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Early DCR may be better than delayed in acute dacrocystitis?
Traditionally, acute dacrocystitis has been treated conservatively with antibiotics, analgesia and warm compresses, with surgery reserved for later when the infection has subsided. This meta-analysis looks at early vs. late endonasal dacrocystorhinostomy (DCR) in the treatment of acute dacrocystitis, looking...
Cadaveric variation of nasolacrimal duct lateral nasal wall landmarks
Twenty mid-sagittal head sections of 10 fresh frozen cadavers were studied after removal of the nasal septum. This study showed that the most anterior projection of the middle turbinate head was noted to be anterior to the nasolacrimal duct in...
The stubborn polyp cases are ‘different’
The widely different behaviour of nasal polyp disease between patients is a major feature of rhinology practice and makes counselling of patients difficult when approaching their first operative intervention. Setting aside aspirin sensitivity (Samter’s triad), which is known to be...
Cummings Otolaryngology: Head and Neck Surgery: Seventh Edition - Volumes 1-3
It’s no secret Cummings Otolaryngology: Head and Neck Surgery is amongst the most widely recognised international texts on the subject. This edition does not disappoint, and provides a truly comprehensive evidence-based evaluation of topics in general otolaryngology, facial plastic and...
A viable solution for isolated post-nasal drip?
This retrospective, single-centre case series looked at a cohort of patients with postnasal drip as their primary symptom. Exclusions were patients with chronic rhinosinusitis. The interventions offered were temperature-controlled radio frequency (TCRF) ablation of the posterior nasal nerve delivered by...Recalcitrant chronic rhinosinusitis: What to do next?
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...Chronic rhinosinusitis management: back to the future?
Immunology is a dim and distant medical school memory to many ENT surgeons, but the increasingly complex immunology of chronic rhinosinusitis is fascinating (honestly!). Medical management options in CRS no longer just involves saline and steroids, and we need to...Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)
In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...
Electronystagmography and Videonystagmography ENG / VNG
This book provides a good reference for anyone starting out in the field of balance assessment, and would be a useful book in any balance assessment clinic as a source of information from anatomy to test interpretation. Anatomy and physiology...Could hearing aids help stave off dementia in older adults?
HearCog is a two-year randomised control trial of hearing loss and dementia being undertaken by Ear Science Institute Australia (Ear Science). The study is investigating whether hearing aids can delay or arrest cognitive decline.
