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Budesonide irrigation in polyposis
It is very well known through many RCTs and now meta-analyses that saline-based irrigation is beneficial in patients after sinus surgery. It is also demonstrated that intranasal steroids are beneficial postoperatively but there is also a trend for steroid based...New curricula: trainees’ and trainers’ thoughts
After the disruption to training and clinical practice from COVID, it is interesting and perhaps encouraging that plans are in place to support ENT training in both mainland Europe and the UK with new formal curricula. We hear trainees’ and...The Hallpike Prize 2024
The Hallpike prize is awarded annually for the best project of the past 24 month period (research, audit or review of subject) in the area of audiovestibular medicine. The project can be unpublished, published or be in form of a presentation or poster, but the prize committee must be able to assess its quality from the available information provided within the application.The 66th Hallpike Symposium - BAAP
The 66th Hallpike Symposium took place on the 15th November 2024. It was organised by Drs Carolyn Ainsworth and Rosa Crunkhorn, Audiovestibular Medicine (AVM) Consultants at Guy’s and St Thomas’ NHS Foundation Trust, London. The theme of the event was ‘Recognising systemic conditions associated with audiovestibular dysfunction for the practicing clinician’.Random-pattern skin flaps: part 3 - Z-plasty flaps
In this third (see Part 1 here, Part 2 here and Part 4 here) of four articles outlining, in some detail, the practical steps for some important local skin flaps, Christopher Thompson and Miles Bannister describe the Z-plasty; a very...
Dizzy Me: Light on Balance
This book is unlike any academic text I have read before. It was not at all what I was expecting; the book aspires to be a “handbook for doctors [and a] guide for patients” but certainly takes an innovative, if...
Modified barium swallow studies: what is the radiation risk?
A modified barium swallow study (MBSS), also called a videofluoroscopy swallowing study uses ionising radiation to assist the clinician in visualising swallowing biomechanics from the oral cavity to the oesophagus. This procedure is currently one of the best methods used...The EU Medical Device Regulation (MDR)
Back in May 2017, the EU Medical Device Regulation (MDR 2017/745) entered into force, replacing existing directives: Active Implantable Medical Devices (AIMD) In-vitro Diagnostic Directive (IVDD) Medical Device Directive (MDD) By 26 May 2020, the new regulation will have completed...
Resolving dysphagia – can we distinguish mild dysphagia from no dysphagia?
Many patients with dysphagia following neurological events can and do experience a resolution of their swallowing difficulties, sometimes without any intervention. However, it is challenging for clinicians to distinguish mild dysphagia from no dysphagia. The question of where to draw...
Tactile Sensing and Displays: Haptic Feedback for Minimally Invasive Surgery and Robotics
This book has a catchy title and due to my interest in developing simulation systems for training in surgery I was delighted to be asked to review. However, I found it very hard going and the first few chapters are...
Delayed facial palsy post vestibular schwannoma resection
This article presents findings of a retrospective evaluation of 489 patients who underwent vestibular schwannoma surgery and developed delayed facial palsy. The authors define delayed facial palsy as deterioration of at least two HB grades between postoperative days five and...
