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Bluestone and Stool’s Pediatric Otolaryngology – Fifth Edition
What should be the appropriate inter-edition interval of a major multi-volume textbook? The first edition of Bluestone and Stool’s Pediatric Otolaryngology was published as a single volume in 1983, just over 30 years before this fifth edition was in 2014,...The challenges of facemasks for people with hearing loss
Since the start of the COVID-19 pandemic we have seen an exponential increase in the use of face masks. Guidance around the globe varies on the use of face masks as an effective barrier to the coronavirus. Whereas in pre-covid...
Structures determining T4a, T4b
This paper for tertiary cancer centre in India attempted to determine whether patients with T4b oral cancers involving the 'masticator space' should be treated with survival intent comparable to T4a cancers. Over a 7-year period, 30 patients with T4b cancers...
Adult Rhinosinusitis Clinical Practice Guideline update
This is a summary of the ‘Clinical Practice Guideline: Adult Sinusitis’ from the American Academy of Otolaryngology-Head and Neck Surgery Foundation. This is an update of the 2015 version. Evidenc-based statements: 1a. Differential diagnosis of acute rhinosinusitis: Clinicians should distinguish...A funny thing happened whilst your boss was away at a conference
What is the difference between God and Professor Sir Donald Harrison? God is everywhere – Sir Donald is everywhere except at the Royal National Throat Nose and Ear Hospital! This was a common joke about Sir Donald, who was much...Is there a doctor in the house?
Occasionally at medical meetings, a member of the audience will be unfortunate enough to fall ill. An elderly ex-obstetrician of the Queen had a transient ischaemic attack at the podium of the Royal Society of Medicine in front of a...Scotland’s first UKAS accreditation for paediatric audiology
The United Kingdom Accreditation Service (UKAS) has granted Scotland’s first accreditation against the Improving Quality In Physiological Services (IQIPS) standard. The award was made to the Audiology Department at NHS Tayside and covers both adult and paediatric audiology services delivered at four hospitals in Dundee, Perth and Brechin.
Which patients are more likely to have postoperative pulmonary complications after major head and neck?
Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...
Voice therapy is an effective treatment for presbyphonia
The quality of an individual’s voice often declines with age. This deterioration occurs firstly as a result of vocal fold atrophy secondary to histologic alteration of the vocal fold mucosa as well as atrophy of the laryngeal musculature. Phonatory efficiency...
Fungal rhinosinusitis
Allergic fungal rhinosinusitis (AFRS) has been defined by the following characteristics: presence of nasal discharge, nasal obstruction, decreased sense of smell or facial pressure for 12 weeks, mucin within the sinus cavity containing fungal hyphae and degranulating eosinophils, endoscopic evidence...
Gardasil vaccination for laryngeal RRP – an update
This paper reports the results of a follow-up study investigating the possible role of adjuvant Gardasil vaccination in patients with recurrent laryngeal papillomatosis. The preceding study – also published in the Journal of Voice (2017) – reported the changes in...
