Volume 3 Issue 3 - 2011

Here at ‘The Otorhinolaryngologist’ we are delighted with the news that ENT UK have agreed to support the journal as an electronic accredited CPD vehicle for all members of ENT UK. Mr James Fairley is the chair of the ENT UK E-learning group and in his guest editorial gives more details of this partnership.

A good speaker should "Stand up, speak up, then shut up". With that wise advice in mind, here is my Case Report on the background to the partnership between The Otorhinolaryngologist and ENT UK:

Abstract

The article reviews the nomenclature and definitions of different types of neck dissections. We discuss the indications of the different neck dissection. we also discuss some controversial aspects of the management of the neck - including the post chemoradiotherapy neck, and the occult primary. We then review some future trends including sentinel node biopsy, superselective neck dissection and endoscopic neck dissection.

Introduction

Accurate recording of operative findings is an essential part of effective patient management. It is important for monitoring patients at follow-up and enables surgeons to audit their operative outcomes. The middle ear and mastoid represent a complex composite structure, which is difficult to represent graphically. Traditional written accounts may be inaccurate and misleading, and can be open to misinterpretation.

Abstract

Squamous cell carcinoma is the most common malignancy of the ear canal and the temporal bone. It is a rare and aggressive disease that poses significant challenges to the clinician. In this review we describe the evaluation and management of those tumours.

Abstract

Rhinoplasty is one of the most difficult aesthetic operations. Patient selection for the procedure is the most important factor for achieving consistently good results and satisfied patients. This article describes the process of selection or rejection of an adult consulting for aesthetic rhinoplasty. Stress is on the importance of motivation, expectation and body dysmorphic disorder followed by a description of analysis of a patient’s face and nose as well as their photographs.

Abstract

We report a case of an ectopic thyroid tissue with chronic lymphocytic thyroiditis presenting as a painless right jugulodigastric neck mass, which on ultrasound, was thought to be an abnormal right jugulodigastric lymph node. Contrast-enhanced CT showed that the mass had similar enhancement to the normally located thyroid gland and was separate from it. Fine needle aspiration of the mass, performed twice, was non-diagnostic. Excision biopsy of this mass was performed and histopathology showed chronic lymphocytic thyroiditis. To our knowledge, this is the first case of chronic lymphocytic thyroiditis presenting as an isolated jugulodigastric mass.

A 50 year old caucasian man presents with a 4 x 4 cm left level III neck mass (Figure 1) which had been increasing in size over the past 3 months. He has no past history of previous cancer, and had no symptoms referable to the head and neck area.

Introduction

An understanding of basic statistical concepts allows doctors to correctly interpret the results of tests, critically assess medical marketing and advertising material, as well as understand the limitations of data presented to them.

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