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Influence of atmospheric conditions on post tonsillectomy secondary haemorrhage

Haemostasis in epistaxis and a good few other conditions outside the field of otolaryngology seem to be affected by the weather. It is generally thought that dry and hot environment encourages secondary post tonsillectomy haemorrhage. Variations in water vapour pressure,...

Do I need Google maps in here?

Image guidance surgery (IGS) has grown in popularity. This review article discusses its application in endoscopic sinus surgery (ESS). IGS technology has vastly improved with smaller, more mobile platforms that are easy to set up and use. IGS allows validation...

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...

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...

Neurosarcoidosis: another aetiologic factor for deafness and labyrinthitis ossificans

Very few studies describe deafness secondary to neurosarcoidosis as the latter is a rare inflammatory disorder of the nervous system usually associated with facial nerve and optic nerve disorders. This interesting case report describes a rare case of cochlear ossification...

Lessons from the outcomes of children with hearing loss study

The Outcomes of Children with Hearing Loss (OCHL) study of 300 children with hearing loss has targeted several factors that are under the control of audiologists and parents. Drs McCreery and Walker discuss how these ‘lessons learned’ can lead to...

Implicit bias in audiology and wider healthcare

What is implicit bias and how might it affect patient outcomes in hearing healthcare? Yovina Khiroya provides insight into the terminology and the effect on people and service delivery. As much as possible within healthcare, we try to reduce implicit...

Biologics for deafness

Cochlear implants and hearing aids are inherently limited in their ability to restore ‘natural’ hearing. Biological therapy to treat inner ear pathology still is evolving rapidly with several ongoing clinical trials, though none are available for clinical practice to date....

Diagnosing persistent postural-perceptual dizziness (PPPD)

The authors, part of an influential committee of experts of the Bárány Society, proposed this consensus document after reviewing 30 years of research on phobic postural vertigo, space-motion discomfort, visual vertigo, and chronic subjective dizziness. They also reviewed interesting historical...

A psychophysical perspective on single-sided deafness and its treatment by cochlear implants

Bob Carlyon gives us a psychophysical perspective on the hearing benefits that can and cannot be achieved for patients with single-sided deafness with a cochlear implant, and discusses some of the challenges in maximising the effectiveness of the treatment. He...

Destination unknown

We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

ENT in Ethiopia: Aksum-Barts Partnership

In keeping with many other countries in sub-Saharan Africa, Ethiopia has a chronic lack of hospitals and doctors. Nadia Ashraf and Tim Crocker-Buqué tell us about a project which aims to improve training in ENT, in a hospital that has...