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A more comprehensive management for eosinophilic chronic rhinosinusitis after FESS

In recent years there has been increasing recognition of eosinophilic chronic rhinosinusitis which, in particular, results in persistent symptoms and recurrence of nasal polyps, even after FESS surgery. It therefore calls for measures adjuvant to FESS to stop persistence of...

Role of non-echo planar diffusion weighted magnetic resonance imaging in detection of cholesteatoma

Whilst the method of canal wall down and same-session reconstruction is emerging to be more popular, canal wall up procedures are still performed. In either, it is necessary to ensure eradication of cholesteatoma or detect its recurrence. The reliability of...

Exciting advances in facial reanimation

Despite several techniques for reanimation after facial paralysis, the management of these patients continues to challenge us. This paper reviews advances in facial reanimation surgery, provides updates on the timing of intervention, modifications to the traditional gracilis muscle transfer, other...

How do mermaids hear?

When the imagery of childhood fairy tales meets the more clinically analytical mind of an adult, there may at some point come the question, ‘how do mermaids hear’? Luckily a department of biology in Denmark has sought to furnish such...

A twitch in time with a flicker of knowledge

The middle ear muscles can be seen as one of the ear’s safety mechanisms, and the interplay between eyes and ears has been established; think vestibular ocular reflex (VOR) or semi-circular canal dehiscence (SCCD). But can this protective mechanism be...

Wisdom teeth and mandibular osteotomies

This is a systemic review and meta-analysis from Italy and Brazil where they try to clarify the role of wisdom teeth and complications in a sagittal split mandibular osteotomy. Whilst, like many other papers, they outline the quality of evidence...

Hyaluronic acid injection laryngoplasty

This systematic review discusses the use of hyaluronic acid in injection laryngoplasties. Unilateral vocal cord paralysis leads to incomplete vocal fold adduction and dysphonia. For patients not improving with voice therapy, surgical procedures include injection laryngoplasty or open laryngeal framework...

Does speech and language therapy provide value for money?

Within the NHS (and outside it), managers, commissioners and consumers will consider value for money as a key component in making a decision about whether to pay for speech and language therapy (or any other service for that matter). Yet...

Age and sleep disorders as risk factors for Ménière’s disease

Decades after it was first described, the pathophysiology of Ménière’s disease is still a subject for research and discussion, with several controversies regarding its management. Several factors have been reported to cause Ménière’s disease including viral infections, allergies, genetic factors,...

Videofluoroscopic swallowing studies: balancing risks and benefits

Videofluoroscopic swallow studies (VFSS) are an important part of the diagnostic toolkit and arguably the current gold-standard for assessing swallow biomechanics and diagnosing dysphagia. However, the procedure does involve exposure to radiation, and any clinician requesting this should be able...

Patient-related factors that require revision surgery for otosclerosis

Stapes surgery for otosclerosis has a high success and low complication rate but, over a period of time, good results can deteriorate, requiring revision surgery. In this study, the authors have focused on patients’ demographic data as predictive factors for...

Mondini dysplasia and cochlear implantation

Approximately 20-28% of sensorineural hearing loss in children arises due to a cochlear malformation. Mondini dysplasia includes a cochlear with one and a half turns and an incomplete interscalar septum. Cochlear implantation is a common treatment protocol for children with...