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Anxiety and acronyms – musings of an otolaryngologist

Personal protective equipment (PPE) has been a focus of attention and concern for healthcare workers around the globe during the COVID-19 pandemic. Neil Tolley discusses some of the issues. I write this article in mid-May when, were it not for...

Prophylactic gastrostomy tubes in advance of chemoradiotherapy for advanced head and neck malignancies – are they worthwhile?

It is well recognised that radical chemoradiotherapy (CRT) for head and neck cancers can significantly affect swallowing, especially if radiotherapy is delivered to the hypopharynx and/or both sides of the neck. As such, prophylactic gastrostomy tubes are often advocated in...

Subtypes of vestibular migraine

The authors argue that the current Barany criteria (ICVD) for vestibular migraine (definite and probable – dVM and pVM) are too restrictive. For instance, whereas a category of chronic migraine with or without aura is recognised in ICHD-3, ‘chronic VM’...

Launch of ENT Masterclass Cyber Textbook 6th Edition

The 6th edition of the ENT Masterclass Cyber Textbook of Operative Surgery has been published and is completely free to access online. It is a carefully curated virtual library of surgical videos from leading experts across the globe. All sections...

The inaugural UK Remote Access Thyroid/Parathyroid Surgery Meeting

Harrypal Panesar, ST3 Otolaryngology, Royal Berkshire Hospital, Reading, UK An impressive faculty of leading thyroid and parathyroid surgeons from countries across the world was in attendance along with 45 delegates seated in a sold-out lecture theatre. The morning started with...

3rd Royal National ENT Hospital Advanced Otology & Auditory Implants Course

The 3rd Royal National Ear Nose & Throat Advanced Otology & Auditory Implants Course is a unique 2-day symposium aimed at Consultant Otologists & Auditory Implant surgeons, senior Otology trainees and SAS doctors. This unique event will run as a...

Do certain chronic medications increase dysphagia in older people?

Oropharyngeal dysphagia is known to affect a high number of older people in the community, in care homes and in acute geriatric admissions to hospital. The authors of this study have recognised that many older people take drugs for chronic...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

The delivery of ENT services in Mongolia: what are its obstacles?

Globally, the burden of ENT disease is great. Disabling hearing loss (DHL) for example, is reported to affect half a billion people worldwide. The majority of afflicted individuals live in lower and middle-income countries (LMIC) [1]. This article, a collaboration...

Wearable tech revolutionising sleep monitoring: a new era in sleep health

Restful sleep is crucial for health but conditions like obstructive sleep apnoea (OSA) can significantly disrupt it, leading to fatigue, cardiovascular issues, and other serious health problems. Polysomnography (PSG) remains the gold standard for OSA diagnosis [1], however it is...

What is voice?

Voice is an area of clinical practice in speech and language therapy where there remains much debate, not only around the aetiology and classifications of voice disorders, but around the treatment of them. In general, it is accepted that ‘voice...

Allergy – what’s in a name?

Allergy is defined as an “abnormal immune reaction to an ordinarily harmless substance” [1], however the meaning of the word has taken many forms since its introduction in 1906 by Austrian Paediatrician and Immunologist, Clemens von Pirquet [2]. Combining his...