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The MACRO Trial: defining best management of chronic rhinosinusitis

A major UK trial in The Lancet finds ESS provides greater symptom relief than long-term macrolides for adults with CRS, supporting earlier surgery and fewer antibiotics. The MACRO Programme was established in 2016 when the UK National Institute of Health...

IFOS Dubai 2023

Hussain Abdul Rahman Al Rand, Msc (Cairo), German Board (Facharzt), FRCS (Edin), President, IFOS World Congress Dubai, 2023; Assistant Under Secretary Public Health, Ministry of Health and Prevention, UAE; Vice President, IFOS; President, ARABFOS, GCC ORL Head and Neck Society,...

“Oh Manchester is Wonderful”...And other chants you might hear from the football stands or at BACO

Chris Potter is a lad of the North West, and we see him here letting his bleach blond hair grow out to show us his Northern roots. When I was a lad, Manchester was a troubled city in apparent terminal...

Lost and sound: exploring hyperbaric oxygen therapy for refractory SSNHL

Can hyperbaric oxygen therapy (HBOT) offer a breakthrough for patients with refractory sudden sensorineural hearing loss (SSNHL)? SSNHL is defined as acute hearing loss of ≥30 decibels in three consecutive frequencies within three days. Typically, it’s treated with two weeks...

RSM Laryngology & Rhinology: the year ahead

As the president of the RSM’s Laryngology & Rhinology Section for the 2022-23 academic year, my aim is to centre the education programme around our trainees, with a real emphasis on inspiring the future generation of ENT surgeons.

20th National ENT Masterclass ®

Asad Qayyum, Consultant Otolaryngologist, Peterborough, UK The 20th National ENT Masterclass® took place over two days at the historic Royal Society of Medicine (RSM) in central London. It marked a major milestone – the 20th anniversary of this flagship training...

Multisystem pathology in refractory otitis media with effusion

Recurrent middle ear effusion is a common problem and so is rhinosinusitis with polyposis. It is not often thought that the problem could be linked to multisystem pathology, such as eosinophilic granulomatous with polyposis. Therefore, repeated grommet insertions and surgical...

Timing of surgery in chronic rhinosinusitis: does it matter?

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...

Systemic agents in thyroid cancer

For those patients who have disseminated or unresectable thyroid cancer, Dr Arabella Hunt and Dr Kate Newbold review systemic treatments, their differences, toxicities and outcomes. Thyroid cancer is the most common endocrine malignancy. It is subdivided into differentiated (papillary, follicular...

70 years of Akustika

For the past 12 months, the Swiss Association of Hearing Aid Acoustics has been celebrating its 70th anniversary and looking back at its milestones.

How to tell if a bone anchored hearing device is working?

Bone anchored hearing aids are becoming increasingly more commonplace with more than 120,000 users worldwide. These devices are based on the principle of direct bone conduction, where sound is transmitted directly through the skull via a titanium implant to the...

Low risk options following failure of intratympanic gentamicin for Meniere’s

This article is a useful summary of the options available when intratympanic gentamicin (ITG) fails to adequately control vertigo episodes in Meniere’s patients. The authors describe the anatomical reasons that may impede drug delivery to the round window with the...