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To montelukast or not to montelukast

Both histamine and cysteinyl leukotrienes play an important role in both seasonal allergic rhinoconjunctivitis (SARC) and asthma. A combination therapy against both was shown to give benefit both in vitro and in vivo. Authors wanted to test the efficacy of...

MRI in diagnosis Meniere’s disease: what is the evidence?

The utility of magnetic resonance imaging (MRI) in the diagnosis of Meniere’s disease (MD) has attracted a lot of interest recently. It is well accepted that the saccule is the most common vestibular organ affected by endolymphatic hydrops (EH) and...

What we need to know about the new frontier of inner ear therapies

This is an interesting and topical review of the emerging biotechnology and pharmaceutical solutions for hearing loss and related conditions such as tinnitus. This paper suggests we are on the cusp of a very large step-change in the way we...

Allergy and the ear

Allergic disease is commonly associated with asthma, eczema and rhinosinusitis. The authors reviewed possible associations between allergy and otologic diseases. The authors first explored the possible association between allergy with otitis media with effusion (OME) and found the majority of...

What is the evidence for duration of antibiotic prophylaxis in head and neck free-flap cases?

The topic of this systematic review is one which is commonly heard in discussions between microbiologists and head and neck surgeons – what is the evidence for antibiotic prophylaxis in clean-contaminated free-flap cases, and crucially, how long should antibiotics be...

Rationales to explore the neck in penetrating injuries

Penetrating neck injuries in the UK are more commonly associated with low velocity objects such as knives and blades as opposed to gunshots. To explore the neck requires careful consideration of the need to do so in line with Burgess...

Identifying CN IX and X using endotracheal tube electrodes

This clinical study describes the possible usefulness of endotracheal tube electrodes in monitoring vocal cord function during cerebellopontine angle surgery in 20 patients. Lower cranial nerves, especially IX and X are at risk of injury during skull base surgery although...

Being a doctor abroad – comparing the Greek healthcare system with the NHS

Healthcare systems and training programmes vary significantly across the world. By learning about other healthcare systems, we can identify blind spots in our own system and continue to improve training. Sofia Anastasiadou, an ENT Registrar in South West England, describes...

Pathways for becoming an audiologist in the USA: Part 2. Academic and licensure requirements today

Part 1 of this topic is available here. Professor Hall reviews current requirements for practising audiology in the USA; audiologists must have a Doctor of Audiology degree from an accredited university programme and a licence in the state where they...

Audiology Assistant Apprenticeship – employer and apprentice perspectives

To celebrate National Apprenticeship week in February 2021, Keiran Joseph interviewed Caroline Jackson, Principal Audiologist at Children and Young Peoples Audiology Centre St Thomas Hospital, and Audiology Assistant Apprentice, Rachael Allan, about the value of the apprenticeship scheme in their...

JLO surgical video: right selective neck dissection levels 2-5

Surgical training has become more challenging following the introduction of the European Working Time Directive. The consequences of reducing the amount of time we operate has driven us to look for other resources to fill this gap. These initially began...

10th Annual International Surgical Sleep Society Meeting

Report by: Vik Veer, Royal National Throat, Nose & Ear Hospital and Queens Hospital The 10th International Surgical Sleep Society Meeting was held on 10-11 May 2019 at New York Marriott Marquis, USA. Overlooking the boisterous Times Square and it’s...