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Paediatric pain control post-tonsillectomy
The use of codeine in the paediatric population is widely debated since the American Food and Drug Administration (FDA) published warnings regarding overdose and death following the usage of codeine. Codeine is metabolised by the polymorphic cytochrome PY4502D6 (CYP2D6) in...
The video head impulse test: an aid to the diagnosis of spinocerebellar ataxias
Spinocerebellar and Friedreich ataxias (SCA and FA) by their nature present in neuro-otology clinics. The diagnosis is ultimately genetic but the authors investigated the characteristics of the VOR using the video head impulse test (vHIT) in order to distinguish between...
What to do if adenotonsillectomy does not cure sleep apnoea in children?
This article reviews the management of children with persistent obstructive sleep apnoea (OSA) following adenotonsillectomy (AT). Risk factors for patients to have persistent disease include obesity, being Afro-Caribbean and existing co-morbidities such as craniofacial and neuromuscular disorders. Initial assessment of...Multifrequency tympanometry
There are many good reasons to start using multifrequency tympanometry as opposed to a traditional, single 226Hz probe tone. Here, Leigh Martin of Interacoustics discusses the uses and benefits. Tympanometry is a core test in the audiologist’s test battery. In...OAEE UPDATE - Urgent Call for Surgical Supplies in Ukraine
UK professionals have called for aid in sending surgical equipment to Ukraine during Russian invasion.Portable otoscopy image capture devices – a comparative review
The use of photo documentation in ENT clinics is becoming more common as technological advances have made the hardware required more accessible. There is significant variation in the price of products. Daniel Moualed, Olivia Whiteside and Chris Aldren review the...Are ENT patients who research their symptoms online better informed?
All our patients look up their symptoms online before they visit us, don’t they? And patients who do so are better informed than those who don’t, right? Well, that’s not actually the case… The ‘information era’ More information is now...Time to professionalise medical leadership
For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...Lost voices – service induced hearing loss on working age veterans
The Royal British Legion campaign for the recognition of hearing loss in serving personnel and veterans In July 2014, the Royal British Legion launched a report entitled Lost Voices revealing that veterans under the age of 75 are three-and-a-half times...Underdiagnosing eosinophilic oesophagitis in food bolus obstruction: a wake-up call for ENT units
The management of FBO has evolved, with most cases now done by upper GI clinicians. Biopsies should be taken routinely to investigate possible eosinophilic oesophagitis. In acute soft food bolus obstruction (FBO), uncovering the root cause is as crucial as...
Learning curve for sialendoscopy
Sialendoscopy represents a minimally invasive technique that permits direct salivary tree visualisation and treatment using endoscopic techniques. Previous studies have shown that it is an efficacious, safe and potentially gland preserving method to treat major salivary gland disease. However, it...
