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Commentary: dementia, hearing loss, and the danger of professional rabbit holes

The Lancet, a world-leading general medical journal, has a global impact. Its commissioned report into dementia prevention, intervention and care has been cited over 6000 times and has further been reviewed and updated in 2020 and now 2024. Here, Profs...

Liver function assessment in glandular fever

This month’s Editors’ Choice is a systematic review of the role of liver assessment in patients with glandular fever. Admission of patients with sore throat constitutes a significant burden of acute work for paediatric and adult ENT services as well...

Down with the nose, down with it flat

In Shakespeare’s Timon of Athens, Timon urges prostitutes to spread syphilis throughout Athens. He implores the whores, Phrynia and Timandra, to: Consumptions* sow In hollow bones of man; strike their sharp shins,And mar men’s spurring*. Crack the lawyer’s voice**, That...

“Close” surgical margin in oral tongue redefined, 2.2mm is as good as 5mm

Gold standard treatment of squamous cell carcinoma (SCC) of the oral tongue remains surgical resection of the primary tumour with negative margins. The primary goal is the complete excision of the tumour with no residual cancer cells left behind. A...

Robotic surgery for ventral skull base malignancy

The use of transoral robotic surgery (TORS) in the head and neck area has been shown to be a safe and effective technique, achieving good oncological clearance of the oropharynx, hypopharynx, supraglottis and glottic area. However, robotic surgery for the...

Contemporary UK experience of oropharyngeal transoral laser microsurgery

It is well recognised that the current emergence of HPV-positive oropharyngeal squamous cell carcinoma (OPSCC) as a distinct disease entity requires a fresh look at standard treatment modalities that are based on chemoradiotherapy for stage III/IVa OPSCC. The Newcastle experience...

Gardasil vaccination – an effective adjuvant therapy for RRP?

The clinical manifestations of recurrent respiratory papillomatosis (RRP) can vary hugely from individual to individual. Whilst some affected children will outgrow the disease, a subset of patients will experience frequent recurrences and require multiple surgical procedures over the course of...

‘Dead ear’ after mastoid surgery

The primary aim of surgery in the management of cholesteatoma is eradication of the disease which can potentially result in serious complications such as intracranial extension, facial nerve weakness and further hearing loss. A profound hearing loss resulting postoperatively considerably...

A medical student’s perspective on the future of obstructive sleep apnoea management

Obstructive sleep apnoea remains an immensely challenging condition to treat. Many treatments have been used over the years, but no single management strategy has proven significantly better than the others. We hear about some technological innovations in the field of...

Developing medical devices for children: opportunities and challenges

The development of medical devices for infants and children lags significantly behind the development of devices for adults. While in the United States the Food and Drug Administration (FDA) has set up incentives for developing child age-specific pharmaceuticals, there is...

The pong of poverty: George Orwell on the problem of olfactory classism

Throughout his fiction and non-fiction, George Orwell incorporated references to olfaction to invoke strong reactions in his readers. For example, in Nineteen Eighty-Four the protagonist Winston describes “the pleasant smell of [Julia’s] hair”. Orwell emphasises the invasiveness and emotional force...

ESPO 2023

Emma Gosnell, Otolaryngology Specialty Trainee, Health Education North West, UK, and Hannah Emerson, ENT Registrar, Alder Hey Hospital, UK. After a five-year hiatus in face-to-face conferences, Liverpool welcomed over 1000 delegates from over 70 countries for the 16th Congress of...