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Patron saints of the ear

2 March 2022 | | ENT, Otology, Audiology - Adult
We all know that ear symptoms include hearing loss, vertigo, tinnitus and otalgia, but did you know there are patron saints for all these symptoms? John Riddington Young shares an overview of the patron saints of the ear, inspired by...

Semi implantable bone conduction devices: challenges and developments

6 June 2017 | | Auditory Implants, Audiology - Paediatric, Audiology - Adult, ENT, Otology, Paediatric ENT
Bone conduction mechanisms and history of bone conduction aids Bone conduction hearing devices work by stimulating hair cells via the bone conduction hearing pathways. These pathways are less well understood than the air conduction pathways, but recent research has shown...

Dizziness: confusion, issues and considerations

1 November 2015 | | Otology, Vestibular Disorders
Douglas L Beck gives his unique take on the difficulties involved in diagnosing dizzy patients and the importance of well-founded research acting as the basis for any diagnosis and treatment decisions. Dizziness. Uh-oh. We really have a very limited understanding...

Endoscopic DCR

31 October 2018 | | ENT, Rhinology / Sinus
In this interesting article, our experienced colleagues describe their favoured technique for performing endoscopic DCR and share with us the key steps for a successful outcome. Dacrocystorhinostomy (DCR) was historically performed by ophthalmologists for nasolacrimal obstruction using external techniques. The...

Paediatric obstructive sleep apnoea

6 January 2023 | | ENT, Paediatric ENT
As tonsillectomy rates for recurrent sore throats have declined, there has been increasing recognition of the importance of OSA in children. Not always diagnosed early – or in some cases at all – and with continuing debate as to how...

Old age is hard to swallow

4 May 2023 | | ENT, Laryngology / Swallowing / Voice
This article takes us through the diagnosis and management of swallowing problems common in older age. As our global population continues to grow and live longer, dysphagia will continue to be a global problem which needs to be recognised, understood...

Discovery in the genetics of complex disease: Otitis media

1 November 2014 | | ENT, Genetics, Otology
Otitis media (OM), a common disease of childhood, is considered to be a complex trait with multiple genetic and environmental factors expected to contribute to a child’s risk of developing recurrent acute OM (rAOM; ≥3 episodes in 6 months or...

Surgical management of sleep disordered breathing

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Snoring and sleep-disordered breathing are often described as multi-level problems, and different surgical procedures are required to treat the various sites of airway narrowing and/or collapse. Jonathan Hobson gives us an eloquent run-through the various options available to the ENT...

Coblation tongue channelling

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

Endoscopic ear surgery in children

1 May 2016 | | ENT, Paediatric ENT, Otology
The benefits of endoscopes in otologic surgery, which have become increasingly widely appreciated in recent years, are very well suited to the management of paediatric middle ear disease. Although one might imagine that the smaller ear canal of a child...

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...

Olfaction in CRS

3 November 2022 | | ENT, Rhinology / Sinus
Conventional teaching tells us that hyposmia in chronic rhinosinusitis is due to mechanical obstruction of the olfactory cleft. But it might be that the story is slightly more complicated than that. Olfactory dysfunction is a common feature of chronic rhinosinusitis...