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Advances in diagnosis and management of allergic rhinitis

1 May 2018 | | Allergen immunotherapy, Allergic rhinitis, Aspirin-exacerbated respiratory disease, Immunoglobulin E
This article reviews advances in the diagnosis and management of allergic rhinitis. Recent advances in the diagnosis of allergic rhinitis include testing of local immunoglobulin E (IgE), urinary test to diagnose aspirin hypersensitivity and optical rhinometry to assess degree of...

Voice change after total thyroidectomy with intact laryngeal nerves – a common but temporary problem

1 March 2018 |
It has been reported that up to 87% of patients have a degree of voice dysfunction after thyroidectomy, even when the laryngeal nerves are preserved. Postoperative inflammation, laryngeal oedema due to vascular congestion, direct damage to the cricothyroid muscles and...

Nasal nitric oxide – an inflammatory marker in paediatric allergic rhinitis?

1 July 2017 |
Nasal nitric oxide (nNO) is mainly produced in the paranasal sinus mucosa and was shown in some studies to have increased expression in allergic rhinitis (AR). Although it represents a potential non-invasive tool for AR measurement, there remains no consensus...

Effective and profitable provision of paediatric audiology care in the private sector

8 January 2024 | | Audiology - Paediatric
Similar to other specialty areas of hearing healthcare, paediatric audiology is a potential net loss for a private-sector, for-profit, business. Given the time-intensive needs of patients with cochlear implants, tinnitus and those who are under the age of 18 years...

Botulinum toxin injection in spasmodic dysphonia

1 May 2018 | | Laryngology / Swallowing / Voice
Spasmodic dysphonia is a rare neurological voice disorder, which is often missed by the inexperienced ear. There is no laboratory test or investigation to diagnose this condition therefore, it is best diagnosed by listening to the patient’s voice. Laryngeal endoscopy...

In conversation with Robin Youngs

1 November 2019 | | ENT, Otology, Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
Members of ENT UK (The British Association of Otolaryngologists and Head and Neck Surgeons) have a long tradition of humanitarian work in countries in Africa and Asia (see article with Professor Davis Howard in previous issue for example). The ENT...

Clinical and financial success by providing specialised audiological tinnitus management

8 January 2024 | | Audiology - Adult, Tinnitus
Diagnosis and management of a patient with chronic subjective tinnitus is one of the most labour-intensive areas of hearing healthcare. This is one reason some hearing care providers opt to exclude specialised tinnitus care from their practice: it may not...

Tonsillitis and tonsillectomies: where do we go from Paradise?

5 January 2022 | | ENT, Laryngology / Swallowing / Voice
Landmark Paper: Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children – results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310(11):674-83. The Paradise paper on tonsillectomy...

Hearing about genes

1 May 2015 | | Audiology - Adult, Audiology - Diagnostic, ENT, Speech and Language Therapy, Otology
I have been fortunate in my career to travel as an invited lecturer at many hospitals, universities and professional societies around the world. I have spoken to audiology societies, otolaryngology societies, and university communication disorders programmes in Europe, Asia, Africa,...

Hear Glue Ear - affordable bone conduction and microphone kits

3 May 2024 | | Audiology - Paediatric
Glue ear is a very common problem in children. This article explores a simple and affordable solution to help overcome some of the challenges it can cause. Background Glue ear (also known as otitis media with effusion – OME) is...

The importance of hearing aid validation in infants with hearing loss

31 October 2018 | | Audiology - Paediatric
Hearing aid validation requires that speech discrimination be measured, yet there are no validated methods of measuring speech discrimination in infants and toddlers. Prof Uhler describes two related approaches that are showing promise. Speech discrimination is the gold standard for...

Gastric inlet patch – an under-diagnosed cause of globus

4 May 2023 | | ENT, Laryngology / Swallowing / Voice
A gastric inlet patch (GIP) is an island of heterotopic gastric mucosa found commonly in the proximal oesophagus just below the upper oesophageal sphincter. It is often underdiagnosed due to its location. Its importance and clinical relevance can be underestimated...