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History of ENT - Freud's Friend, Fliess
Wilhelm Fliess, a Berlin rhinologist, was for many years Sigmund Freud’s closest friend and confidant. He was born in Poland in 1858. In 1887, he visited Vienna for postgraduate studies, and met the famous psychoanalyst, Freud [1]. They were immediate...Unexplained dizziness in elderly patients
How do we explain unexplained dizziness in elderly patients? How far should we go with investigations? And most importantly, how should we manage this challenging and expanding group of patients whose balance affects their safety? Richard Ibitoye and Diego Kaski...
Some guidelines for treating rhinological patients during the COVID-19 pandemic
This is a very interesting and informative multinational European guide to the treatment of rhinology patients during the current pandemic, describing the safe delivery of a rhinological service to patients. Much of this has become well understood and standard practice...
Steroid use in acute acoustic trauma
Acute acoustic trauma (AAT) injuries include noise-induced damage to inner and middle ear presenting as hearing loss, tinnitus and vertigo. Classic presentation is sensorineural hearing loss with an intact tympanic membrane. The authors carried out a case-control study in military...Medway Medical Fayres
For the last five years, Professor Rahul Kanegaonkar has been running Medway Medical Fayres for children in Kent, UK. Free to attend, the fayres take place at Medway Campus of Canterbury Christ Church University and allow 12–13-year-olds from less affluent backgrounds to experience a breadth of medical specialties.Medical and surgical management of performing vocalists
Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...Vestibular dysfunction after cochlear implantation in children
Whilst vestibular dysfunction is a known outcome of cochlear implant surgery, do we know the risk factors associated with this, particularly in children? In this article a team from University of Tokyo discuss their findings. Cochlear implantation (CI) is an...
Image-Guided Surgery: Fundamentals and Clinical Applications in Otolaryngology
Although not inspired particularly by the concept of the book, I was reassured by the introduction that the theory behind image guided surgery (IGS) would be presented in a way that was accessible, with “all technical descriptions trimmed to the...
Treatment options for vestibular neuritis: systematic review and meta-analysis
Vestibular neuritis (VN) is the third most common cause of peripheral vertigo. VN has been postulated to have viral aetiology and historically it was treated with steroids, until 2011 when a Cochrane review demonstrated lack of robust evidence behind this...
Can we get some satisfaction (in aphasia therapy)?
Patient satisfaction is associated with improved health outcomes, yet using surveys to collate information on satisfaction is limited by the types of questions asked. Satisfaction remains a broad concept but asking respondents more open questions allows service users to define...
Concussion and vestibular processing deficits
It is well known that patients with mild traumatic brain injury (mTBI), also referred to as concussion, display longstanding vestibular symptoms but often clinical signs and objective vestibular function test abnormalities are lacking. The aim of the study was to...
