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The sleep nasendoscopy learning curve

There seems to be no accepted way of surgically assessing patients with sleep disordered breathing (SDB). Because of this, clinicians fall roughly into three camps: those who just use one operation for all patients, those who have given up surgery...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

Take Early Action to Prevent or Address Hearing Loss

The annual spotlight on hearing loss by the World Health Organization (WHO) delivers poignant messages to both policy makers and the public in order to stress just how widespread and life-changing hearing loss is.

A patient-centred approach from the patient’s point of view

Seeking help for hearing loss is often a big step for patients. Shari Eberts, a hearing health advocate living with hearing loss, explains why, and gives us her five top tips to improve patient-centred care in such cases. Sensorineural hearing...

Which factors affect the postoperative CSF leak following endoscopic skull base surgery?

Endoscopic skull base surgery is being increasingly performed worldwide for skull base tumours. Common indications include pituitary tumours, rathke cleft cysts, chordomas, craniopharyngiomas and olfactory neuroblastomas. The most common and important complication following endoscopic skull base surgery is postoperative CSF...

Rhinotillexomania - how bad can nose picking get?

This is a fascinating first case report of rhinotillexomania associated with empty nose syndrome (ENS). Rhinotillexomania encompasses compulsive, pathological nose picking and is a variant of self-harm. Tranchito and Chhabra describe an elderly patient presenting with longstanding symptoms of nasal...

Food impaction in children is associated with eosinophilic oesophagitis

There is an increasing amount of evidence to suggest that chronic oesophageal inflammation and motility disorders play a more significant role in oesophageal food impaction (EFI) in children compared to structural defects. The authors conducted a retrospective study of children...

ENT in this issue... Paediatric Otorhinolaryngology (NovDec18)

But for the clumsiness of increasing the number of letters in the acronym, ‘ENT’ would have grown to include recognition of the subspecialties of skull base surgery, facial plastic surgery and paediatric ENT surgery, of which management of ENT problems in children has seen perhaps the greatest development.

OBITUARY: Professor Heinz Stammberger (1946-2018)

We, at ENT & Audiology News, have just learned of the death of Professor Heinz Stammberger on 9 December. Within the global ENT community, there can be few people whose names are as well-known as his, and his loss will...

Application of paper patching in patulous eustachian tube

The condition of patulous eustachian tube, as opposed to dysfunctional eustachian tube, is less frequently diagnosed. Symptoms related to this, such as autophony, aural fullness, ‘being under water’, ‘hearing their own breathing’, and hearing sensitivity (varying in either direction) can...

Vascularised tissue in salvage total laryngectomy

Chemoradiation (CRT) has become the mainstay for locally advanced laryngeal cancer since the RTOG 91-11 trial. Unfortunately there is still a substantial demand for salvage laryngectomies, which have a higher complication rate, the most notable being pharyngocutaneous fistula (PCF). Several...

Electrocochleography and cochlear implants programming

Cochlear implants (CIs) often are the only option for people with severe to profound sensorineural hearing loss to be able to hear. Therefore, effective CI programming seems very important, especially in children who are still developing their speech. Using acoustic...