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Is tonsillectomy performed any better by trained surgeons compared with trainees?

Tonsillectomy is one of the most common operations performed in otolaryngology. Training in this procedure therefore needs to begin early in the formative years, while also complying with patient safety and cost-effectiveness requirements. This randomised prospective study compares tonsillectomy with...

Loudness tolerance levels and misophonia

Misophonia is a prevalent condition, yet its assessment and management remain underrecognised by many audiologists. Current literature highlights the frequent co-occurrence of misophonia with tinnitus and hyperacusis. Hence, the link between loudness intolerance problems and misophonia has been hypothesised by...

More markers for sinonasal diseases

In this study, nasal mucus cystatin SN levels were compared in patients with controlled and uncontrolled chronic rhinosinusitis (CRS). Cystatin SN is an epithelium-derived cytokine which regulates cysteine proteases and enhances IL-5 mediated activation of eosinophils. The study included 98...

Lateral wall or perimodular? Perimodular!

In cochlear implant (CI) surgery, both lateral wall (LW) and perimodular (PM) electrodes have their advantages and disadvantages. The PM electrode was shown to have superior hearing outcomes. The disadvantages of the PM electrode, except for tip fold-over, were reduced...

Word-finding difficulties in Parkinson’s are as important as speech

Parkinson’s is typically considered to progressively affect speech and voice, with up to 89% of people with the diagnosis experiencing symptoms such as reduced articulatory coordination and a hoarse or breathy voice quality. Despite 80% of people with Parkinson’s experiencing...

What the people want and need: emerging service for communication needs in Ghana

There is a significant shortfall in rehabilitation service for people with communication difficulties across Majority World countries. It is known that many people in these countries are likely to seek help from a variety of sectors including western healthcare, religious...

Hidden genetic disorders in children that may present to the otolaryngologist

Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...

The structure and function of DNA

DNA structure and replication Genetic information within multicellular organisms, including man, is stored in molecules of deoxyribonucleic acid (DNA), which reside within the chromosomes of each cell nucleus. A DNA molecule consists of two very long chains, or strands, of...

Coblation tongue channelling

After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

General overview of endoscopic ear surgery: advantages and principles

The philosophy of endoscopic ear surgery presents surgeons with a tricky concept – does the magnificent view make up for the fact I need to operate with one hand? In this article, Jane Lea discusses the advantages of operating transcanal...

Denis Collings: 38 years as a total laryngectomee

Patients’ perspectives can be very powerful in our understanding of their experience of illness and its treatment. Denis Collings. In the UK, there are more than 2000 new cases of laryngeal cancer each year [1]. In 1988, at the age...

Denis Collings: 38 years as a total laryngectomee

Patients’ perspectives can be very powerful in our understanding of their experience of illness and its treatment. Denis Collings. In the UK, there are more than 2000 new cases of laryngeal cancer each year [1]. In 1988, at the age...