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Use of topical steroids and antibiotics, compared to systemic antibiotics in the treatment of acute rhinusinusitis

Acute rhinusinusitis is mainly initiated by viral infections. Bacterial infection is usually superadded. The inflammatory cascade upregulates the pro-inflammatory mediators resulting in pain, nasal obstruction and nasal discharge. Local application of steroids and antibiotics could provide a higher concentration of...

Adjuvant radiotherapy for T4N0 laryngeal cancers treated with laryngectomy

A total laryngectomy remains the gold standard for the initial treatment of advanced (T4) squamous cell carcinomas of the larynx without evidence of distant disease. Adjuvant radiotherapy (RT) is also recommended for such cancers. In the absence of other adverse...

The future of hearing care and the role of audiology

The Clinical Director of Cincinnati Children’s Hospital Medical Center and President-elect of the American Academy of Audiology reviews the status of the present day audiologist’s remit, and discusses the changes we can expect with the changing demographic and behaviour of...

Virtual chromoendoscopy (VCE)

‘That’s a funny looking lesion on the larynx, it’s probably benign, but I should take a biopsy.’ Liz Ross and Ajith George discuss whether virtual chromoendoscopy will change this thought process. What are the origins and ENT applications? Traditional chromoendoscopy...

User perspectives of online audiological rehabilitation programmes

Recent research shows that online audiological rehabilitation programmes have the potential to improve the quality of life of hearing aid users. However, there are still areas that need need improvement. Elisabet Thorén discusses some of the problems people face when...

Diaphanoscopy of the paranasal sinuses (Halloween in ENT Practice)

Since time immemorial, humans have tried to enhance the limited capabilities of their sense organs. It would be a clear advantage to be able to see through objects and discern what lies inside or behind them! This concept of transillumination...

In conversation with Professor N Isshiki: History of laryngeal framework

Mr Yakubu Karagama recently returned from a travelling fellowship at Isshiki Memorial Clinic Kyoto where he was delighted to interview Professor Isshiki about his groundbreaking work in laryngeal framework surgery. Professor Isshiki (left) discusses the history of thyroplasty with Mr...

Audiological monitoring in ototoxicity - Are we doing enough?

In this article Ghada Al-Malky explores the dichotomy of life-saving, yet hearing loss-causing medication, and questions whether the hearing healthcare community is doing enough to prevent preventable hearing loss. Ototoxicity is the damage to hearing and / or balance functions...

Not the answer yet, but it may be in the future

AI is certainly a topical issue these days and radiomics refers to techniques which allow the extraction of quantitative features from medical imaging to produce large data sets for clinical problem solving. This paper looks at CT imaging of the...

ENT in this issue...Smell

Chris Potter, MA, FRCS(Eng), FRCS (ORL), Consultant ENT Surgeon, Torbay Hospital, UK. E: potler@doctors.org.uk The lack of attention to olfaction as a cultural experience is hard to explain in world literature. It is even harder to explain when one regards...

Imaging in hyperparathyroidism

Following their caudal migration at eight weeks of development, the parathyroid glands normally locate posterolaterally to the upper pole of the thyroid gland at the level of the cricoid cartilage (superior parathyroid glands arising from the fourth branchial pouch and...

Universal newborn hearing screening: a global health perspective

Intuitively, as health professionals, we know that universal newborn hearing screening (UNHS) makes sense. Bolajoko Olusanya outlines how UNHS fits in with global health priorities, as well as illustrating how such programmes can help to deliver additional benefits to communities....