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Gamma Knife surgery for persistent or recurrent trigeminal neuralgia
Treatment of trigeminal neuralgia continues to be challenging. The treatment options include pharmacotherapy, or failing this, surgical options like microvascular decompression (MVD), radiofrequency ablation, pencil beam convolution and Gamma Knife surgery. The authors of this article have presented a series...
A drug to prevent hearing loss caused by ototoxic therapeutics
This editorial briefly highlights the progress made in discovering a compound named ORC-13661, which shows the potential to alter the response of hair cells to ototoxic medication. In the late 1980s, inner hair cells that were lost secondary to noise...
Assessment of the incidence of LPR in the Greek population using the Reflux Symptom Index
Using the self-administered nine-item Belafsky Reflux Symptom Index (RSI) questionnaire, the authors of this article assessed the prevalence of laryngopharyngeal reflux (LPR) in the general adult Greek population as well as predisposing and associated factors for developing LPR. They found...
An overview of microsurgical reconstruction of the head and neck worldwide
Microsurgical reconstruction is an integral part of the treatment following ablation for malignancy or trauma. Currently there are no clear treatment guidelines following tumour resection. This was recognised a few years ago and in 2008 various collaborative groups were founded...
Nasal decongestants don’t improve Eustachian tube function
Prescribing nasal steroids and decongestants. It’s something most of us do routinely, in an effort to reduce chronic middle ear effusion in an adult by trying to improve eustachian tube (ET) patency. This study used clever devices (tube manometry and...
Location, location, location: How to get the steroid where you need it, in chronic rhinosinusitis
What almost all current guidelines on chronic rhinosinusitis have in common is the importance of intranasal steroid (INCS) use. However, it is increasingly understood that the efficacy of INCS depends on their efficient delivery to the point of need, i.e....
All you need to know about childhood hearing loss - an update
This is an excellent update on childhood hearing loss. It is a comprehensive collection of five chapters, providing a summary of a broad range of practice guidelines to inform screening, diagnosis, and management of hearing loss in children. It has...
Drooling: what is it like to be unable to manage your own saliva?
Drooling in Parkinson’s is associated with less frequent and inefficient swallowing, resulting in a build-up of saliva in the mouth that then moves beyond the lips. It often causes discomfort as the skin becomes sore, and results in embarrassment. The...Tonsillectomy in adolescents
Tonsillectomy is one of the most common operations performed across the developed world. Salil Sood and Ray Clarke discuss the special considerations that apply when performing this procedure on adolescent patients. Tonsillitis in teenagers can be exceptionally painful and disruptive....On the shoulders of giants: a reflection on Wolfgang Steiner
Professor Wolfgang Steiner. Wolfgang Steiner inspired a whole generation of head and neck surgeons. Terry Jones gives us his own personal perspective. “We are like dwarfs on the shoulders of giants, so that we can see more than they, and...
