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Techniques of Botulinum Toxin Injections in the Head and Neck

The foreword begins with a saying by George Bernard Shaw, “all great truths begin as blasphemies”. This certainly was the case with medical application of Botox initially, however, botulinum toxin now has an accepted role and is widely used in...

Clinical Esophagology and Transnasal Esophagoscopy

This textbook starts by giving a background to esophageal anatomy, physiology and non-invasive tests, an area that is often overlooked and not considered in detail in other texts read by ENT surgeons. Transnasal esophagoscopy is a comparatively new domain for...

Ear, nose and throat surgery in children – where will it be in 15 and 50 years?

Michael Kuo, David Albert and Mike Saunders have put their collective heads together to predict the future of ENT surgery in children; will there be a rise in workload due to increasing survival of children with complex medical problems? Or...

Atlas of the Facial Nerve and Related Structures

Although we all know the course of the facial nerve is pretty complex, I was surprised that a whole book and 104 pages had been dedicated to describing it. However, on reading through the book, it is apparent that although...

CSF leak – endoscopic or open repair?

Cerebrospinal fluid (CSF) rhinorrhoea is well known to the ENT surgeon. It commonly occurs secondary to a predisposing event such as accidental or iatrogenic trauma. When it occurs spontaneously, it can be associated with benign intracranial hypertension. The commonest CSF...

Preoperative prediction of pain outcomes in patients with trigeminal neuralgia

The authors of this retrospective study have developed a preoperative trigeminal neuralgia (TN) grading system for the preoperative prediction of long-term pain relief after microvascular decompression (MVD). Patients who had become refractory to or developed toxicity to carbamazepine or oxycarbamazepine...

ENT In This Issue - Trainee Takeover

Jonathan Lee, ST3, MRCS, Department of Ear, Nose and Throat Surgery, Warwick Hospital, University Hospitals of South Warwickshire NHS Foundation Trust, UK. ENT training has undoubtedly taken a significant hit since the COVID-19 pandemic. Crises, however, often lead to collaboration...

In conversation with Emma Stapleton, winner of the Hunter Doig Medal 2022

The Hunter Doig Medal is awarded once every two years to a female Fellow or Member of the Royal College of the Surgeons of Edinburgh who has demonstrated outstanding career potential and ambition. The medal is named after two female surgeons, Alice Headwards-Hunter and Caroline Doig.

Women in ENT Surgery (WENTS UK) launch a podcast series with a difference

This podcast series is a realisation of a vision to showcase WENTS UK as a society, their values, ethos and how they aspire to pave the way for change by exploring controversial topics in conversation. From the launch of the...

Prioritisation of surgery for pituitary tumours

This study is based on the findings of internationally renowned skull base surgeons who convened to recommend this stratification scheme. The study authors report that incidental diagnosis of pituitary tumours during routine imaging as well as early identification of visual...

Pedicle calcification – an uncommon problem

This paper from Germany describes an uncommon phenomenon of pedicle calcification in three cases. In patients from two centres that had fibula free flap reconstruction from January 2010 to January 2016, 68 cases had pedicle calcification and three cases were...

Voice and unilateral vocal fold paralysis

Voice outcomes are the main comparators when managing unilateral vocal fold paralysis (UVP). In a review of the literature, 11 voice indicators are included in 80% of all articles. However, when surgeons were surveyed on their clinical preferences and their...