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Close monitoring of patients for delayed hyponatremia post-transsphenoidal surgery

1 March 2018 | | Delayed hyponatremia, Hospital readmissions, Pituitary tumor, Transsphenoidal surgery, Universal sodium screening
he incidence of delayed hyponatremia is 16-28% and usually accounts for unplanned readmission of the patient within 30 days after transsphenoidal surgery. One of the surrogate measures of quality of care adopted by the government and regulatory agencies is 30-day...
The Journal Laryngology & Otology cover

A cost reducing protocol for magnetic resonance imaging in patients suspected to have acoustic neuroma

30 April 2020 | | ENTA - Otology
Magnetic resonance imaging is the ‘gold standard’ for screening patients suspected to have an acoustic neuroma. However, inappropriate referrals for imaging are not helpful, especially with the growing need to reduce costs. In this study the authors compared two audit...

Concussion and vestibular processing deficits

9 October 2017 | | Concussion, near point convergence, optokinetic stimulation, posture, virtual reality
It is well known that patients with mild traumatic brain injury (mTBI), also referred to as concussion, display longstanding vestibular symptoms but often clinical signs and objective vestibular function test abnormalities are lacking. The aim of the study was to...

Beware the skinny patient…

1 July 2018 | | Arytenoid dislocation, BMI, Cricoarytenoid joint three-dimensional reconstruction, High-resolution computed tomography, Risk factor
The adverse health impacts of an excessive BMI are well known. This study highlights one laryngeal pathology for which a low BMI appears to be a significant risk factor. The records of 28 patients treated for arytenoid cartilage dislocation were...

How can we improve outcomes for patients with acute vestibular neuritis?

27 February 2020 | | ENTA - Neurotology, ENTA - Otology
Vestibular neuritis is a common disorder that can leave up to 50% of patients with persistent vertigo symptoms for months to years following the acute insult. Often their first contact with ENT or balance specialists is many months after the...

Sustainability guidelines to reduce single-use items in ENT outpatients

7 January 2025 | | ENTA - Laryngology / Swallowing / Voice, ENTA - Paediatrics, ENTA - Otology, ENTA - Rhinology / Sinus
ENT surgery generates significant waste, with single-use instruments and packaging as key contributors. This article outlines recommendations on sustainable practice that can be adopted into ENT departments. Climate change is one of the greatest threats to human health in the...

A practical approach to tinnitus

1 January 2016 | | ENTA - Audiology - Adult, ENTA - Tinnitus, ENTA - Otology
Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...

Timing of surgery in chronic rhinosinusitis: does it matter?

1 July 2016 | | ENTA - Rhinology / Sinus
While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

Audiological management of autistic children

3 May 2022 | | ENTA - Audiology - Paediatric
Philippa James and Lucy Shiels explain the development of the ‘Autism Listening Clinics’, highlighting a recommended clinical approach for audiologists, the importance of remote microphone technology and sharing some wonderful caregiver experiences. Auditory challenges in autistic children Autism spectrum disorder...

Living with Usher syndrome

1 May 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Genetics, ENTA - Otology
“Usher people often still have sharp, clear central vision. It is the corner of their eye that is missing. This is why the Usher person often does not feel or look blind. In the early days they may not even...

From the editor May/Jun 2024

3 May 2024 |
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk One of the privileges of editing this magazine is interviewing senior figures within our specialty; so, it was wonderful...

Physician health and wellness amidst a global pandemic

9 September 2020 | | ENTA - General
Dr Westerberg attended a workshop on Physician Wellness hosted by Dr Osler a few years ago at our Canadian Society of Otolaryngology-Head and Neck Surgery meeting. The list of symptoms of stress and burnout resonated as typical of almost a...