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Benefits of combined antiviral and corticosteroid therapy in Bell’s palsy and the role of decompression surgery
Early use of steroids has been established as standard management in Bell’s palsy but simultaneous use of antiviral agents has variable acceptance. This review article analyses statistically based evidence to settle the issue. High quality evidence from a 2009 Cochrane...
Three-dimensional endoscopy for sinonasal procedures: is it really better?
In this interesting study the authors looked at the efficacy of two-dimensional (2D) versus 3D high-definition endoscopes in novice users, not those already trained in 2D. Ninety-two medical students used 2D and 3D endoscopes to complete two validated tasks and...
Bad splits
This is a meta-analysis of reported risk factors of a ‘bad split’ in a sagittal split mandibular osteotomy. They identified 30 observational articles and therefore acknowledged it is based on low quality studies. It is compounded by the definition of...The role of the respiratory physician in sleep medicine
ENT surgeons may feel that they are the first point of referral for the majority of patients with snoring and possible obstructive sleep apnoea, but in reality a significant number of patients with sleep-disordered breathing (of any cause) are seen...ENT clinics – 50 years of progress…?
Cocaine in abundance, eustachian tube catheterisation, and the ever-present threat of a fire in the clinic… How have things changed in the last few decades? Retired ENT surgeon, Douglas MacMillan, tells us of his experiences starting out in the late...Aerosol research and performance
Is singing safe? This was a question asked around the world at the start of the pandemic in early 2020. Natalie Watson and Chris Orton tell us about a rapidly-convened research group that led to profound changes in UK Government...
Functional considerations in reconstruction after laryngectomy
With a plethora of different reconstructive options and techniques available after laryngectomy, it can be difficult to clearly see which give the lowest complication rates and best functional outcomes. This article aims to summarise the current evidence in swallowing and...
A move away from bony free flaps in reconstruction
Techniques for facial reconstruction have come on in leaps and bounds since the world wars. The use of titanium implants is more recent and the technology for manipulating the metal and how we use it is rapidly developing. Here the...
How much does it cost to simulate speech and language therapy placements?
The Royal College of Speech and Language Therapists report that 20% of speech and language therapy positions are unfilled in the UK. Consequently, there is an urgent need to offer as many training courses as possible to fill these gaps....
Comprehensive Dictionary of Audiology – Third Edition
This resource is useful for students and professionals in the audiology field. It is an updated collection of over 7000 defined audiology terms and includes clear, concise figures and a glossary of abbreviations and audiometric symbols. It seems to be...
