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Saline irrigation in CRSwNP after surgery

1 May 2017 |
This article, largely from Germany, aims to prove the effectiveness of nasal saline irrigation in postoperative patients with CRS with nasal polyps. A prospective, single blinded randomised trial was designed with an irrigation and non-irrigation arm. Patients who underwent sinonasal...

Epley Manoeuvre: number of times it is required and its diagnostic value

1 January 2017 | | Benign Paroxysmal Positional Vertigo
Benign paroxysmal positional vertigo is a common condition but if inadequately treated or wrongly diagnosed, can prolong the distressing symptoms of momentary dizziness, nausea and visual disturbances which can be due to other causes and deteriorate quality of life. Studies...

Diagnosis of osteonecrosis of the jaw

1 March 2016 | | Antiangiogenic therapy, Antiresorptive therapy, Jaw necrosis, Medication-related osteonecrosis of the jaw, Osteonecrosis
Although the management of osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic may remain...

Guidelines for management of orbital infections

1 January 2016 | | Orbital Cellulitis, Paranasal Sinus Diseases, Practice Guideline, Sinusitis
Orbital infections predominantly affect the paediatric population and complications can be very serious. The cellulitis can be preseptal or orbital and the abscess can be confined within the periosteum or extend into the orbit. Cavernous sinus thrombosis can complicate the...

Wisdom and the cochlear implant clinician

5 January 2022 | | Audiology - Adult, Auditory Implants
Helen Cullington provides the clinician’s perspective on the challenges faced in building artificial intelligence into cochlear implant clinics. She highlights the importance of including the clinician with their wisdom and experience to help make sense of the patterns of data....

Communication Disorders: a combined discipline of audiology and speech and language pathology – the Israeli perspective

1 May 2016 | | ENT
Liat Kishon-Rabin provides an excellent summary of audiology training in Israel, encapsulating the development of audiology services in the country. Readers will be intrigued by the systematic approach taken to its development, and its pairing with speech and language pathology....

#BecauseIhearIlive – an international message from Smiling Crocodile

26 June 2020 | | ENT, Otology, Audiology - Paediatric
There are 34 million children worldwide afflicted by disabling hearing loss, 60% of whom are suffering from hearing loss due to preventable causes [1]. This article is an account of the Smiling Crocodile Charity, founded in 2009 by Dagmar Herrmannová,...

Surgical technology and operating room safety failures: lessons from vascular and general surgery

1 January 2014 | | ENT
Background – surgical technology and otolaryngology An estimated 234 million major surgical procedures are performed annually worldwide. This requires the interaction of multidisciplinary teams with varying contributions of surgical technology and therefore makes surgical procedures prone to multiple sources of...

Ossicular reconstruction

27 February 2020 | | ENT, Otology
Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...

Clinical leadership and management: the ‘Darzi’ experience

1 September 2014 | | ENT
The Fellowship in Clinical Leadership programme, more commonly known as the ‘Darzi Fellowship,’ commenced in 2009. It was designed to provide junior doctors at the registrar level with postgraduate training in clinical leadership and change management in order to develop...

Training in the use of medical devices
– how should it be done?

1 March 2015 | | ENT
Adequate training in novel medical devices is imperative, not only to ensure patient safety, but also to give clinicians the confidence to use the device in question. In this article, Andrea Gillies explains the philosophy of one of the equipment...

The multidisciplinary voice clinic

30 April 2020 | | ENT, Laryngology / Swallowing / Voice
In his inimitable way, Nick Gibbins tells us why the voice clinic is the highlight of his week – and his very own field of dreams. The voice clinic has come a long way in the last 40 years. The...