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Endotypes in chronic rhinosinusitis: clinical relevance

3 May 2024 | | ENT, Rhinology / Sinus
Identifying endotypes enables personalised therapies that target specific pathophysiological processes, potentially resulting in better treatment outcomes for patients. The contemporary model of chronic rhinosinusitis (CRS) pathogenesis revolving around endotype, in combination with an expanding toolbox of diagnostics and therapeutics, enables...

Reflux – diagnostic tools and special considerations in singers

3 September 2021 | | ENT, Laryngology / Swallowing / Voice
Depending on your point of view, laryngopharyngeal reflux (LPR) is either ubiquitous or is over-diagnosed. Are singers more prone to LPR? What are the best tests? Mark Watson and Jane Shaw tell us more. Laryngopharyngeal reflux (LPR: the backflow of...
Otolaryngology Clinics of North America journal cover image.

Nasal allergies and OSA

4 July 2024 | | Rhinology / Sinus
The first day of June is the meteorological start of summer. As a moderately wet spring slowly blurs to (a damp UK) summer, we can look forward to holidays in the countryside, enjoying the changing pollen seasons from tree to...

Introducing Otinova – A unique formula for Otitis Externa

7 December 2021 | Research & Development
Otinova Ear Spray is a medical device that treats ear canal inflammation/otitis externa, sometimes known as ‘swimmers ear’.

Chronic rhinosinusitis, are we treating the same disease?

31 October 2018 | | Rhinology / Sinus | chronic rhinosinusitis, cluster analysis, difficult-to-treatment, nasal polyps
Chronic rhinosinusitis (CRS) is a heterogenic disease. The effects of heterogeneity on treatment outcome are not very clear. Authors used clinical features such as endoscopic findings scores and full blood count findings in addition to analysis of 35 molecular markers....

Timing of surgery in chronic rhinosinusitis: does it matter?

1 July 2016 | | ENT, Rhinology / Sinus
While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

Laryngotracheal stenosis

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Airway stenosis has been an enormous challenge to laryngologists since the dawn of the sub-specialty. Careful evaluation is essential, as this will determine the best treatment. We hear more from one of the UK’s leading airway centres. Until the advent...

Quo vadis FESS? Future directions in functional endoscopic sinus surgery

1 May 2019 | | ENT, Rhinology / Sinus, Imaging
Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

Ossicular reconstruction

27 February 2020 | | ENT, Otology
Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

1 July 2016 | | Rhinology / Sinus
In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

The search for pharmacological treatments for hearing loss and tinnitus

1 November 2016 | | Audiology - Adult
Where are we in our search for a hearing restoration grail? Nicola Robas leads us through the map pieces discovered in creating a pharmaceutical answer to hearing loss and tinnitus. Together, hearing loss and tinnitus affect over one in six...

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

2 March 2022 | | ENT, Rhinology / Sinus
In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...