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International classification of bilateral vestibulopathy (BVP)
In the past few years the Bárány Society have been standardising the diagnostic criteria for various vestibular disorders – International Classification of Vestibular Disorders (ICVD). Diagnosis of BVP relies on history, bedside clinical assessment and objective vestibular tests. The authors...
Octreotide in the medical management of chyle fistula post neck dissection
Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...
Standardising outcome measures in chronic rhinosinusitis
This international paper, involving the foremost rhinology departments worldwide aims to provide a standardised, agreed core outcome set for chronic rhinosinusitis, which has been designed to facilitate future meta analyses of published work in systematic reviews. Stakeholders included patients, ENT...
Occupational dust exposure and nasal polyposis
This interesting European cross-sectional study demonstrates a link between occupational dust exposure and the presence of nasal polyposis. A random sample of textile workers (215) and retail store employees (101) in Portugal was taken, with clinical data gathered through a...
Standardising videofluoroscopy assessment for bottle-fed babies
Swallowing problems in babies may occur for many reasons including complex medical problems, premature birth, and low birth-weight. Dysphagia causes several further morbidities such as poor nutrition and compromised respiration, often raising distress for both infants and their caregivers. Early...
Smartphone hearing test
Our Editors’ Choice for this edition reviews an article looking at the use of a smartphone app for hearing screening. We have all had to integrate telehealth into our practice to some extent recently and this paper examines a teleaudiology...
When should revision FESS leave you reaching for the script pad?
This very interesting work from the professorial team in London seeks to define a group of patients with CRSwNP who may benefit from early biological treatment since they are at risk of failure of surgical and conventional medical management. Approximately...
COVID vaccination and its relation to Bell’s palsy
The SARS-CoV-2 virus outbreak in 2020 continues to be investigated as well as its after-effects on those infected by it. The vaccines created for the public were groundbreaking achievements, evidenced by the lives saved by them and the return to...
Persistent postural-perceptual dizziness (PPPD), psychosomatic or not? The debate continues
PPPD continues to provoke debate since the diagnostic criteria emerged in 2017. This review covers two commentaries because they are best considered together: the first one, by HK and BS-U, concluded that PPPD is a psychosomatic disorder (in fact, ‘a...
Case study suggesting mtDNA mutation as a tinnitus factor: ND1:m.3394T>C
Konadath et al report a genetic case study of a 24-year-old female experiencing reduced hearing sensitivity and tinnitus along with a blocked sensation in her right ear, sudden onset one year prior with no other otological complaints. Standard audiometry along...
Management of post-tonsillectomy bleeding with nebulised TXA
In the last 20 years, rates of adult tonsillectomy have fallen in the order of 50%. The flipside to this, is that the number of admissions of patients with acute tonsilitis is more than double the reduction in tonsillectomy rates....
