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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...

European Training Requirements and Logbook approved

The UEMS-ORL Board was very pleased to announce that on Saturday 17 October 2020, the Council of the UEMS and National Medical Associations of Europe confirmed and approved the European Training Requirements (ETRs) in general ORL and the ORL General Logbook.

Lynton's Innovative Trade-In Program Promotes Sustainability and Supports NHS Decarbonisation Efforts

Laser manufacturer Lynton is thrilled to announce the Great CO2 Trade-In! A ground-breaking incentive for the ENT sector of the NHS, the Great CO2 Trade-In enables hospitals to trade in their current CO2 surgical lasers for a SmartXide Trio, regardless of the manufacturer.

Changes in airway dimensions after orthognathic surgery

This is a systematic review of meta-analysis evaluating the effect of different types of orthognathic surgery on the cross sectional area and volume of the upper airway as assessed using CT or MRI. They found 28 articles of which only...

Tonsillectomy and the environment

The authors compared the carbon footprint of various techniques used for subtotal tonsillectomy. The techniques included radiofrequency ablation, coblation and cold steel with bipolar diathermy. All medical equipment was reported and their carbon emissions in eCO₂ calculated. Cold steel with...

Endoscopic CSF leak repair using nasoseptal flap

Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Psychogenic vestibular disorders: understanding and management

‘Psychogenic vestibular disorders’, also known as ‘functional vertigo and dizziness’, are common causes of dizziness and balance difficulty. Although our understanding of their underlying pathophysiology remains incomplete, Drs Diego Kaski and Amy Edwards outline how early identification and positive diagnosis...

The European Board Exam in Otorhinolaryngology-Head and Neck Surgery (EBEORL-HNS) and the benefits it will have on your career

Ulrik Pedersen, Chairman European Board Examination in Otorhinolaryngology-Head and Neck Surgery, and Shawkat Alaa Shawkat Abdulrahman, Rhinology Consultant Tallaght Teaching Hospital, Dublin, outline the history and format of the EBEORL–HNS and demonstrate the huge benefits gained from the qualification with...

Chronic rhinosinusitis management: back to the future?

Immunology is a dim and distant medical school memory to many ENT surgeons, but the increasingly complex immunology of chronic rhinosinusitis is fascinating (honestly!). Medical management options in CRS no longer just involves saline and steroids, and we need to...

Facial reanimation dynamic trends

Facial nerve paralysis leads to functional loss and aesthetic issues. Several techniques are used to restore function and to improve cosmesis. The gold standard is dynamic facial reanimation. Typically, the masseteric, hypoglossal, and contralateral facial nerve branches have been used...

Is tonsillectomy performed any better by trained surgeons compared with trainees?

Tonsillectomy is one of the most common operations performed in otolaryngology. Training in this procedure therefore needs to begin early in the formative years, while also complying with patient safety and cost-effectiveness requirements. This randomised prospective study compares tonsillectomy with...

Cochlear implantation in children with single-sided deafness: rationale and early findings

Cochlear Implantation (CI) in children with single-sided deafness (SSD) is a controversial treatment option. Profs Karen Gordon, Papsin and Cushing discuss the rationale and early findings on the relative success of achieving binaural hearing for SSD with CI. If you’d...