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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...

Management of olfactory dysfunction

An evidence-based update on olfactory dysfunction: who to image, how to test and what works – OT, CRS surgery, biologics and PRP. Olfactory dysfunction (OD) is highly prevalent, affecting more than 20% of the adult population with a clear age-related...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

Beyond blocked noses: paediatric olfactory dysfunction for the ENT surgeon

Smell loss in children often goes unnoticed. Recognising the signs, understanding the causes and improving access to assessment could transform care. The hidden epidemic: why smell matters in children When a child presents with nasal obstruction, we instinctively look for...

Empowering hearing rehabilitation professionals in Sub-Saharan Africa and Asia

The Hearing Healthcare Alliance empowers professionals across Africa and Asia through comprehensive training programmes, improving local hearing rehabilitation services. According to the World Health Organization (WHO), approximately 430 million people worldwide require rehabilitation for disabling hearing loss [1]. This number...

2020 Unmasked - By Behrad Barmayehvar

The face mask has become part of our lives; an essential item besides your mobile phone that you cannot leave the house without. The mask has also turned into a symbol for the communal resilience that we have all shown...

Integrating technology into audiological rehabilitation programmes

In the future, the rehabilitation of adults with hearing loss is likely to involve modern information technology. Using the Internet in the audiological rehabilitation process might be a cost-effective way to include additional rehabilitation components by guiding hearing aid users...

Alternobaric vertigo: asymmetrical vestibular function due to asymmetrical middle ear pressures (Iron Man’s archenemy)

The Marvel Cinematic Universe could certainly be deemed an ‘extreme environment’ and yet very rarely do we see the Avenger’s popping to the clinic for a check-up. Hee-Young Kim has wondered how they cope with extreme pressure changes and discusses...

From technology to humanity: a conversation on person-centred hearing care

With a career that has spanned continents and disciplines – clinical audiology, cochlear implant technology and global leadership – Mei Dingxiang Feng is now leading a movement to bring person-centred care (PCC) to the forefront of hearing healthcare. In this...

Specialist teams deliver world-class trauma care

University Hospitals Birmingham NHS Foundation Trust runs the Queen Elizabeth Hospital Birmingham, which is a designated Major Trauma Centre. The Trust holds the contract to treat all UK injured military personnel evacuated from combat zones overseas. More than 1200 of...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Recalcitrant chronic rhinosinusitis: What to do next?

Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...