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Botulinum toxin in ENT

This comprehensive review neatly summarises non-cosmetic uses of botulinum toxin within otorhinolaryngology, it is perhaps easy to forget the medical use of botulinum toxin has now been approved for the last thirty years. Its overall safety profile places it as...

Unilateral vocal cord mobility impairment and laryngopulmonary physiology

The concept of iatrogenic recurrent laryngeal nerve injury following thyroid surgery is often considered with respect to voice change but its potential impact on airway physiology has thus far not been evaluated. A cross-sectional observational study reviewed 21 patients with...

Disorders of the Vestibular System: Diagnosis and Management

This book is aimed at specialist trainees and consultants with an interest in improving their knowledge and understanding of this traditionally obscure area of otolaryngology. There are very comprehensive chapters on anatomy and physiology of the vestibular system along with...

Paediatric conductive hearing loss management

This review article discusses the current guidelines for the management of paediatric otitis media, tympanostomy tube placement indications, management of risk factors for chronic otitis media, intraoperative and postoperative management guidelines and the management of complications. The important takeaways include...

Evidence for balloon eustachian tuboplasty

Balloon eustachian tuboplasty is an emerging intervention aimed at the management of eustachian tube dysfunction (ETD) and its sequelae. The authors acknowledge that ETD is a common but frequently ill-defined problem, with no well-established direct treatment. They performed a systematic...

Facial Plastic and Reconstructive Surgery – Clinical Reference Guide

This book is an excellent pocket guide encompassing a wide range of facial plastic and reconstructive surgery. It is formatted in a very similar way to the well-known Otolaryngology and Head and Neck Surgery by Pasha. The book is organised...

Microsurgical and Endoscopic Approaches to the Skull Base

This is a comprehensive book which covers both microsurgical and endoscopic techniques. The introductory section focuses on setup for microsurgical and endoscopic techniques, with images to support this. A detailed description of instruments is also provided, which would be extremely...

Patients with advanced oral cavity carcinoma are not candidates for the ‘organ preservation’ approach

The authors of this study, from the University of Michigan, evaluated the role of induction chemotherapy for patients with stages III and IV resectable oral squamous cell carcinoma. Nineteen patients were initially enrolled in the induction chemotherapy cohort. Patients with...

Emerging antimicrobial resistance in ENT outpatients

Given the recent statement from the UK Prime Minister on this issue, it would appear timely to assess the ‘time bomb’ of antibiotic resistance in otology. Comparison of ear swabs over twelve months from 2007 and 2012 demonstrates an increasing...

Assessment in ENT: Intra-operative videos

An article examining the reliability and validity of remote scoring; a video assessment of myringotomy and grommet insertion. The primary outcome measures were to determine construct validity (differentiating between different grades of surgeons) and reliability of video scoring. Unfortunately, the...

Tracheostomy safety project

Tracheostomy care is evolving, with the majority of procedures now performed percutaneously to facilitate weaning from mechanical ventilation in the critically ill. Traditional surgical indications remain, but surgical tracheostomies are increasingly performed in more complex patients. This brings unique challenges...