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The microbiological environment of the paranasal sinuses

This article reviews the ecology of the sinuses and tries to make sense of the confusing literature on the subject. This covers the details of molecular studies, particularly those which attempt to differentiate normal sinuses from those in patients with...

Incidental findings in paranasal sinus Magnetic Resonance Imaging (MRI) studies

Incidental findings in the paranasal sinuses of mucosal thickening and polyps in MRI studies may cause concerns for clinicians and patients. The authors studied MRIs of 982 participants with a mean age of 58.5 years who randomly and independent of...

Database WG2. The Tinnitus Patient Database in the TINNET COST Action BM1306

Berthold Langguth describes an innovative project that is creating the world’s largest multi-national patient database containing standardised information on tinnitus and medical history, otological examination and psycho-acoustic measures of tinnitus. A challenge for tinnitus treatment and tinnitus research is the...

Taking life by the throat

Patients suffering with problems with their voice, airway and/or swallowing can find their symptoms immensely distressing, and their care places a huge burden on healthcare systems. We hear from a world-leading laryngologist on current and future directions. Field of interest...

ENT and evidence-based medicine: How do they benefit each other?

How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...

Harnessing head and neck cancer genomics for personalised medicine

Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

Preoperative tumour embolisation

This review article analyses the role of preoperative endovascular tumour embolisation in the treatment of a variety of hypervascular head and neck lesions including juvenile nasal angiofibroma, glomus tumour, carotid body tumours, and meningioma. Although the concept of tumour embolisation...

Contralateral OAEs in children

Several studies indicate that small changes in the medial olivocochlear (MOC) reflex may possibly be associated with certain pathologies. This could be measured by using contralateral acoustic stimulation (CAS) and observing suppression in otoacoustic emissions (OEAs). The main aim of...

Macrolinguistic assessment in early Alzheimer’s disease

Deficits in language production like word finding difficulty, and lexical-sematic impairment have been documented early in the course of Alzheimer’s disease (AD). According to the authors, the current language assessment methods used in AD patients do not account for macrolinguistic...

Day case orthognathic surgery

This paper analyses whether patient safety is maintained when orthognathic surgery is performed as an outpatient. This Swedish paper reviewed 165 patients, 107 of whom were to have what was termed outpatient care, and of which 101 (94%) were able...

Healthcare economics and device approvals

We use several FDA-approved devices in our clinical practice but are rarely aware about the stringent procedures followed by manufacturers, as well as the FDA, before the devices become commercially available. The authors of this paper undertook a comprehensive review...

Auditory brainstem response patterns are neural signatures

Through examples, this article describes how particular aspects of auditory brainstem responses can portray certain kinds of language or communication impairments – a characteristic pattern or ‘neural signature’. A reduction in processing of the fundamental frequency is seen commonly in...