You searched for "obstruction"
To scan or not to scan?
This comprehensive review article seeks to establish how useful is MRI in the evaluation of patients with a history of smell loss or distortion. Interestingly, while some studies found the imaging unhelpful, one paper described found a 25% rate of...
How much does FESS improve the sense of smell?
We are all familiar with patients who undergo a seemingly successful FESS but, in spite of this, have persistent smell dysfunction postoperatively. This study compares a surgical group with a control group, measuring olfactory function pre and postoperatively using Sniffin...
Olfactory protective effect of omega-3 supplements during healing after endoscopic sellar and parasellar resection
This multicentre study, led by researchers from Stanford, demonstrates another use for omega-3 supplements. The study analysed cohorts equally divided between control arm and omega-3 supplementation. Post endoscopic sellar and parasellar resection, better olfactory function was observed at three and...
How much does CRS affect Eustachian tube dysfunction symptoms?
We know that chronic rhinosinusitis (CRS) and Eustachian tube dysfunction (ETD) are both very common, and that the two often co-exist but this paper looks to establish the prevalence and severity of ETD in CRS patients, and how much treatment...
A new idea for olfactory recovery, but not the evidence to support it
Smell training for olfactory loss of all types is a well-recognised treatment, and the typical regimen of rose, clove, lemon and eucalyptus is frequently used. This study looks to compare using eight essences rather than four to see if this...
Questionnaire to determine quality of life in Parkinson’s disease patients with swallowing problems
The quality of life (QoL) in individuals with Parkinson’s disease (PD) is often influenced by changes in their swallowing abilities. The authors of this paper have developed a valid, statistically appropriate questionnaire which is also clinically effective and can be...
Painful temporomandibular joints
This paper is a meta-analysis of randomised controlled trials comparing arthrocentesis with conservative management in painful and restricted mouth opening temporomandibular joint symptoms. Temporomandibular joint dysfunction comprises a spectrum of disorders commonly involving facial pain and loss of oral function...
Mindfulness meditation versus relaxation therapy for tinnitus
Tinnitus, defined by McFadden as “a conscious experience of sound that originates in the head of its owner, without an external acoustic source”, has a high prevalence and variable psychological impact. It results from maladaptation of the brain to a...
The effect of vertigo on sleep
The authors analysed data of 20,950 individuals who completed the balance and dizziness supplements of the ongoing NHIS survey in 2008. The survey used a strict algorithm to identify individuals reporting vestibular vertigo and information on sleep duration and a...
Inferior alveolar nerve recovery after ORIF fractured mandible
Mandibular fractures are quite common facial injuries, but aetiology varies with country and age. Common treatment options are open reduction and internal fixation via an intra-oral or extra-oral incision. Nerve injury or dysfunction is often seen preoperatively and may also...
Still not smelling
Post-Covid anosmia/hyposmia is a troublesome persistent symptom for lots of patients. Management is still elusive. This was a nationwide survey of ENT practitioners. Of the 715 surveyed members, only 7.4% responded. Most performed a nasal endoscopy, 60% ordered an MRI...
