 40% of cases, and into...

Themistocles Gluck – the true father of laryngectomy

Most head and neck surgeons and ENT-specialists may know that the first laryngectomy for cancer was performed by Billroth on 31 December 1873. Billroth´s assistant, Vincenz Czerny, had outlined the operation in experimental surgery on dogs in 1870. Three years...

ENT emergencies

This Belgian paper reports the epidemiology of 1296 patients attending the emergency department with ENT problems over a five-year period. As expected the most common presentation was epistaxis, but interestingly vertigo seemed to be the second most common presentation to...

Robotic Head and Neck Surgery: An Anatomical and Surgical Atlas

I was excited to receive and review this book. Unfortunately I was disappointed to discover the strange paperback spirally bound exterior, which the publisher’s website states makes it robust. It looks anything but robust and, as an intended textbook to...

Audiology in this issue...Hyperacusis (Jan/Feb19)

Audiologists, otologists, and auditory neuroscientists are accustomed to dealing with problems of hearing loss but, until recently, little attention has been given to the experience of hearing sound too intensely. This experience is variously given the names hyperacusis, and reduced or decreased sound tolerance, and the affected individual finds everyday sound intensely and excruciatingly loud, rendering workplaces, shops, and social spaces intolerable.

Oral hygiene and its interaction with standard of education on the risk of oral cancer in women

Oral cancer in women has an increasing incidence in China, although the majority of Chinese women don’t smoke or drink alcohol. Poor oral hygiene has been shown in previous studies to be a risk factor in the development of oral...

Do certain chronic medications increase dysphagia in older people?

Oropharyngeal dysphagia is known to affect a high number of older people in the community, in care homes and in acute geriatric admissions to hospital. The authors of this study have recognised that many older people take drugs for chronic...