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First signs of late nodal metastases

This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...

The challenges of facemasks for people with hearing loss

Since the start of the COVID-19 pandemic we have seen an exponential increase in the use of face masks. Guidance around the globe varies on the use of face masks as an effective barrier to the coronavirus. Whereas in pre-covid...

Edith Whetnall’s contribution to ENT and audiology 1910-1965

Sue Archbold reviews the fascinating life of Edith Whetnall and traces her influence on audiology from the mid-20th century to today’s practices. It’s a pleasure to be asked to write about Edith Whetnall for this edition of ENT & Audiology...

Allergen immunotherapy and allergic rhinitis – EAACI guideline 2017

Allergic rhinitis (AR) is a common chronic childhood disease with considerable social burden and impact on quality of life, frequently necessitating treatment with various combinations of antihistamines and corticosteroids. The allergen immunotherapy (AIT), sometimes known as desensitisation therapy, can modify...

Cancer genetics and signalling pathways in ENT – a review and discussion of how this can be applied to rare tumours

Introduction Cancer cases continue to increase worldwide, and­­ head and neck cancer is a major global health issue, with an estimated global burden of over 630,000 new cases and over 350,000 deaths per year [1]. The term ‘head and neck...

The right kit matters… How important is video recording in FEES?

As a portable alternative to videofluoroscopy, fibreoptic endoscopic evaluation of swallowing (FEES) is often carried out at the patient’s bedside. The authors of this paper have chosen to examine the reliability of the penetration-aspiration ratings (Rosenbek scale) of FEES examinations...

Earlier intervention to correct anosmia?

This is an interesting study aimed to determine the timing for successful surgical intervention in improving the sense of smell in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). A total of 86 CRSwNP patients with loss of smell and...

Facial pain: the differential diagnosis in an ENT clinic

The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

Genetic research on hereditary hearing loss and clinical application in the Chinese population

Congenital deafness in China affects more people than the entire population of Australia. Prof Wang give us a comprehensive insight into one of the main congenital disabilities in China, looking into the causes of deafness and the benefits of genetic...

A look at Black representation in ENT

The importance of diversity in ENT has recently been highlighted by ENT UK’s Equity, Diversity and Inclusion Strategy and Action Plan. In this article, Oloruntobi Rotimi discusses the importance of Black role models for those starting out in the specialty....

In-office management of subglottic and tracheal stenosis: balloon dilation, laser treatment and steroid injection

Laryngology continues to advance since its development as a subspecialty at the turn of the century. Rarely performed operations restricted to the surgical theatre can now be undertaken in the outpatient / office environment. This detailed article demonstrates, in a...

In conversation with Prof Nobuhiko Isshiki

A 90th birthday is definitely a landmark that should be observed and celebrated. Elisabeth Sjögren interviews this man who has been such a huge influence in the world of laryngology. Nobuhiko and Keiko in the cosmos field. Congratulations on your...