Search

Investigations in the management of OSA in children

The purpose of this study was to pick up variation of practice across the UK in the assessment and management of children with suspected OSA, particularly with reference to pulse oximetry and polysomnography. A questionnaire-based survey revealed that preoperative pulse...

Occupational hazards affecting otolaryngologists

This is a questionnaire survey which received responses from 323 clinicians practising otolaryngology. The grades ranged from consultants to junior doctors. It was noted that nearly half of these respondents suffered from some form of musculoskeletal pain and it highlights...

Can junior doctors provide immediate help in airway and other ENT emergencies?

In the present trends for centralisation of ENT emergency services, availability of immediate middle grade or senior help in acute ENT emergencies does not always exist on site and hence the role of junior doctors in handling this is enhanced...

Factors affecting compliance of follow-up of patients with chronic otitis media

Patients with retraction pockets and small cholesteatomas need good surveillance as well as those surgically treated for cholesteatomas. This is particularly important in closed techniques where a second look or diffusion weighted MRI can pick up any recurrence or residual...

Evidence based outcomes for canal wall up, canal wall down and subsequent canal wall reconstruction for primary cholesteatoma

There has been a long standing controversy over whether to treat primary cholesteatoma with open or closed technique. The general consensus is that limited disease can be treated with closed technique whereas the canal wall down approach helps reduce recidivism...

MRI evaluation to assess the role of frusemide in reducing endolymphatic hydrops

Endolymphatic hydrops is generally considered to be a marker in Ménière’s disease and frusemide is used with the purpose of reducing it and improving symptoms. With the use of MRI, the authors have used the phenomenon of non-enhancing endolymphatic structures...

CT guided cochlear implant programming improves performance

There is currently no national (UK) consensus on imaging patients for cochlear implantation. This paper may change that. It has shown increased hearing and quality of life in paediatric cochlear implant (CI) users when the programming has been assisted by...

A comparison of cold dissection, coblation and diode laser tonsillectomy

Excellence in tonsillectomy is based on the time taken, blood loss and rapid recovery with minimal pain. In this study, 120 children underwent tonsillectomy by three methods, namely cold dissection, coblation and diode laser dissection in three randomly allocated groups...

Influence of Helicobacter pylori infection in otitis media with effusion

Otitis media with effusion (OME) affects 20% of children and 10% have a recurrent problem. The incidence of Helicobacter pylori infection in children ranges from 15 to 46%. This study investigates how the presence of Helicobacter pylori infection affects treatment...

The evidence for various treatments of autoimmune ear disease

The difficulty with this disease entity is that it is a heterogeneous group of conditions affecting the ear and a widely accepted diagnostic criteria does not exist. It is therefore difficult to conduct a well controlled trial and this systematic...

Influence of atmospheric conditions on post tonsillectomy secondary haemorrhage

Haemostasis in epistaxis and a good few other conditions outside the field of otolaryngology seem to be affected by the weather. It is generally thought that dry and hot environment encourages secondary post tonsillectomy haemorrhage. Variations in water vapour pressure,...

Cochlear implanted children are more likely to have device failure if their balance function is impaired

We know that children with permanent hearing loss are more likely to have an associated balance problem. It is also thought that children with cochlear implants (CI) that fail do so because of an increased risk of falls and head...