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ChatGPT to select patients for biologic therapies in CRSwNP?

This short communication describes programming the artificial intelligence (AI) algorithm for systematic review of current literature about guidelines on the clinical efficacy and safety of biologics in the treatment of chronic rhinosinusitis with nasal polyps (CRSwNP). The authors first performed...

Can junior doctors provide immediate help in airway and other ENT emergencies?

In the present trends for centralisation of ENT emergency services, availability of immediate middle grade or senior help in acute ENT emergencies does not always exist on site and hence the role of junior doctors in handling this is enhanced...

Concussion and isolated mandible fractures – are we asking the right questions?

Concussion and isolated mandible fractures – are we asking the right questions? The mandible is one of the most commonly fractured craniofacial bones. A significant force is required to bring this about. Hence the authors hypothesised that concussion after a...

Thalidomide in HHT

An interesting paper from a specialist centre in the Netherlands regarding the use of thalidomide in HHT patients. The St Antonius hospital has 1238 patients with HHT and 1% of these use thalidomide. The aim was to assess the benefits,...

Smell and mental health

This national survey from Korea asked questions about many aspects of health and one of these was about sense of smell. The prevalence of olfactory problems was 5% in the adult group surveyed, and other studies would suggest that this...

Outcome measures for hearing loss

This short editorial explores some possible options in measurement of quality of care in audiology. We traditionally tend to use clinician-related outcomes in place of patient-reported outcome measures and so we could miss a wealth of data on the impact...

Foreign object removal from the ear or nose

The range of nasal and aural foreign bodies that present to accident and emergency (A&E) departments, emergency rooms and minor injury units is limited only by the imagination. Aetiology and epidemiology statistics point to patients being predominantly children in the...

Alternative listening devices: reaching the places hearing aids don’t

The stigma surrounding hearing aids means that many people who would benefit from wearing them are put off from doing so. Alternative listening devices could provide the solution to this. David Maidment discusses these devices, their effectiveness and the impact...

Building sound: from Stonehenge to a Symphony Hall

Modern architecture can use scientific techniques to shape room acoustics and create great sounding places. Professor Trevor Cox discusses our ancestors’ understanding of the importance of building techniques to enhance acoustics from Stonehenge to a Symphony Hall. Going to an...

In conversation with Duncan Boak, founder of Fifth Sense

Anosmia Our sense of smell is something we take for granted – but imagine if it wasn’t there… We see many patients who struggle with anosmia, but perhaps don’t always appreciate how much of an effect it has on their...

Paediatric auditory brainstem implant: overview and outcomes

Auditory brainstem implants were first used in adults with NF2. They have more recently become a technology option for children but what is the evidence to support this choice? This article discusses the evidence so far. Auditory brainstem implant is...

Random-pattern skin flaps: part 2 - rhomboid and bilobed flaps

In the second of our series on local skin flaps (see Part 1 here, Part 3 here and Part 4 here), the authors describe more techniques and examples of various skin flaps that trainees should find very interesting. Rhomboid flap...