The OtorhinolaryngologistThe Otorhinolaryngologist has been accredited by ENT-UK for the purposes of providing ENT specialists with online eLearning Continuing Professional development.The content of the publication covers a range of CPD related topics including "Clinical reviews", "Operative techniques", "Case reports" and a "Trainees section". The articles are all peer-reviewed.

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APPROVED CPD CENTRE.

Satisfactory completion of the CPD assessment related to any SINGLE article, that is attaining a minimum threshold of 70% correct responses, will permit the participant to download a certificate of CPD completion, with an indication of 1 hour CPD activity. Clinicians should only claim credit commensurate with the extent of their participation in the activity.

Latest Articles

  • Intercollegiate Exam – Viva in Rhinology – Discussion around Hereditary Haemorrhagic Telangiectasia (HHT)

    You may be shown a radiograph, photograph or object to start the viva discussion. Be prepared to discuss diagnosis, investigations, treatment options – pros and cons - and prognosis, with and without treatment.

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  • Hibernoma of the neck: report of a new case and literature review of a rare benign tumour of the brown fat

    Objective: Presentation of a case of cervical hibernoma.

    Methods: Case report and review literature.

    Subject: A 16-year-old woman with a right posterior triangle neck mass.

    Results: Hibernoma is a rare, benign tumour of brown fat. The cervical area is an unusual localization. The presented case posed difficulties in the differential diagnosis of cervical masses, particularly with other hypervascular lesions such as sarcomatous tumours. A US-guided core biopsy was decisive in the identification of hibernoma. No meaningful bleeding or other complications biopsy related have been noticed.

    Conclusion: Image-guided core biopsy is an indispensable tool to obtain an accurate preoperative diagnosis of cervical hibernoma.

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  • Giant middle turbinate osteoma diagnosis and management

    We present a patient with intractable frontal headache and intranasal polyposis, who was found to have a massive, complex osteoma arising within a concha bullosa.

    A 22 year old male presented with nasal obstruction, fontal headache, diplopia and imbalance. His symptoms were severe and poorly responsive to medical management and CT imaging revealed a large osteoma (59 x 33 x 32 mm), arising within a pneumatised middle turbinate and extending into the nasopharynx. The patient underwent urgent image-guided modified endoscopic Lothrop’s procedure which facilitated complete excision of the osteoma. To date only 8 previous cases of middle turbinate osteomalacia have been described. The presented case described the first experience of endoscopic excision with a Lothrop’s approach.

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  • Metabolic Bone Diseases of the Temporal Bone: Part 2

    Metabolic bone disease refers to a spectrum of disorders characterized by abnormal bone formation or absorption. These diseases tend to present with generalized effects on the skeleton system. Direct involvement of the temporal bone can occur in these diseases, with resulting symptoms such as hearing loss, dysequilibrium, tinnitus, otorrhea, headaches, cosmetic deformities and cranial nerve deficits. These can often mimic other Otological diseases and a diagnosis requires an awareness of the key clinical features and radiological findings. A systematic review is presented in this two-part series. In the first part of this series, we discussed fibrous dysplasia, osteitis deformans (Paget’s disease), osteoporosis and osteomalacia. In part two of this review, the topics of otosclerosis, osteogenesis imperfecta, osteopetrosis and other rarer metabolic bone diseases are presented.

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  • Metabolic Bone Diseases of the Temporal Bone: Part 1

    Metabolic bone disease refers to a spectrum of disorders characterized by abnormal bone formation or absorption. These diseases tend to present with generalized effects on the skeleton system. Direct involvement of the temporal bone can occur in these diseases, with resulting symptoms such as hearing loss, dysequilibrium, tinnitus, otorrhea, headaches, cosmetic deformities and cranial nerve deficits. These can often mimic other Otological diseases and a diagnosis requires an awareness of the key clinical features and radiological findings. A systematic review is presented in this twopart series. In the first part of this series, we focus on fibrous dysplasia, osteitis deformans (Paget’s disease), osteoporosis and osteomalacia.

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