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New MRI technique assesses treatment response in skull base osteomyelitis

This paper describes another useful imaging technique to monitor Necrotising Otitis Externa (NOE). Echoplanar diffusion weighted magnetic resonance (DW MR) shows high signal on the ‘ADC map’ with active disease and this reduces in signal intensity as symptoms improve. This...

Atlas of Head and Neck Ultrasound

The aim of the authors in producing this atlas is not only to give beginners a systematic introduction to the basics of head and neck ultrasonography, but also to provide more experienced users with the opportunity of gaining further in-depth...

The Chronic Ear

For me, the title of this book conjures up an historical image. I imagine an early 20th century consulting room, an otologist with a head mirror and bull’s eye lamp. A pre-antibiotic era in which a patient’s otorrhoea is meticulously...

Current Trends in Implantation Otology

Priya Achar, Consultant Neurotologist, Nottingham University Hospitals NHS Trust, Nottingham, UK. Stalwarts in the field of implantation otology, including surgeons and audiovestibular scientists from the UK, Europe and the USA, attended this academic feast. Organised by Professor Laura Viani (below...

Which scan for children with bilateral sensorineural hearing loss? Keeping the debate going…

There have been years of debate about the appropriate imaging strategy for children with bilateral sensorineural hearing loss. For those children undergoing cochlear implant surgery, CT may provide some assistance to surgical planning, although this is not necessary in children...

Quo vadis FESS? Future directions in functional endoscopic sinus surgery

Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

Nuclear heads – and necks

Imaging of the extra-cranial head and neck is challenging due to the anatomic complexity of the region. CT, MRI and ultrasonography (US) are amongst the most frequently utilised radiological modalities in head and neck imaging but do not always provide...

ENT in this issue...Entrepreneurs and Innovation

Innovation has been the by-word of almost every meeting for the past five years. But what is it really? And how do we achieve it? I’ve always thought of it as a way of solving problems you have, not only...

How to safely image patients with cochlear implants

Cochlear implants have quickly become a widely used aid for hearing-impaired people. As these implants include metal elements, the choice of an appropriate imaging modality for patients carrying such devices should receive special attention. This is important due to image...

MRI and the endolymphatic space

This is an interesting study which was performed to evaluate the endolymphatic space in patients with endolymphatic hydrops (EH), using MR imaging. Seven patients aged between 21–77 years; five female, two male with unilateral or bilateral symptoms of EH were...

Validating a new international cholesteatoma classification – a necessary but challenging task

A European and Japanese joint consensus statement was published in 2017 which proposed a new cholesteatoma staging classification (EJS), with four stages. This follow-up publication aims to assess the internal and external validity of the staging system using existing prospectively...

Depth of invasion of oral cancer should be incorporated in new AJCC staging system

Since 1977, when the first edition of the Manual for Staging of Cancer was published by the American Joint Committee on Cancer (AJCC), the primary tumour staging for oral squamous cell carcinoma (SCC) has remained unchanged. In the last four...