You searched for "trial"
Tonsillitis and tonsillectomies: where do we go from Paradise?
5 January 2022
| Sheneen Meghji, Michael Wickstead
|
ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Landmark Paper: Paradise JL, Bluestone CD, Bachman RZ, et al. Efficacy of tonsillectomy for recurrent throat infection in severely affected children – results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984;310(11):674-83. The Paradise paper on tonsillectomy...
Take-home tinnitus care – Sound Relief App
Tinnitus is a condition that affects over 300 million people worldwide. Typically it manifests as a ringing or buzzing in the ears and while there is not yet a cure there are many ways for patients to manage their tinnitus....
Updates on current evidence for biologics in chronic rhinosinusitis
30 April 2020
| Matthew Coates
|
ENTA - Rhinology / Sinus
For a comparatively short piece, this article manages to pack in a lot of important information about a complex emerging area of rhinology – immunologically targeted therapy (biologics). Immunologically targeted therapy is a rapidly progressing and expanding domain which is...
Method of delivery: all topical nasal corticosteroids are not made equal
1 July 2018
| Christos Georgalas
|
chronic rhinosinusitis, corticosteroid, intranasal spray, nasal polyps, irrigations, paranasal sinuses
There is an increasing body of evidence that the role of surgery for chronic rhinosinusitis is to facilitate the delivery of topical medical treatment – most notably, topical corticosteroids. Two recent studies, one using flow dynamics and another one examining...
Can the threshold for drain removal after selective lateral neck dissection be safely raised to an output volume of less than 100 mL in a 24-hour period?
1 March 2018
| Shabbir Akhtar
Closed-suction drains are routinely used by most head and neck surgeons after selective lateral neck dissections (SLNDs). A recent survey of more than 360 head and neck surgeons found that more than 60% use a criterion of less than 30...
Are there benefits of prophylactic swallowing exercises for patients with head and neck cancer?
1 November 2017
| Roganie Govender
|
Chemoradiation, Dysphagia, Prophylactic exercises, Quality of life, Swallowing
This randomised controlled trial aimed to establish the impact of prophylactic swallowing exercises in patients undergoing chemoradiation therapy for head and neck cancer. The primary outcome was the functional oral intake scale (FOIS), although secondary measures for feeding tube use,...
Intratympanic treatments for subjective idiopathic tinnitus
24 May 2017
| Rishi Sharma, Don McFerran
|
ENTA - Audiology - Adult, ENTA - ENT, ENTA - Otology, ENTA - Tinnitus
Direct application of medication into the ear is long established, going back as far as written records. In the modern era, greater understanding of aural anatomy revealed that drugs instilled in the middle ear could potentially diffuse into the cochlea...
Reflux, a pre-disposing factor in paediatric OME?
It is almost 20 years since the Lancet publication by Tasker et al describing gastric juice in the glue ear of children. This paper attempts to look at the body of literature which has focused specifically on the clinical association...
Vestibular paroxysmia, diagnostic controversy clarified?
Historically, the cause of vestibular paroxysmia (VP) had been attributed to neurovascular compression of the eighth cranial despite the observation that such compression is very common in asymptomatic subjects. This paper, part of International Classification of Vestibular Disorders (ICVD) by...The effects of polypharmacy in the elderly
Another pill to cure the ill? Alec Lapira discusses the warning signs of polypharmacy in the elderly population. Polypharmacy in the elderly Polypharmacy – defined as the use of five or more medications – occurs in 20–37% of older people...
A novel graft material for endoscopic tympanoplasty using the pre-tragal SMAS layer
The traditional biological graft materials for providing a scaffold for tympanic membrane reconstruction include temporalis fascia as well as conchal and tragal perichondrium/cartilage. This group from Taiwan present a novel graft option using the superficial musculo-aponeurotic system (SMAS) layer. They...
