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Paranasal sinus osteoma management

6 October 2017 |
The authors aimed to determine the best approach to paranasal osteoma excision. They conducted a retrospective study of 41 patients with paranasal sinus osteoma (PNSO) at a tertiary centre in Turkey. PNSO was present in: the frontal sinus in 26...

Incidental findings in paranasal sinus Magnetic Resonance Imaging (MRI) studies

1 March 2015 | | ENT | Fluid, Incidental findings, MRI, Mucosal thickening, Opacification, Paranasal sinuses, Polyps, Population-based study, Retention cysts
Incidental findings in the paranasal sinuses of mucosal thickening and polyps in MRI studies may cause concerns for clinicians and patients. The authors studied MRIs of 982 participants with a mean age of 58.5 years who randomly and independent of...

The microbiological environment of the paranasal sinuses

1 May 2016 |
This article reviews the ecology of the sinuses and tries to make sense of the confusing literature on the subject. This covers the details of molecular studies, particularly those which attempt to differentiate normal sinuses from those in patients with...
The Journal Laryngology & Otology cover

Diagnosing complications of acute mastoiditis in emergency situations

27 February 2020 | | Otology | Checklist, Diagnosis, Mastoiditis, Radiology, Suppuration
In many cases, acute mastoiditis is manageable with intravenous antibiotics and hospitalised care. However, the decision whether to intervene surgically remains crucial and reliance is based on radiological findings – CT scans for bony changes and MRI for possible intra-cerebral...

Communicating with patients in 
‘Plain English’

1 January 2014 | | ENT
Physicians have long been accused of using unnecessarily complicated language and impenetrable jargon as a way of maintaining their status, prestige and high earnings-potential, bamboozling the public and excluding them from meaningful discussion as part of what George Bernard Shaw...

The role of macrolide antibiotics in chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

Acoustic shock: definitions and clinical aspects

27 February 2020 | | ENT, Otology, Audiology - Diagnostic
Acoustic shock, a previously little-known and poorly understood clinical entity, came to the public’s attention in 2019 due to a high-profile legal case of a musician at the Royal Opera House. In this fascinating article, Andrew Parker and William Parker...

Sniffing out the evidence – COVID-19 and loss of sense of smell and taste

1 July 2021 | | ENT, Rhinology / Sinus, COVID-19
Louis Pasteur once observed: “In the fields of observation chance favors only the prepared mind.” Professor Hopkins was certainly prepared when a few anecdotes of smell problems started to accumulate early in the pandemic’s course. Post-viral olfactory loss is nothing...

Patron saints of the ear

2 March 2022 | | ENT, Otology, Audiology - Adult
We all know that ear symptoms include hearing loss, vertigo, tinnitus and otalgia, but did you know there are patron saints for all these symptoms? John Riddington Young shares an overview of the patron saints of the ear, inspired by...

Auditory brainstem implant results in adults and children

5 June 2017 | | Audiology - Paediatric, Audiology - Adult, Auditory Implants, ENT, Paediatric ENT, Otology
Background The auditory brainstem implant (ABI) has been developed from cochlear implant (CI) technology and is indicated for people who have anatomical abnormalities of the cochlea or dysfunction of the auditory nerve. The majority of people who have received an...

Semi implantable bone conduction devices: challenges and developments

6 June 2017 | | Auditory Implants, Audiology - Paediatric, Audiology - Adult, ENT, Otology, Paediatric ENT
Bone conduction mechanisms and history of bone conduction aids Bone conduction hearing devices work by stimulating hair cells via the bone conduction hearing pathways. These pathways are less well understood than the air conduction pathways, but recent research has shown...

Dizziness: confusion, issues and considerations

1 November 2015 | | Otology, Vestibular Disorders
Douglas L Beck gives his unique take on the difficulties involved in diagnosing dizzy patients and the importance of well-founded research acting as the basis for any diagnosis and treatment decisions. Dizziness. Uh-oh. We really have a very limited understanding...