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Blood-sampling prognostic predictors for Bell’s palsy
Bell’s palsy is generally defined as an acute-onset unilateral idiopathic mononeuropathy in the facial nerve. It is of unknown aetiology, however, inflammation is considered a major cause. Electroneurography assessing nerve excitability is the most reliable examination for predicting prognosis of...
Adenotonsillectomy can improve ADHD and nocturnal enuresis
The link between chronic adenotonsillar hypertrophy (CAH) and behavioural disturbance is well recognised. Several studies have found that CAH has been associated with attention deficit hyperactivity disorder (ADHD) and treatment of CAH may diminish symptoms of ADHD in a subset...A snapshot of UK newborn hearing screening services during the COVID-19 pandemic
During the COVID-19 pandemic, new guidance for newborn hearing screening programmes and management of audiology referrals was released by Public Health England [1,2]. There was also joint guidance from the UK professional bodies [3] and guidance from NHS England regarding...
Hypoglossal nerve stimulation for OSA
Hypoglossal nerve stimulation has been lauded as the great new surgical treatment panacea for obstructive sleep apnoea (OSA). This meta-analysis includes 12 studies with a total of 350 patients, including the five-year follow-up data from the STAR trial which was...
Harnessing technology for the benefit of children with significant communication difficulties
This article describes future needs in provision and research in the field of augmentative and alternative communication (AAC) aids for children with significant communication difficulties. The authors highlight the needs of users and the opportunities that technology could provide in...
Aids to Voice Diagnostics
Voice related complaints are common presentations in the ENT clinic and a thorough knowledge of anatomy, physiology and pathophysiology is paramount in dealing with the complexities of voice disorders. With the advent of digital technological advances, most ENT units will...
Facial Surgery: Plastic and Reconstructive
Following Professor Cheney’s first popular publication in 1995 on flaps and reconstruction and subsequent second edition, he has now co-edited with Tessa Hadlock a comprehensive two-volume production. They have put together an extensive range of plastic and reconstructive surgery in...
Medication and its effect on the larynx
This article summarises different medications and their effect on the voice. A growing number of patients we see in clinic are on multiple medications that could affect vocal cord function. The author summarises different classes of medications and their potential...
IL-25 and nasal polyps, another target
Immune response in chronic rhinosinusitis with nasal polyps (CRSwNP) is mainly via type 2 T-helper (Th2) cells while Th1 cells characterise chronic rhinosinusitis without nasal polyps (CRSsNP) immune response. CRSwNP is heterogeneous on a cytological level causing a varied response...
Improving the temporal contour in reconstruction
A feature of the temporalis flap is the sunken contour left behind. This group from Japan present a variation for filling defects for which we would traditionally use a temporalis muscle containing. The laterally based peri-cranial flap they present uses...
A spoonful of sugar… helps the operated sinuses calm down?
Ottoviano et al. present a prospective double-blinded RCT to assess the effect of a nasal gel containing silver sucrose octasulfate (Silsos Gel) on wound healing after endoscopic sinus surgery. The placebo used was a glycol gel. Thirty-four consecutive patients were...
