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Extrapolating lessons from vestibular schwannoma management

This paper presents a delightfully simple and sensible hypothesis for the management of benign schwannomas in the head and neck region. They have taken the approach used for the management of vestibular schwannomas and used the same principles to assess...

Long-term outcomes after (adeno) tonsillectomy

Patient-reported outcome measures (PROMs) are used increasingly to fill an ‘evidence gap’ where healthcare rationing threatens particular treatments. Tonsillectomy is a long-established and effective treatment for recurrent tonsillitis and obstructive sleep apnoea (OSA) in children. The T-14 outcome measure examines...

An objective office-based method for diagnosing allergic rhinitis

There are several signs of allergic rhinitis which, helped with skin prick and blood tests, can diagnose the problem. However, an endoscopic, on-the-spot test may surmount clinical uncertainties and invasive testing to acquire the same goal. In this study, the...

The search for the holy grail of rhinosinusitis: another step towards phenotyping in CRS wNP?

For many years, scientists and clinicians have been trying to understand the infinite variability within the term ‘rhinosinusitis’ using radiology, basic science, epidemiology and then using their insights to solve the riddle of management: how to explain why some patients...

Anatomy revision

This article is well-received as an article that goes into appropriate length and depth regarding the embryology and subsequent growth of the paediatric nose (internal and external), nasopharynx and all of the individual sinuses. It has excellent line diagrams of...

Mondini dysplasia and cochlear implantation

Approximately 20-28% of sensorineural hearing loss in children arises due to a cochlear malformation. Mondini dysplasia includes a cochlear with one and a half turns and an incomplete interscalar septum. Cochlear implantation is a common treatment protocol for children with...

Cadaveric variation of nasolacrimal duct lateral nasal wall landmarks

Twenty mid-sagittal head sections of 10 fresh frozen cadavers were studied after removal of the nasal septum. This study showed that the most anterior projection of the middle turbinate head was noted to be anterior to the nasolacrimal duct in...

Management of benign oesophageal strictures

Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

Surgeons and swearing

We will all know colleagues who have raised the act of swearing to an art form; just as Malcolm Tucker in The Thick of It could cut a workmate in half with a well-placed swear word, surgeons can be equally...

Radiology of referred otalgia

Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

“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...

Surgeon, Heal Thyself

Once a taboo topic, stress and psychological illness in doctors is now much more widely discussed. This is probably partly due to changing societal attitudes (with more acceptance of the importance of acknowledging mental illness) and changes amongst medics themselves,...