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Detecting cancer margins during robotic head and neck cancer surgery using ambient mass spectrometry

We have known about altered metabolism in cancer cells since Otto Warburg described it 97 years ago. But can we take advantage of this knowledge in curing cancer? Jim Higginson explains the value of smoke generated during cancer surgery. The...

How can we treat a patient with aural fullness?

Aural fullness is a common complaint that we often come across in many of our otology patients. Management of this condition can be quite challenging. Common differentials include eustachian tube dysfunction, patulous eustachian tube dysfunction, otitic barotrauma, superior canal dehiscence...

Results of hypoglossal-facial nerve anastamosis techniques for facial palsy

Preserving facial nerve function is of prime importance in acoustic neuroma surgery. A comprehensive knowledge of anatomy, experience and surgical precautions can reduce the incidence significantly. Important considerations are when and how to repair if injury occurs. Several options include:...

Migration and training: a British-Nigerian surgeon’s perspective

Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

Robotic surgery for squamous cell cancer: the new frontiers

Although the da Vinci platform was FDA approved for early-stage oropharyngeal cancers, the indications have expanded. In this article, John Hardman explains how surgeons, with greater understanding of the strengths and limitations of robotic surgery, have systematically set out to...

Prof Quraishi OBE awarded Fellowship ad hominem FRCSEd

At a presentation ceremony on Friday 3 September, President of the Royal College of Surgeons of Edinburgh (FRCSEd), Prof Michael Griffin OBE, welcomed the members of the Council, fresh diplomates, their families and other guests. This was the first conferring...

Treatment of internal carotid artery blowout with embolisation and bypass grafting (nasopharyngeal carcinoma)

Carotid artery blowout syndrome (CBS) occurs when there is rupture of the carotid artery causing massive epistaxis and bleeding through the oral cavity caused by tumour invasion, surgery, radiotherapy, or infection. This article proposes a revascularisation strategy for internal carotid...

OBITUARY: Alain Sémont (1944–2026)

French physiotherapist Alain Sémont died in Pornichet, France, on 8 August 2026, aged 81. One of the pioneers of vestibular care, he helped establish vestibular rehabilitation as a distinct clinical discipline and his name is attached to an established treatment...

DrawMD ENT

In the era of patient-centred care, one of the greatest challenges for healthcare professionals is communication with patients. Distilling years of medical / graduate school education down to a few minutes of explanation is no easy feat. DrawMD ENT is...

Coblation tongue channelling

After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

NAG technique for reinsertion of nasogastric and Ryle’s tubes

The ENT team has always been involved in securing long-term enteral feeding in complicated cases. This technique offers a novel approach for the specialty to achieve this. Passing an NG or Ryle’s tube is a blind procedure. The tube can...

Minimally invasive craniotomy for middle fossa dura repair using the exoscope

A minimally invasive temporal craniotomy using an exoscope offers improved visualisation, ergonomics and recovery for middle fossa dural CSF leak repair. Cerebrospinal fluid (CSF) leak through a dural defect, regardless of the cause, typically requires surgical repair. Depending on the...