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72 results found

Drug eluting stent vs INCS for CRS

1 November 2017 |
A prospective, randomised study from Finland to compare a drug eluting stent (DES) and intranasal corticosteroids (INCS) in 63 patients as assessed by SNOT-22, VAS, endoscopy, CT and rhinometry pre-treatment, at three and six months post treatment. Recruitment was over...

Is Dymista® useful for paediatric allergic rhinitis?

1 September 2016 | | MP-AzeFlu, assessment, azelastine, children, dymista, fluticasone propionate, seasonal allergic rhinitis
Allergic rhinitis (AR) affects up to 14.6% of the paediatric population. Whilst a recent Cochrane review has considered the evidence for intranasal corticosteroids as `weak and unreliable’ in paediatric AR, this product is a novel formulation combining Fluticasone and Azelastine...

Persistent dysphonia due to cricothyroid muscle dystonia – should we be requesting laryngeal EMGs for non-resolving ‘functional’ dysphonia?

1 September 2016 | | Cricothyroid muscle, Laryngeal dystonia, Laryngeal electromyography, Spasmodic dysphonia
This article is an interesting report of a case of persistent voice problems affecting a 43-year-old physician that significantly compromised her ability to converse and communicate at work. Specifically, she had a fluctuating voice quality that would ‘choke off’, combined...

Botulinum toxin injection for bilateral recurrent laryngeal nerve paralysis

1 May 2016 | | Bilateral recurrent laryngeal nerve paralysis, Bilateral vocal fold paralysis, Botox, Cricothyroid muscle injection
All traditional surgical treatments for bilateral recurrent laryngeal nerve (RLN) paralysis are essentially a balance between maximising airway patency and ensuring adequate phonation / airway protection. This paper highlights the potential role of botulinum toxin (Botox) injection into the cricothyroid...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

1 July 2016 | | Rhinology / Sinus
In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

In conversation with Prof Metin Önerci

30 April 2020 | | ENT, Rhinology / Sinus
Prof Valerie Lund caught up with friend and colleague, Prof Dr Metin Önerci, to discuss his various positions in rhinology, the FOAM programme with which he is involved, and rhinology in Turkey and the Balkan and the Central Asian region....

Timing of surgery in chronic rhinosinusitis: does it matter?

1 July 2016 | | ENT, Rhinology / Sinus
While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

Running a post-COVID smell clinic

1 July 2021 | | ENT, Rhinology / Sinus, COVID-19
Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

Olfaction in CRS

3 November 2022 | | ENT, Rhinology / Sinus
Conventional teaching tells us that hyposmia in chronic rhinosinusitis is due to mechanical obstruction of the olfactory cleft. But it might be that the story is slightly more complicated than that. Olfactory dysfunction is a common feature of chronic rhinosinusitis...

Endotypes in chronic rhinosinusitis: clinical relevance

3 May 2024 | | ENT, Rhinology / Sinus
Identifying endotypes enables personalised therapies that target specific pathophysiological processes, potentially resulting in better treatment outcomes for patients. The contemporary model of chronic rhinosinusitis (CRS) pathogenesis revolving around endotype, in combination with an expanding toolbox of diagnostics and therapeutics, enables...

The future of inner ear drug delivery

1 May 2017 | | Audiology - Adult, Audiology - Paediatric, Otology
The techniques for delivering drugs to the inner ear system are evolving. Jeffrey Harris considers the myths, the facts and the potential for drug delivery innovations and how they can improve tomorrow’s hearing outcomes. The inner ear’s delicate membranous structure,...

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...