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Otolaryngology Cases: The University of Cincinnati Clinical Portfolio 2nd Edition

Otolaryngology Cases is a collection of 100 clinical scenarios curated by three professors of otolarnygology in Cincinatti, Ohio. The cases are distributed throughout the breadth of otolaryngology topics and comprise a patient history, key points for the condition, investigations and...

Drug-Induced Sleep Endoscopy

Throughout our ENT careers, we will always be referred patients with sleep-disordered breathing - both adults and children. Sleep studies are key for this condition. I remember as a trainee in the early aspect of my career seeing the sleep...

Pediatric Otolaryngology – Head and Neck Surgery Clinical Reference Guide

It is perhaps inevitable that this book will draw comparisons to the well-known Otolaryngology – Head and Neck Surgery: Clinical Reference Guide, edited by Raza Pasha and Justin Golub. That book, usually simply referred to as ‘Pasha’, has become a...

Division of tongue tie helps breast feeding

The need for frenotomy in children with tongue tie is not universally accepted. It is however understood that among other problems, such as impaired speech, tongue tie impedes breast feeding possibly leading to early weaning. Therefore, with recent resurgence of...

Is posterior epistaxis really ‘posterior’?

In absence of any clear bleeding points seen on the septum, it is generally presumed that the epistaxis is posterior, especially when simple cauterisation of the septum does not help and may progress to sphenopalatine ligation. In this publication, the...

Non-surgical and surgical management of arytenoids granuloma

Arytenoid granulomas are often a sequelae of laryngopharyngeal reflux (LPR). Unless there is suspicion of malignancy, they require a very balanced approach between conservative management and surgical intervention. The authors present a series of 62 patients with whom the primary...

Temporal bone fractures in children – are we doing enough?

This is a retrospective study which assessed clinical presentation and prognosis in 91 children under the age of 18 who developed temporal bone fractures from trauma, the commonest of which was falls from heights followed by motor vehicle accident. The...

Fitting and Dispensing Hearing Aids – Third Edition

Fitting and Dispensing Hearing Aids – Third Edition is intended primarily as a course book for “non‑audiologists or undergraduate audiology students who have yet to fit their first pair of hearing aids”. It is aimed primarily at students in the...

Sarcoidosis and the nose

This retrospective case note review from Mount Sinai in New York looked at just 14 patients with sarcoidosis. Individual ENT units in the UK are likely to see relatively few of these patients, unless there is a major tertiary referral...

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...

Who finds it hard to swallow?

Early identification of dysphagia in inpatients on acute stroke wards has been recommended as best practice guidelines in many countries. However, several institutions fail to use formal dysphagia screening protocols and rely on informal detection by nurses and doctors. This...

Congenital cytomegalovirus causing deafness in children: an update

Congenital CMV is the leading non-genetic cause of sensorineural hearing loss in children. Keith Trimble draws our attention to this and gives a comprehensive guide on diagnosis and treatment. Congenital cytomegalovirus (cCMV) infection is common, affecting 1% of all newborns,...