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Management of the ear in cleft lip and palate
The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...
Septoplasty revisited
Septoplasty is one of the commonest rhinological surgeries performed. With the advent of minimally invasive surgical concepts, endoscopic targeted septoplasty was introduced. This study aimed to compare the complications and outcomes between endoscopic septoplasty and conventional septoplasty by a PRISMA...
How to increase uptake of hearing screening in primary care
Untreated hearing loss leads to an increased risk of dementia and depression. There is currently little evidence to support the benefits of hearing screening in asymptomatic older adults. The main aim of the study was to compare three hearing screening...
Stimulation for a good night’s sleep
This article was an interesting read. It is an update from the authors’ original paper printed in the NEJM in 2014 regarding the results of an implantable pulse generator (IPG) for stimulating the hypoglossal nerve in response to respiration. This...
Changes in airway dimensions after orthognathic surgery
This is a systematic review of meta-analysis evaluating the effect of different types of orthognathic surgery on the cross sectional area and volume of the upper airway as assessed using CT or MRI. They found 28 articles of which only...
Recovery rates in sudden sensorineural hearing loss
Sudden sensorineural hearing loss (SSNHL) is most commonly idiopathic, and is seen relatively frequently in ENT practice. Recovery spans a period of around 1-2 months, and ultimate outcomes are highly variable, from complete recovery to no detectable hearing. Although the...
Surgery for hypopharyngeal obstruction causing OSA
Surgical treatments for OSA are evolving with improved diagnostic accuracy of the level(s) involved. Where the collapsing segment lies below the soft palate, a variety of surgical techniques to correct the affected segment(s) are emerging. This article concentrates on one...
Diagnosis of osteonecrosis of the jaw
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...
Hearing intervention to prevent dementia
People with hearing impairment have an increased risk of incident all-cause dementia proportional to the severity of loss compared to those with normal hearing. Treating hearing impairment may therefore serve to slow or prevent the onset of cognitive decline. This...
Efficacy of interventions for stuttering: literature review
This is the first part of a two-article review of the efficacy of different modalities of treatments used for treatment of stuttering / stammering. In this article, the authors describe their efforts to identify and quantify evidence on various interventions...
Guidelines for management of orbital infections
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...
