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Endoscopic DCR

In this interesting article, our experienced colleagues describe their favoured technique for performing endoscopic DCR and share with us the key steps for a successful outcome. Dacrocystorhinostomy (DCR) was historically performed by ophthalmologists for nasolacrimal obstruction using external techniques. The...

Music and single-sided deafness: challenges and solutions

Music is an integral part of many of our lives, providing entertainment, relaxation and a backing track to our past experiences. In this overview, Gemma Crundwell and David Baguley examine the impact of SSD on the perception of music and...

TIVA in FESS: a meta-analysis

This meta-analysis is from Rochester, New York, and aims to add more evidence for the use of TIVA in endoscopic sinus surgery (FESS) to arm rhinologists keen for a quick, bloodless FESS in the discussion with anaesthetists who prefer inhalation....

Use of tranexamic acid in ENT surgery

Postoperative bleeding in otolaryngologic procedures causes delayed discharge, requires re-admission and adds considerably to the cost of patient care. Whether the anti-fibrinolytic activity of tranexamic acid should be used routinely to prevent haemorrhagic complications after ENT operations is speculation but...

Understanding osseointegration for the otologist

Bone conduction implants are hearing devices that require osseointegration to create a stable and reliable interface between the hearing device and the skull to deliver sound to the cochlea. This article reviews the physiology of osseointegration, factors that may lead...

Impact of COVID-19 on ear surgeries

The authors review the impact of the coronavirus pandemic on the practice of ear surgeries in this article. The pandemic has changed how we practise medicine and introduced new guidelines to ensure safety of healthcare personnel. Studies have demonstrated COVID-19...

Is there any point giving postoperative oral steroids after a FESS?

It is well accepted that when medical treatment fails for chronic rhinosinusitis (CRS), endoscopic sinus surgery (ESS) is more effective than continuing with medical therapy alone. A variety of postoperative care options are available, including saline irrigation, in office debridement,...

In conversation with Cameron McIntosh

Following the conclusion of the Tokyo Olympic games in August, we were delighted to catch up with Cameron McIntosh, ENT and Facial Plastic Surgeon, Founding President of the Society of Rhinoplasty Surgeons of South Africa (SORSSA), and former Olympian! Can...

EEG as a measure of neuroplasticity in children

Measuring changes in neural activity can teach us a lot about hearing loss and the effect of gained functional hearing. In this article, the authors describe how electroencephalography (EEG) is being used to effectively measure such changes in children with...

In conversation with Chrysa Spyridakou, Robert Nash, Emma Clement, Nish Mehta and Anne GM Schilder

Jaclyn Tan interviews members of the London-based multidisciplinary hearing team, about their insights to auditory neuropathy spectrum disorder, and their vision for the future management of this challenging range of conditions. Auditory neuropathy spectrum disorder (ANSD) describes a wide range...

The anatomy and actual number of branches of the sphenopalatine artery: surgical implications

Endoscopic sphenopalatine artery ligation or cauterisation is nowadays the main treatment for epistaxis unresponsive to medical therapy. However, on review of the literature, there appears to be confusion relating to the anatomical nomenclature of the sphenopalatine artery branches and more...

The risks of misjudging African American dialects as lesser!

Healthcare inequalities in multicultural societies, such as the UK, are becoming increasingly apparent. They arise via a complex interplay of factors, with socioeconomic deprivation, structural biases and specific cultural and biological risk factors all contributing to disparities. There is ample...