You searched for "consulting"
Unilateral vocal cord mobility impairment and laryngopulmonary physiology
The concept of iatrogenic recurrent laryngeal nerve injury following thyroid surgery is often considered with respect to voice change but its potential impact on airway physiology has thus far not been evaluated. A cross-sectional observational study reviewed 21 patients with...
Friendly bacteria in the ear nose and throat to combat the bad…
The author presents a thorough review of bacterial interference and the studies that have been conducted in common ENT conditions. The simple concept is that a strong population of normal flora will interfere with colonisation and subsequent infection by pathogenic...
Is benign intracranial hypertension underdiagnosed in patients with spontaneous CSF leaks?
In ENT practice we come across spontaneous CSF leaks. Patients present either as unilateral watery rhinorrhoea or otorrhoea, or sometimes as hearing loss with a watery middle ear effusion. Clinicians, after confirming the diagnosis of CSF leak with beta 2...
Development of an ENT undergraduate curriculum
With over a third of medical schools not including any clinical attachment in the subject, this is a laudable attempt to confront the deficiencies in undergraduate ENT teaching within the UK. The Delphi process is an established method of developing...Prednisolone and/or acyclovir for Bell’s palsy
Landmark Paper: Sullivan FM, Swan IRC, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s Palsy. N Engl J Med 2007;357(16):1598-607. Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long-term effects on...Patient-centred and accelerating progress: two organisations changing the landscape for rare skull base tumours
Patient-led organisations are transforming care for rare skull base tumours by connecting patients, clinicians and researchers to accelerate diagnosis, support and scientific progress. A skull base tumour diagnosis is a difficult time for any patient, but it is made more...From the editor January/February 2024
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk Welcome to January/February 2024 – I hope you have had a restful Christmas break and that you are raring to go...
Olfactory neuronal damage in sinusitis
So many patients with nasal disorders have poor olfactory function, yet sometimes the nose may seem comparatively clear of conductive problems. This study postulated that neuronal damage in the olfactory apparatus would lead to a leakage of neuron specific enolase...
Viral induced hearing loss
Viruses are a common cause of hearing loss both in children and adults. This article provides a good review of the viral causes of hearing loss and can be regarded as an essential read. The authors divide the viruses into...
Canal wall up mastoid defects - can they be usefully reconstructed with hydroxyapatite cranioplastic cement?
Standard canal wall up (CWU) mastoid surgery leaves a mastoid defect of varying size, commonly covered by soft tissue. Rarely, this bony defect can cause discomfort, cosmetic issues or other problems. To mitigate these, the defect can be filled either...
Hearing rehabilitation for patients with chronic otitis media
Chronic otitis media (COM) commonly causes associated hearing loss. The authors performed a review of the literature, discussed challenges of restoring hearing in patients with COM and potential future work in reporting results both in terms of hearing outcomes and...
