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Deglutition in pharyngolaryngectomy patients
Circular defects after total pharyngolaryngectomy present a reconstructive challenge. In this study, the authors compared the swallowing results after three reconstructive techniques: free forearm flap, free jejunal loop and folded pectoralis major flap. Forty-six patients were included and were evaluated...
The GP and the ear
General practitioners are the first members of the medical community to deal with ear problems. In this survey, 11 GPs examined 124 patients using a regular otoscope and a video-otoscope and reported their findings in a 10-item table. The same...
Tinnitus loudness and insomnia
Tinnitus may be very bothersome for its sufferers, in some cases leading to suicide. Therefore, it is extremely important to offer the best available treatment to people suffering from tinnitus. This study considered whether insomnia may be associated with the...
Death related to epistaxis
One of the commonest emergencies presenting in ENT is epistaxis. The presentation can be through accident and emergency or through ward referrals. In this national audit of epistaxis management involving 113 centres, it was noted that 33 of the 985...
Recovery room cortisol to predict long-term glucocorticoid supplementation
The authors report the results of using recovery room (RR) cortisol to predict the need for long-term glucocorticoids in patients who underwent transsphenoidal surgery (TSS). They conducted a retrospective study of preoperative morning serum cortisol (MSC), RR cortisol and day...
Long-term quality outcomes of bimaxillary surgery of obstructive sleep apnoea
This is a review of 12 patients at two years postoperatively and again at at least 17 years. Successful outcome of a decrease in apnoea-hypopnoea index (AHI) of greater than 50% was thought to be success. Eight of the initial...
Should we do septoplasty in young adults/adolescents?
Nasal obstruction is a common complaint in both children and adults in the outpatient department. Causes for obstruction include allergic rhinitis, septal deviation, turbinate hypertrophy and chronic sinusitis with or without nasal polyps. For symptomatic patients with moderate to severe...
Round window niche drilling with intratympanic for ISSHL. A new option for salvage?
This paper from China compares the technique of widening the round window via a posterior tympanotomy approach and steroid-soaked gelatin sponge with intratympanic steroids alone for salvage therapy in severe idiopathic sensorineural hearing loss. Salvage therapy was defined as patients...
Nasal disease and quality of life in athletes
Rhinitis is a nasal condition which is generally underappreciated in primary care and even less in athletes. In this study, the authors specify nasal symptoms constituting rhinitis as nasal blockage, sneezing bouts, rhinorrhoea and itching and compare their prevalence in...
Stuttering and bullying - everyone’s business
This article emphasises that bullying (distinct from teasing- the former being defined as repeated actions intended as harmful, compared to good-natured interactions enjoyed by everyone) is an issue that can impact significantly on a child or young person’s ability to...
CRSwNP initiation, not always an interleukin fault
CRSwNP, similar to asthma, is an inflammatory disorder (type II) with eosinophilia and raised IL-5 and IL-13. Inflammation in CRSwNP is thought to be started by IL-25, IL-33 and thymic stromal lymphopoietin (TSLP), all of which form an important part...
