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Allergen immunotherapy and allergic rhinitis – EAACI guideline 2017
Allergic rhinitis (AR) is a common chronic childhood disease with considerable social burden and impact on quality of life, frequently necessitating treatment with various combinations of antihistamines and corticosteroids. The allergen immunotherapy (AIT), sometimes known as desensitisation therapy, can modify...
Advances in diagnosis and management of allergic rhinitis
This article reviews advances in the diagnosis and management of allergic rhinitis. Recent advances in the diagnosis of allergic rhinitis include testing of local immunoglobulin E (IgE), urinary test to diagnose aspirin hypersensitivity and optical rhinometry to assess degree of...Clinical leadership and management: developing world ENT
I have been asked to share some of the initiatives I have been involved with to address ENT-related challenges in Africa and the developing world. Developing countries constitute the majority of the world’s landmass (Figure 1), are home to >50%...Robotic assisted orbital surgery (RAOS) – a novel approach to orbital malignancy surgery
Robotic technology in ENT surgery has been used in certain areas of head and neck cancer care but, in this article, we hear of an exciting development from the team at Guy’s & St Thomas’. Advances in surgical robotic technology...Nasal sidewall reconstruction
Expert reconstruction of nasal sidewall defects requires careful selection of techniques across nasal layers, balancing aesthetics, structural support and patient needs. When reconstructing a nasal skin defect, a variety of factors should be taken into account in order to achieve...BACO 2015: Meet the Key Brits
The triennial BACO is always a feast of academic and social activity – and BACO 2015 promises to be as busy as ever. We hear from three of the key British speakers who are making big contributions to this year’s...Role of interventional neuroradiology in otorhinolarygological pathology – a brief review
Introduction Since its advent in 1964 when Dotter percutaneously dilated a stenosed femoral artery [1], interventional radiology has undergone tremendous advancement in both imaging and devices that have enabled the operator (interventional radiologist) to access very distal small vasculature and...Robotics in rhinology – fantasy or the future?
Robotic surgery is advancing, but its use in rhinology lags due to spatial constraints and high costs. Innovations in flexible robots may bridge this gap in the future. We are in a new era, one of artificial intelligence and robotics....Denis Collings: 38 years as a total laryngectomee
Patients’ perspectives can be very powerful in our understanding of their experience of illness and its treatment. Denis Collings. In the UK, there are more than 2000 new cases of laryngeal cancer each year [1]. In 1988, at the age...Denis Collings: 38 years as a total laryngectomee
Patients’ perspectives can be very powerful in our understanding of their experience of illness and its treatment. Denis Collings. In the UK, there are more than 2000 new cases of laryngeal cancer each year [1]. In 1988, at the age...
Are there benefits of prophylactic swallowing exercises for patients with head and neck cancer?
This randomised controlled trial aimed to establish the impact of prophylactic swallowing exercises in patients undergoing chemoradiation therapy for head and neck cancer. The primary outcome was the functional oral intake scale (FOIS), although secondary measures for feeding tube use,...
