You searched for "aetiology"

2423 results found

Managing hearing preservation expectations of adult CI patients

This paper is a single-centre review of adult cochlear implants in patients with preserved low-frequency hearing, focusing on the outcomes at 10 months post-implantation, and the rates of electroacoustic stimulation actually used in this group of patients. The centre identified...

Spirituality and tinnitus – blocking out the haters!

The brain is fantastic at blocking out unwanted noise. Place a microphone on your temporal bone and you’ll realise you are subject to a relentless bombardment of sound you’ll never consciously hear: the clicking of your temporomandibular joint, the pulsating...

OBITUARY: Alan Gibb (1919-2020)

Alan Gibb, who passed away on 5 September aged 101, was the Grand Old Man of British Otology. He slipped quietly away at home on Deeside from the long-term consequences of a stroke about two years ago, from which he...

The changing landscape of thyroid and parathyroid surgery

How has clinical practice in the management of thyroid and parathyroid disease has evolved in recent years? I perform very few head & neck operations where the patient tells me just one week following surgery that they ‘feel much better’....

2nd Liverpool Nasolacrimal and Orbital Dissection Course

This course is aimed at Otorhinolaryngology (ENT) and Ophthalmology higher surgical trainees (ST5-ST8), senior fellows and consultants looking to improve their understanding and surgical skills in joint ENT/ophthalmology nasolacrimal and orbital surgeries. The aim of this course is to provide...

Handbook of Otolaryngic Allergy

This book is an excellent companion for doctors dealing with allergy and rhinological complications of allergy. It contains detailed information of immunological pathways, from cells to systemic effects, of cellular reaction. It is well organised and takes the reader through...

Precision medicine in allergic rhinitis and chronic rhinosinusitis

Precision medicine (PM) with its ‘four Ps’ (personalised, predictive, preventive and participatory) is about appreciating differences between individuals when offering management options for health problems. Multiple groups interested in rhinology such as EPOS and ARIA supported a review of the...

Removing nasal polyps assists with sleep

This small Scandinavian study looked at sleep quality in patients with CRS and nasal polyposis and whether this is improved by surgery, rated by questionnaires. A cohort of 42 Swedish patients in 2013-14 filled out four different validated sleep and...

Surgery or medicine: when should we stop trying to be conservative?

Although most otolaryngologists would agree that surgery improves the outcomes of patients with CRS when medical treatment has failed, both Cochrane reviews state that there is no proof of improved efficacy of surgery over medicine – however, that was after...

Microbiome changes after endoscopic sinus surgery: all is not what it seems

As we keep fighting a losing battle with bacteria and antibiotics, it becomes clear that it is not about killing bacteria, not even diminishing the bacterial load, but rather about shifting the different types of bacteria that colonise and live...

Saline irrigation in CRSwNP after surgery

This article, largely from Germany, aims to prove the effectiveness of nasal saline irrigation in postoperative patients with CRS with nasal polyps. A prospective, single blinded randomised trial was designed with an irrigation and non-irrigation arm. Patients who underwent sinonasal...

Paediatric pituitary surgery - is it lagging behind?

Endoscopic sellar surgery, especially for adenomas, is a relatively safe, straightforward surgery with (mostly) reproducible results and few complications. However, the evolution of pituitary surgery was a long process, starting from open/transfrontal approaches all the way to transsphenoid to the...