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How best to follow up a sinonasal cancer?
Sinonasal malignancies are rare tumours and, in the UK, are usually treated in tertiary treatment centres but may well be followed up long term in the patient’s local hospital, so advice on how best to manage these patients is invaluable....
Students on camp
This article describes a three-day weekend camp for individuals with chronic aphasia and their care partners, designed to address personally relevant activities and conversations that help redevelop self-worth, confidence, and identity. The aim is to support carryover into individuals’ local...
Location, location, location: How to get the steroid where you need it, in chronic rhinosinusitis
What almost all current guidelines on chronic rhinosinusitis have in common is the importance of intranasal steroid (INCS) use. However, it is increasingly understood that the efficacy of INCS depends on their efficient delivery to the point of need, i.e....
Traditional incision and drainage of a quinsy may be more efficacious than aspiration
Peritonsillar abscess drainage has always been one of the first procedures an ENT junior doctor performs. Traditionally incision and drainage (I&D) was the mainstay of treatment. In recent years, needle aspiration of the abscess has become much more commonplace, perhaps...
Treatment outcomes and dose rate effects following gamma knife stereotactic radiosurgery for vestibular schwannomas
Gamma knife radiosurgery (GKRS) is one of the definitive stereotactic radiotherapy treatment modalities for vestibular schwannoma (VS) management. Its efficacy depends on the cobalt-60 source which has a half-life of 5.26 years. According to the study authors, the actual rate...
Is posterior epistaxis really ‘posterior’?
In absence of any clear bleeding points seen on the septum, it is generally presumed that the epistaxis is posterior, especially when simple cauterisation of the septum does not help and may progress to sphenopalatine ligation. In this publication, the...
Tramadol soaked nasal packs for post-septoplasty analgesia
Having had a septoplasty a number of years ago for the potential treatment of snoring, I was intrigued by this paper which compared the analgesic effect of tramadol-soaked and lignocaine-soaked nasal packs following septoplasty. In my practice, I have always...
Chronic rhinitis endotypes
Chronic rhinitis (CR) is common with up to 30% of the population affected, with a significant impact on quality of life. CR includes several phenotypes with different pathogenesis including allergy, autoimmune, age, occupation, pregnancy, neurogenic and drugs. Such variation means...
Daflon – a new way to treat idiopathic epistaxis
Epistaxis is a common ENT emergency and most cases are idiopathic. Flavonoids are natural substances with variable phenolic structures that are found in fruit and vegetables and take effect on blood vessels. Daflon is proposed to control epistaxis by “improving...
Non-surgical and surgical management of arytenoids granuloma
Arytenoid granulomas are often a sequelae of laryngopharyngeal reflux (LPR). Unless there is suspicion of malignancy, they require a very balanced approach between conservative management and surgical intervention. The authors present a series of 62 patients with whom the primary...
Peer-support group for people with a hearing loss
Peer-support groups’ (PSGs) involvement in rehabilitation of people with different health issues can have a very positive impact on the patients’ wellbeing as showed in a various literature on the subject. This study involves analysis of data from previous studies...
