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Neurosurgery Clinics journal cover image.

Neuromodulation in drug resistant epilepsy

7 January 2021 | | Neurotology | Closed-loop, Epilepsy, Neuromodulation, Open-loop, Seizure network
Treatment of epilepsy can be considered generally as medical or surgical. Anti-epileptic drugs achieve a five-year seizure freedom in 54-70% patients. It is estimated that 50-90% of patients with drug-refractory epilepsy may not be candidates for resective surgery. For example,...
Acta Oto-laryngologica journal cover image

Quality of life in children following balloon Eustachian tuboplasty

9 September 2020 | | Otology
This study aimed to demonstrate the efficacy of balloon Eustachian tuboplasty (BET) in children by assessing their quality of life with the Otitis Media-6 questionnaire (OM-6). The OM-6 questionnaire is the most frequently used instrument to measure health-related quality of...

COVID-19 and medical practice

7 July 2020 | | Head and Neck | COVID-19, COVID, SARS-Cov-2, Head and Neck Cancer, ENT
The pandemic has deeply affected all types of medical and surgical practice and even publications. In this issue, the lead article was on the French consensus on ENT practice during the pandemic. In ENT practice, both patients and health workers...
Sinonasal Complications of Dental Disease and Treatment book cover.

Sinonasal Complications of Dental Disease and Treatment: Prevention - Diagnosis - Management

2 November 2020 | | ENT, Rhinology / Sinus
As otorhinolaryngologists, we are trained to examine the computed tomography (CT) scans of all patients with maxillary chronic rhinosinusitis (CRS) for potential dental disease. The mainstay of managing this is generally limited to referring the patient to their dentist or...

Low risk options following failure of intratympanic gentamicin for Meniere’s

1 May 2017 | | Meniere’s Disease, Intractable disease, Gentamicin, Surgery
This article is a useful summary of the options available when intratympanic gentamicin (ITG) fails to adequately control vertigo episodes in Meniere’s patients. The authors describe the anatomical reasons that may impede drug delivery to the round window with the...

IIOHNS / RCSI Study Evening in association with the RSM / JLO Travelling Tour

6 May 2019
Report by: Richard Ben Speaker, SpR The Royal College of Surgeons in Ireland (RCSI) opened its doors on a warm bank holiday Monday evening for this event, which was hosted by the Irish Institute of Otolaryngology, and took place in...

Preoperative risk factors: when do you need to refer to the haematologist?

1 September 2016 | | Anticoagulants, Bleeding risk, Coagulation disorders, Herbal medication, High-risk populations, Preoperative assessment
It is essential that clinicians are able to identify and assess which patients are in the high risk category for bleeding during ENT surgery. A full history, including medications, herbal remedies taken, any other medical co-morbidities and family history of...

Darn it! It’s going to take longer to get good at stapes surgery!

1 May 2016 |
Traditionally, it has been said the learning curve for a particular operation lies between 20 and 30 cases. In stapedotomy, a surgeon is deemed successful and perhaps competent if closure of the air-bone gap (ABG) is reached to within 10dB...

Identity: does it affect the training experience?

4 September 2023 | | ENT, Audiology - Adult, Auditory Implants
Our identity can be influenced by many factors, both internal and external to ourselves. One may say that if one has not had to consider one’s own identity at any time, perhaps that in itself is a privilege? Equally, one...

Endoscopic Dacryocystorhinostomy

1 September 2014 | | Rhinology / Sinus
Epiphora, or abnormal tearing, occurs because of blockage in the lacrimal drainage system, which impairs normal tear channeling into the nose. Dacryocystorhinostomy (DCR) is used to treat patients diagnosed with lacrimal sac or nasolacrimal duct obstruction (NLDO). External DCR was...

History of innovation in ENT

2 November 2020 | | ENT, Laryngology / Swallowing / Voice, Otology, Rhinology / Sinus
Innovation seems to have been in the strapline of every meeting, conference and course for the last few years. You would be forgiven for thinking it is a new a concept, but as Neil Weir beautifully details, innovation has been...

OBITUARY: Prof Shanmugam Kameswaran (1923-2021)

10 August 2021 | | ENT, Otology
Professor Shanmugam Kameswaran was born in 1923 and did his MBBS and MS at Madras Medical College, India, under PV Cherian who later became the Governor of Maharashtra, India. He worked as his assistant and left for the UK in...