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Detecting cancer margins during robotic head and neck cancer surgery using ambient mass spectrometry

We have known about altered metabolism in cancer cells since Otto Warburg described it 97 years ago. But can we take advantage of this knowledge in curing cancer? Jim Higginson explains the value of smoke generated during cancer surgery. The...

One anastomosis or two

This is a cumulative meta-analysis from Hong Kong reviewing 27 articles and a total of 7,389 flaps. The authors, at the outset, acknowledge that the number of anastomoses is not the only factor of venous compromise and flap failure. Nonetheless...

A Guidebook for the Auditory Perception Test for the Hearing Impaired

The Auditory Perception Test for Hearing Impaired (APTHI) assesses functional auditory skills that are the building blocks for language and academic development. The test is aimed at children with at least a moderate-to-severe hearing loss, aged three and over, but...

“Oh Manchester is Wonderful”...And other chants you might hear from the football stands or at BACO

Chris Potter is a lad of the North West, and we see him here letting his bleach blond hair grow out to show us his Northern roots. When I was a lad, Manchester was a troubled city in apparent terminal...

Steroids pre-FESS

This meta-analysis and systematic review from the Netherlands and the UK aims to answer the question of whether corticosteroids inhaled and / or taken orally are beneficial to patients with chronic rhinosinusitis undergoing functional endoscopic sinus surgery. Refreshingly 18 RCTs...

ENT Masterclass® Cyber Textbook of Operative Surgery

ENT Masterclass® announces the launch of the Fifth Edition of the popular Cyber Textbook on Operative Surgery by Mr Richard Parker OBE, Chief Executive Officer, Doncaster & Bassetlaw Teaching Hospitals NHS Trust. This is the world’s largest ‘virtual library’ of ENT surgical videos with over 540 videos...

Global hearing rehabilitation – an SFORL/IFOS collaboration

International collaboration is more important than ever, and we hear from Prof Bernard Fraysse about a collaboration that grew out of the very successful IFOS meeting in Paris in 2017. The IFOS meeting in Paris in June 2017 was obviously...

Combined sprays for allergic rhinitis maintenance

This meta-analysis looked at the reported efficacy for allergic rhinitis control of various topical sprays, particularly comparative studies. There were fewer ‘head to head’ studies than we would have hoped to exist. This review included intranasal anti-histamines, intranasal steroids and...

Poking the bear: learning to drain quinsy on a mannequin head

Simulation in medicine has gained significant traction in both undergraduate and postgraduate training over the last couple of decades or so – the benefits to all involved are clear. The airline industry models for human factors and crew resource management...

Hearing care systems – European examples

In this article, Vice President of the European Federation of Hard of Hearing, Lidia Best, explores the drivers for improvement and change in European hearing care systems. In 2010, the European Committee for Standardization (CEN) issued the EN-15927 European Standard...

Cochlear implantation in elderly candidates and effect on quality of life

The authors aimed to assess the improvement in quality of life (QoL) of cochlear implant patients over 60 and its relation to audiometric benefits. An observational retrospective study was conducted on 26 individuals older than 60. The outcome was compared...

Childhood bony facial tumours

This review article covering maxillary and mandibular tumours is from an edition of the Clinics covering paediatric head and neck masses from frequently encountered congenital malformations to the rarities. There is a wide differential diagnosis for childhood mandibular or maxillary...