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Down with the nose, down with it flat
In Shakespeare’s Timon of Athens, Timon urges prostitutes to spread syphilis throughout Athens. He implores the whores, Phrynia and Timandra, to: Consumptions* sow In hollow bones of man; strike their sharp shins,And mar men’s spurring*. Crack the lawyer’s voice**, That...
Gum as a thickening agent in dysphagia management
Foods and fluids are commonly thickened with starch based thickeners in the management of dysphagia to prevent aspiration. Now gums are gaining popularity as thickeners as they are resistant to salivary amylase. This study compared the effect of human saliva...
Is there a limitation for excising parapharyngeal tumours transorally?
The parapharyngeal space is a complex anatomical space bounded medially by the oropharynx and laterally by the mandible. It is conceptualised as an inverted pyramid extending from base of skull above to the hyoid bone below. The space is divided...
Hearing outcomes after mastoid obliteration tympanoplasty
In this study, the authors retrospectively compare hearing outcomes after mastoid obliteration to non-obliterative techniques in cholesteatoma surgery. They have performed canal wall up with mastoid obliteration (bony obliteration tympanoplasty or BOT) since 2013. The procedure has replaced canal wall...
Children like to talk
When a health professional, including speech and language therapists, treats a child, they will often ask the parent or relative of the child for information on the issue and its impact. Yet children will frequently have an opinion on their...
The case of the women and the words: intensive therapy can help many years post stroke
Aphasia, a language impairment impacting on a person’s ability to speak, understand, read and write, is most commonly caused by a stroke. Speech and language therapists are trained to work with people with aphasia, often aiming for restitution and rehabilitation...
Day care or admission for aesthetic nasal surgery?
Day-care surgery is gaining in popularity throughout the surgical specialities due to economical constraints and patient convenience. However this is not without risk and a careful procedure by procedure evaluation should be performed to prove the suitability of this type...
Getting your nose dry: endoscopic vidian neurectomy – an old technique given new life
We are often faced with patients with intractable watery rhinorhea – patients with no demonstrable allergy, a diagnosis of NAR and no response to ipratropium or capsaicine. For such patients, vidian neurectomy has been devised – an old technique that...
Deep neck infections
This study from Shanghai is a retrospective review of 142 patients presenting to an ENT hospital with deep neck infections (DNIs). The findings of the study are comparable to many of the previous studies, however the authors found tonsillitis and...
A new criterion for diagnosing chronic tonsillitis?
It is essential to establish the diagnosis of recurrent tonsillitis in patients undergoing tonsillectomy. This is based mainly on history which itself can be inaccurate and is supported by clinical findings which are not truly specific. There seems to be...Robotic assisted orbital surgery (RAOS) – a novel approach to orbital malignancy surgery
Robotic technology in ENT surgery has been used in certain areas of head and neck cancer care but, in this article, we hear of an exciting development from the team at Guy’s & St Thomas’. Advances in surgical robotic technology...
