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Surgical challenges in advanced or recurrent thyroid malignancy

The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

The costs of applying to ENT specialty training

Training doctors is costly. In the UK, medical school costs an estimated £230,000 made up of £163,000 in government grants and £65,000 in student loans [1]. Repayment of the student loan begins once the graduate earns above a certain threshold,...

In conversation with Paul Lamb

Paul Lamb recently joined a team undertaking a hearing care mission to Armenia with the Starkey Hearing Foundation. Paul took time to discuss the aims and achievements of these missions through his personal experiences with the foundation. Paul Lamb. The...

The modern management of Ménière's disease

In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

An update on HPV and the vaccination

In recent years, the role of HPV in the development of oropharyngeal cancers has become apparent. Hannah Fox and Vin Paleri contend that while we may not always be able to cure oropharyngeal cancers, vaccination offers our best hope for...

Music is noise

Marshall Chasin recaps what we know acoustically about music and noise, and discusses the potentially damaging levels of music, how temporary threshold shift (TTS) is not necessarily temporary and gives us some considerations for protective devices for musicians. Most of...

How loud is too loud? Smart ways to monitor noise exposure through your headphones

As an audiologist, an increasingly common concern patients have is noise exposure from their headphones and how it will impact their hearing over time. It’s a legitimate worry considering the average adult is streaming audio content on their mobile devices...

Surviving oropharyngeal squamous cell carcinoma – does subsite matter?

Human papilloma virus (HPV) status is a known prognostic factor in oropharyngeal squamous cell carcinoma (OPSCC). The eighth edition of American Joint Cancer Committee (AJCC) has modified the TNM staging to reflect this. However, subsite as an independent prognostic factor...

Interacoustics continues successful online training

Throughout the corona pandemic, the Interacoustics Academy has hosted numerous online training events for audiology and ENT professionals.

Assessing Middle Ear Function in Infants

This book fills a significant void in the clinical literature. There are key reference texts for each area of clinical work which should be on every departmental bookshelf, and Assessing Middle Ear Function in Infants joins that list. It might...

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...

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...