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Epistaxis and anticoagulants

1 November 2017 | | Epistaxis, Anti coagulants, Antiplatelet agents, New oral anticoagulants, Direct oral anticoagulant
The French Society of Otorhinolaryngology Head and Neck surgery issued some recommendations on the management of epistaxis in patients receiving anticoagulants, anti-platelet aggregants and anti-vitamin K drugs. This was a national multidisciplinary evidence-based concensus document. The group recommends review of...

Sentinel nodes and UADT tumours

1 September 2017 | | micrometastasis, Sentinel Ganglion, Squamous cell carcinoma of the head and neck, N0, lymphoscintigraphy, Cancer, GETTEC
This is the review of a multicentre study to set practical guidelines for sentinel node techniques (SLN) in upper aerodigestive tract (UADT) squamous cell carcinomas including classical and extended indications. SLN biopsies are strictly indicated in patients with clinically and...

Health related quality of life measures as outcome parameters in middle ear diseases

1 January 2018 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Otology
Surely the only outcome needed for post-surgical ears is a better PTA? Marcus Neudert argues there should be more to it than that. To draw a comprehensive picture of the disease-associated restrictions in patients with chronic otitis media, audiometric outcome...

Nuclear heads – and necks

1 May 2014 | | ENT, Head and Neck
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...

TORS for patients with sleep-disordered breathing

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Transoral robotic surgery is now a well-accepted technique in malignant tumours of the tongue base. Here the team from St Mary’s and the Royal National Throat Nose & Ear Hospital in London describe its use in carefully selected patients with...

Near-miss in otolaryngology head and neck surgery

1 September 2018 | | ENT
It is recommended by John Fenton that we as a specialty need to embrace the concept of, take responsibility for and learn from all near-miss events, rather than our traditional haphazard approach of an occasional educational anecdote or case report....

In conversation with Chadwan Al Yaghchi - Cutting Edge Laryngology 2019

17 September 2019 |
Chadwan Al Yaghchi is a founding member of the British Laryngological Association and served on the council since 2013. He is currently the associate honorary treasurer. How did the idea for Cutting Edge Laryngology come about? 2010 was a time...

Is one glass of wine on call safe?

1 January 2014 | | ENT
It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging

1 May 2014 | | ENT, Otology
Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....

Acupuncture for tonsillectomy pain in children

1 January 2015 | | Paediatric ENT, Laryngology / Swallowing / Voice
The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

The modern management of Ménière's disease

1 November 2015 | | ENT, Vestibular Disorders
In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

What’s happened since the European position paper on nose and sinus tumours?

1 May 2017 | | ENT, Rhinology / Sinus
The management of malignant sinonasal tumours has gone through radical changes in recent years. Prof Valerie Lund gives us an update based on her upcoming talk at IFOS. In 2010 when we published the European position paper on ‘endoscopic management...