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Day care or admission for aesthetic nasal surgery?

Day-care surgery is gaining in popularity throughout the surgical specialities due to economical constraints and patient convenience. However this is not without risk and a careful procedure by procedure evaluation should be performed to prove the suitability of this type...

One stage nasal reconstruction with local flaps

This is an excellent and authoritative review of an often difficult and controversial (as there are so many options or so few) clinical subject. Better education and earlier diagnosis of skin tumours allows defects with limited size and depth to...

What do we put in our nasal douches? Anything?

The rise of the popularity of saline nasal douches, with several commercial preparations available, may be a rediscovery of an age-old tradition, but it has been shown to benefit patients. The question then arises as to whether this can be...

Is canal wall down with obliteration a useful compromise between canal wall up procedure and open mastoid cavities?

Controversy has raged for many years between open mastoid cavity procedures and canal wall up techniques in terms of postoperative recidivism and ear discharge. It is generally believed that canal wall up procedures can miss hidden cholesteatoma but preserve useful...

Bone bridge conduction device for patients with bilateral microtia-atresia

Management of microtia-atresia requires a multidisciplinary approach. Children normally require bone conduction hearing aid devices very early in life to improve and facilitate speech and language development. At a later stage, when the cranial bones have strengthened and become thicker,...

Structures determining T4a, T4b

This paper for tertiary cancer centre in India attempted to determine whether patients with T4b oral cancers involving the 'masticator space' should be treated with survival intent comparable to T4a cancers. Over a 7-year period, 30 patients with T4b cancers...

Adenotonsillectomy day-case discharge criteria: a systematic review

In this paper, Gowda et al review the literature aiming to answer a long-standing question regarding the criteria for same-day discharge of paediatric patients post adenoidectomy and/or tonsillectomy performed for treatment of obstructive sleep apnoea (OSA). Following PRISMA consensus, they...

2014: Are today’s implantable devices better than conventional solutions for patients with conductive or mixed hearing loss?

Patients with conductive or mixed hearing loss become candidates for amplification when reconstructive surgery is not viable. Three common amplification options are conventional acoustic devices, such as behind-the-ear devices (BTEs), (implantable) bone-conduction devices and active middle ear implants. The goal...

Tinnitus apps (revisited)

If you’ve experienced an uptick in the number of your patients complaining of tinnitus lately, you are not alone. In fact, there is some evidence that the social and emotional strain of the ongoing pandemic many exacerbate tinnitus for existing...

Present and future in myringoplasty

Tympanic membrane perforations are a common finding in ENT practice. Whilst watchful waiting or formal tympanoplasty are standard options – wouldn’t it be amazing if there was a low cost, safe, in-clinic option to immediately help patients (I hear you...

What can be done to encourage training doctors to pursue a career in paediatric ENT?

Paediatric ENT is often considered the ‘Cinderella’ subspeciality within otolaryngology. There are efforts in the UK and overseas to redress the balance. Paediatric ENT is a specialised field that addresses the unique needs of children with otolaryngological disorders. Despite its...

In conversation with Shelly Chadha

This year’s theme for World Hearing Day 2018 on 3 March is discussed by Shelly Chadha of the World Hearing Organization (WHO). She explains the importance of the event and how every hearing care professional can get involved and contribute...