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Widen the ostium or keep it: that is the question
The original concept of wide endoscopic sphenoethmoidectomy for sinonasal polyposis has been a well-established principle since 1995. However, with the evolution of the understanding of sinonasal physiology, this might change. The authors present arguments based on the evolutionary and developmental...
Cycle helmets protective against facial injuries?
This is a meta-analysis completed by a maxillofacial unit on the South Coast of England. Nine studies from an initial literature review of 102 were included in the analysis. Cycling has been reported as the cause of 3-20% of facial...
Postinfectious olfactory disorders
Recovery of olfactory function following URTI is frequent, even many years after the infectious insult. Upper respiratory tract infection is the commonest cause of olfactory loss. Many treatment options exist including topical steroids, vitamin B, acupuncture, and zinc, which can...
Precision medicine in allergic rhinitis and chronic rhinosinusitis
Precision medicine (PM) with its ‘four Ps’ (personalised, predictive, preventive and participatory) is about appreciating differences between individuals when offering management options for health problems. Multiple groups interested in rhinology such as EPOS and ARIA supported a review of the...
Should we do oesophagoscopy during panendoscopy?
Panendoscopy entails a complete evaluation of the upper aerodigestive tract, and consists of oral inspection, direct laryngoscopy, bronchoscopy, oesophagoscopy, or some combination of these procedures. Despite many advances in imaging over the years, a skilled surgeon’s eyes remain superior in...
Cough no more?
The challenge of the ‘unexplained chronic cough’ that just will not go away is a challenge that frustrates many of us. Often patients have seen respiratory, upper GI and eventually they see you as the last resort! Is behavioural therapy...
Paper patching for aural fullness
This Belgian prospective study reported on the effect of paper patching on aural fullness of unknown aetiology. It looked at 22 patients who complained of aural fullness without any middle ear pathology. The patients were divided into a treatment group...
Head and neck high dependency unit - an alternative to ITU?
Close observation of the airway is a primary requirement for patients undergoing major head and neck surgery. It is also necessary for patients with upper airway infection and trauma. Wound care, drains, feeding and analgesia also require specific attention. Whilst...
Thyroidectomy - a pictorial walk through the surgical steps
We as ENT surgeons work closely with the endocrinologist to provide MDT care for patients with a variety of pathologic conditions of the thyroid gland, including benign, malignant and hormonal disease processes. Surgery plays a central role for a variety...
Chronic rhinosinusitis and sleep
This is an interesting article from the Chung Shan Medical University in Taiwan. One-hundred-and-thirty-nine patients were enrolled into this five-year study. They all had chronic rhinosinusitis with or without polyposis and underwent sinus surgery. The aim was to investigate a...
Serum urea and epistaxis
This was a small retrospective review from Swansea looking at 278 patients who attended a teaching hospital Accident and Emergency department with a diagnosis of epistaxis. Only 119 of these patients had their serum urea measured. The investigators found that...
