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Peripheral nerve stimulation for chronic refractory pain
Peripheral nerve stimulation (PNS) plays an important role in treating chronic refractory pain syndromes that manifest in limited distributions and overlap with areas of neurologic innervation. The process is generally thought to capitalise on the inhibition and activation of pain-related...
Vestibular migraine or BPPV?
There are close similarities between benign paroxysmal positional vertigo (BPPV) and vestibular migraine (VM) as both can be presented by positional nystagmus. Though BPPV remains the commonest cause of pure positional vertigo, VM can mimic this condition. This study is...
How best can we manage Samter’s Triad/AERD?
The classic ‘Samter’s Triad’ of asthma, chronic rhinosinusitis with nasal polyposis (CRSwNP), and aspirin sensitivity is now referred to as aspirin-exacerbated respiratory disease (AERD) or non-steroidal anti-inflammatory-exacerbated respiratory disease. We often come across in our rhinology setting, patients with recalcitrant...Hidden hearing loss in humans
Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...The workplace environment and doctors’ health (ENT)
It is well established that doctors have higher levels of stress, depression and suicide than the general population [1] and most other professional groups (Figure 1 illustrates the factors that can make us ill). In addition they have high levels...AUDIOLOGY - In conversation with Hans Henrik Philipsen
So your background is in social research, how did you develop an interest in this area? I have always had an immense curiosity when it comes to understanding other people and other cultures. My early experience as a teenager in...Reflux – diagnostic tools and special considerations in singers
Depending on your point of view, laryngopharyngeal reflux (LPR) is either ubiquitous or is over-diagnosed. Are singers more prone to LPR? What are the best tests? Mark Watson and Jane Shaw tell us more. Laryngopharyngeal reflux (LPR: the backflow of...A funny thing happened whilst your boss was away at a conference
What is the difference between God and Professor Sir Donald Harrison? God is everywhere – Sir Donald is everywhere except at the Royal National Throat Nose and Ear Hospital! This was a common joke about Sir Donald, who was much...Intraoperative nerve monitoring: 2017
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...
Patients with severe uncontrolled CRSwNP respond to biologics in the real world
Clinical trials have demonstrated that biologics are effective in treating patients with chronic rhinosinusitis with nasal polyps (CRSwNP). This multicentre (15 tertiary care centres in France) observational prospective cohort study aims to examine the effectiveness of biologics in treating CRSwNP...
Ramsey Hunt causes more widespread vestibular dysfunction that other causes of acute peripheral vestibulopathy
The extent of semicircular canal dysfunction in different conditions causing acute vestibular syndrome (AS) has not been widely studied. The authors share their findings in a retrospective study of patients presenting with AVS in three conditions: Ramsay Hunt syndrome (RHSD),...
