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Combined sprays for allergic rhinitis maintenance

1 November 2015 |
This meta-analysis looked at the reported efficacy for allergic rhinitis control of various topical sprays, particularly comparative studies. There were fewer ‘head to head’ studies than we would have hoped to exist. This review included intranasal anti-histamines, intranasal steroids and...

Nasal packing after septoplasty

1 November 2015 |
This Turkish study aimed to investigate the effects of different types of nasal packings on middle ear pressure in patients undergoing septoplasty. The authors reference several articles that describe eustachian tube dysfunction, temporary ear fullness and mild pain due to...

Not so innocent, after all: a meta-analysis of the effects of intranasal corticosteroids on growth

1 May 2015 | | allergic rhinitis, androstadienes, beclomethasone, budesonide, fluticasone, glucocorticoid, inhaled glucocorticoids, nasal inhaler, nasal spray, steroids
The use of intranasal corticosteroids has revolutionised the management of allergic rhinitis and rhinosinusitis and there is now significant evidence of their safety. The problem with side-effects is that clinical studies are designed to demonstrate efficacy, but are underpowered to...
Allergy journal cover image

Intranasal steroids in COVID-19

9 September 2020 | | ENTA - Rhinology / Sinus
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...
American Journal of Rhinology & Allergy front cover image

How to manage the concha bullosa in FESS

7 July 2020 | | ENTA - Rhinology / Sinus, ENTA - Skull Base Surgery | Lund–Mackay score, SNOT-22, chronic sinusitis, computed tomography, patient-reported outcomes, pneumatized middle turbinate, sinus surgery
It is an interesting concept to assess how much impact the presence of a large concha bullosa (CB) has on both severity of chronic rhinosinusitis (CRS) and also postoperative outcomes after FESS. The authors accept that the paper has limitations...

Supplementing intranasal cortical steroids with montelukast: does it help?

1 November 2014 | | ENTA - Laryngology / Swallowing / Voice, ENTA - Otology
Intranasal steroids are widely used in the treatment of allergic rhinitis. Whether or not the addition of montelukast helps was assessed in this study. This was a single centre prospective randomised double-blind placebo-controlled trial of two groups of patients, one...
B-Ent journal cover image.

Septal perforation healing

3 May 2024 | | ENTA - Rhinology / Sinus, ENTA - Rhinoplasty
This Turkish animal-based study looked at the healing properties of Hypericum Oleum (HO, or St John’s wort) and Triticum vulgare (TV, or wheat germ oil) on nasal septal perforations in rats. Both HO and TV have wound healing properties and...

Drug eluting stent vs INCS for CRS

1 November 2017 |
A prospective, randomised study from Finland to compare a drug eluting stent (DES) and intranasal corticosteroids (INCS) in 63 patients as assessed by SNOT-22, VAS, endoscopy, CT and rhinometry pre-treatment, at three and six months post treatment. Recruitment was over...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENTA - ENT
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...

Endoscopic DCR

31 October 2018 | | ENTA - ENT, ENTA - 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...

Type 1 thyroplasty using a novel and inflatable implant from APrevent® VOIS

4 July 2024 | | ENTA - Laryngology / Swallowing / Voice, ENTA - ENT
Unilateral vocal cord immobility severely impacts voice, swallowing, and airway functions. A novel approach offers adjustable medialisation for improved patient outcomes. Unilateral vocal cord immobility (UVCI) can cause significant disability to voice, swallowing, and airway functions. Patients with UVCI may...

The use of THRIVE in laryngology and phonosurgery

1 May 2018 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
The team in Lewisham has been using THRIVE for our phonosurgical cases for about a year. Here, we discuss the pros, cons and potential pitfalls of setting up and using THRIVE as ventilation during anaesthesia rather than using an ML...