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What to do if adenotonsillectomy does not cure sleep apnoea in children?

This article reviews the management of children with persistent obstructive sleep apnoea (OSA) following adenotonsillectomy (AT). Risk factors for patients to have persistent disease include obesity, being Afro-Caribbean and existing co-morbidities such as craniofacial and neuromuscular disorders. Initial assessment of...

Cochlear implantation in adults has a positive impact on overall cognitive function as early as six months postop

The link between improving hearing and thus improving cognition is an important emerging area of research in hearing rehabilitation, due to the independent association between hearing loss and dementia. This study uses visually assessed neurocognitive tests of working memory, information...

Tablet-audiometer school hearing screening in the context of a developing country

This paper presents a novel use of innovation to tackle the challenges of providing school-age hearing screening in low and middle income countries (in this case Nicaragua, second poorest in the western hemisphere), from the creators of a tablet-based audiometer...

Allergic rhinitis, the usual suspects

Allergic rhinitis (AR) is characterised by allergen binding to IgE on mast cells and basophils and subsequent histamine, prostaglandine D2 (PGD2) and cysteinyl leukotrienes (cysLTs) release causing early-phase response. This is followed by late-phase response mediated by eosinophils. Other cells,...

Silent sinus syndrome: which approach offers the best outcome?

Silent sinus syndrome (SSS) is a rare condition with patients presenting as spontaneous, painless enophthalmos, hypoglobus, orbital asymmetry, and maxillary sinus collapse on the ipsilateral side. The orbital resorption occurs secondary to negative pressure created in the maxillary sinus by...

Effects of coronavirus pandemic on presentation of head and neck cancer patients

The COVID-19 pandemic caused unprecedented disruption of NHS services. This was compounded by patients’ reluctance to attend hospitals at that time. How this affected the presentation of patients with head and neck cancer is the subject of this study. Head...

Are we screening enough? Genetics in adult-onset sensorineural hearing loss

Sensorineural hearing loss (SNHL) in adults can be a result of multiple factors such as age, noise exposure and autoimmune pathology. In a group of patients, no cause is identified and the SNHL is treated as idiopathic. Authors evaluate the...

Assessing the impact of e-cigarette smoke on the vocal fold

While the use of electronic-cigarettes (e-cigs) is increasing rapidly, little is known about the effects this has on the health of vocal fold. In this translational research study, authors compared the effects of e-cig vapour and cigarette smoke on an...

What are the risk factors for new onset tinnitus?

Factors associated with tinnitus have mainly been studied cross-sectionally. Tinnitus is associated with hearing loss, noise exposure, ototoxic medication, head and neck trauma, smoking and depression and anxiety. Only a few studies exist that report on risk factors for developing...

Make food thy medicine!

This is a useful paper emphasising how diet affects health and various ENT conditions. We have known for many years the power of food as medicine. We also know that what we eat can affect our bodies in multiple ways...

Is a hemithyroidectomy as effective as a total thyroidectomy for compressive symptoms?

The claim made in the title of this paper, that hemithyroidectomy is equally as successful as total thyroidectomy in alleviating compressive symptoms from goitres, is certainly intriguing. And with the inclusion of 45,539 subjects, it would at first glance seem...

Basic Audiometry Learning Manual - Third Edition

Unfamiliar with the first and second editions, it was a pleasure to review the third edition of the Basic Audiometry Learning Manual. As with many of such books available to the market, and as one would expect, there is a...