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Nasal decongestants don’t improve Eustachian tube function

Prescribing nasal steroids and decongestants. It’s something most of us do routinely, in an effort to reduce chronic middle ear effusion in an adult by trying to improve eustachian tube (ET) patency. This study used clever devices (tube manometry and...

Techniques in Facial Plastic Surgery: Discussion and Debate part 2

This edition of this popular journal is dedicated to ‘panel discussion’ on some of the most common controversies associated with ‘bread and butter’ facial aesthetic procedures. The procedures included are relevant and the aspects discussed are of practical importance to...

A twitch in time with a flicker of knowledge

The middle ear muscles can be seen as one of the ear’s safety mechanisms, and the interplay between eyes and ears has been established; think vestibular ocular reflex (VOR) or semi-circular canal dehiscence (SCCD). But can this protective mechanism be...

The PMFA Journal - October/November 2018 issue available

FEATURES IN THIS ISSUE: A practical guide to the most commonly used dressings in wound care by Sotirios Foutsizoglou. / Raising the bar for safer cosmetic surgery in the UK - part 2 by James D Frame. AND SO MUCH MORE...

Otologic Surgery - 5th Edition

Otologic Surgery 5th Edition, edited by Derald Brackmann, Clough Shelton, Moises Arriaga and Richard Gurgel, is a textbook masterpiece. The book is written in tribute to the editors’ mentors: Drs Howard House, William House and James Sheehy, whose pioneering work...

Can we predict how much benefit patients will get from ESS with a novel monoclonal antibody

Mepolizumab (Nucala) is a humanised IgG1 monoclonal antibody that acts as an IL-5 antagonist. It has been shown to be highly effective in treating severe asthma. It is hypothesised that it will be effective for patients with recalcitrant CRSwNP. This...

Speech in noise hearing difficulties

The phenomenon of speech understanding in noise in normal hearing people attracts the interest of researchers continuously. This study’s aim was to further explore the possible reasons behind these difficulties. The participants were 50 adults that reported having normal hearing...

ENT surgical training in Belgium

The authors aimed to identify strength and gaps in ENT training in Belgium through a national survey amongst ENT Belgian trainees. They attempted to contact 94 trainees, with a response rate of 59.5%. Of the respondents, 35.7% rated their level...

To Hear Again, To Sing Again: A Memoir by Ellis Douek, ENT Surgeon and Hearing Implant Pioneer

“The past is a foreign country: they do things differently there.” LP Hartley’s immortal words could have been written for these fascinating reflections on the practice of ear, nose and throat surgery during the second half of the 20th century....

DIY Epley manoeuvre

This is an interesting paper that looks at getting patients to do their own particle repositioning manoeuvre (PRM) after having it done by a clinician (‘Epley’ to you and me although there are some slight differences) once a week for...

A review of DISE classification systems

This article looks at the wide variety of classification systems currently available for interpreting drug induced sleep endoscopy (DISE).The fact that there are so many classification systems, suggests that there is: A) a lot of disagreement about how DISE should...

Head & Neck Endocrine Surgery: A Comprehensive Textbook, Surgical, and Video Atlas

Head & Neck Endocrine Surgery: A Comprehensive Textbook, Surgical, and Video Atlas is a 500-page textbook covering most aspects of thyroid and parathyroid surgery, edited by Prof David Goldenberg, a head and neck surgical oncologist based in Pennsylvania, USA. It...