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Evidence-based clinical education
All healthcare professionals participate in education of students in both their own and other disciplines. It is part of our role and we are often used to squeezing it in and around our clinical responsibilities. In fact, the events during...
A new tool for assessing otoscopy skills
Medical and audiology students need to be proficient in performing otoscopy in order to undertake the routine practice required of them at work upon graduation. One significant challenge in teaching otoscopy is the lack of objective and validated assessment tools...
Speedy speedy: people with MND chew faster but speak slower
Motor Neurone Disease (MND) is a progressive neurological condition that affects motor neurons in the brain, brainstem and spinal cord, affecting the control of skeletal muscles for speech, chewing and swallowing. There are two variants of MND, with symptoms typically...
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....
Thyroidectomy and hypnosis
This is a retrospective study comparing thyroidectomy under conventional general anaesthesia and surgery under hypnosis. Patients are interviewed and evaluated before the surgery and the process explained. During the surgery, they are induced into a hypnotic trance in a controlled...
Does minimally invasive surgery under local anaesthesia have a role in the management of chronic rhinusinusitis?
A formal FESS procedure usually done under local anaesthesia is considered as gold standard in the management of chronic rhinusinusitis. However, success is hampered by a significant recurrence rate of polyps requiring revision surgery, long waiting lists, reluctance of elderly...
Horizontal canal PPV: is Gufoni manoeuvre better than barbecue manoeuvre?
Benign paroxysmal positional vertigo (BPPV) is the most common kind of vertigo that we come across in our out-patient clinic. Horizontal canal BPPV (HC-BPPV) accounts for 10–30% of total BPPV. Two techniques, namely Guffoni and barbecue roll manoeuvres, are generally...
Potential benefits of turbinate sparing medial maxillectomy
Whilst endoscopic medial maxillectomy (EMM) has good results as the standard treatment option for tumours arising in the maxillary sinus, postoperative problems of crusting, epiphora and paraesthesia are not uncommon. This paper looks at modified EMM aimed at sparing the...
How much does CRS affect Eustachian tube dysfunction symptoms?
We know that chronic rhinosinusitis (CRS) and Eustachian tube dysfunction (ETD) are both very common, and that the two often co-exist but this paper looks to establish the prevalence and severity of ETD in CRS patients, and how much treatment...
The septum and breathing
The authors compared the improvement in nasal obstructive symptoms in two groups of patients. One group underwent septoplasty alone and the other septoplasty accompanied with compensatory turbinoplasty. They used the Nasal Obstruction Symptom Evaluation (NOSE) [12] and visual analog scale...
Intranasal steroids in COVID-19
COVID-19 in patients with allergic conditions does not seem to take more severe course. The Global Initiative for Asthma recommended that asthmatic patients who are on prescribed inhaled or oral steroids should continue to take them. Contradictions between guidelines in...
