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Management of metastatic neck disease
This article publishes the findings of a recent expert-led evidence based management symposium in the UK with recommendations according to the SIGN level of evidence and grading. The article neatly summarises the key points, and its clarity despite the complexity...
Laryngeal cleft in a 66-year-old man!
This is a fascinating case report of a 66-year-old man who presented with a carcinoma of the piriform sinus. During chemoradiotherapy, he developed dyspnoea, dysphagia and aspiration pneumonia. His chemoradiotherapy was stopped and he underwent a pharygnolaryngectomy. When the surgical...
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...
Rib grafts for mandibular reconstruction
Reconstruction of the mandible following ablation requires good bone stock to allow optimal function and the placement of dental implants. In the developed world, vascularised bony flaps are accepted as the gold standard but these may not be widely available...
What is the right balance to strike in the management of anaplastic thyroid cancer?
This is a pragmatic article on a difficult and much debated subject. Management of anaplastic thyroid cancer (ATC) can feel like making decisions between a rock and a hard place, and this article suggests one path to help navigate some...
Implications of tonsillectomy in very young children
This is a comprehensive study comprising 157 children who underwent tonsillectomy below the age of two years, mainly for sleep-disordered breathing (86.6%) and recurrent tonsillitis (7%). With relatively recent understanding of OSAS, the indications for tonsillectomy in children under two...
Assessment of audiological needs
A thorough assessment of audiological needs is crucial for a successful audiological rehabilitation. This study concentrated on creating the Québec Audiological Assessment Protocol for Younger and Older Adults (QAAP-YOA) that could be easily adopted in audiological clinics. The authors used...
CT parameters in orbital wall fractures, choice of treatment, and patient outcome
This review from the Netherlands attempts to evaluate the relationship between CT parameters and the treatment that is used in clinical outcome (enophthalmos, diplopia and/or limitation in ocular movement). The authors look at fracture size, fracture location and involvement of...
Hearing rehabilitation for patients with chronic otitis media
Chronic otitis media (COM) commonly causes associated hearing loss. The authors performed a review of the literature, discussed challenges of restoring hearing in patients with COM and potential future work in reporting results both in terms of hearing outcomes and...
Age and sleep disorders as risk factors for Ménière’s disease
Decades after it was first described, the pathophysiology of Ménière’s disease is still a subject for research and discussion, with several controversies regarding its management. Several factors have been reported to cause Ménière’s disease including viral infections, allergies, genetic factors,...
