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The MACRO Trial: defining best management of chronic rhinosinusitis

A major UK trial in The Lancet finds ESS provides greater symptom relief than long-term macrolides for adults with CRS, supporting earlier surgery and fewer antibiotics. The MACRO Programme was established in 2016 when the UK National Institute of Health...

Septal surgery made easy?

The injecting of the greater palatine canal has been documented for some time. The authors in this paper expand this to the more common procedure of the septoplasty. They summarise the pros and cons published regarding the technique in sinus...

74th National Congress of SEORL-CCC/XIX congreso Hispano-Luso

Alfonso Santamaría Gadea, Departamento de Otorrinolaringología, Hospital Universitario Ramón y Cajal, Madrid, Spain. The 74th edition of the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) National Congress took place at the Meliá Castilla Hotel in Madrid under...

Valsalva manoeuvre treatment of otitis media with effusion in adults

Otitis media with effusion (OME) is common in children but has a low prevalence in adults. There is some evidence to advocate middle ear inflation as a successful treatment for children with OME. This form of treatment is also recommended...

Pharmacological treatment of glue ear in children

Otitis media with effusion (OME), also known as glue ear, is a common cause of hearing loss in children. Most cases resolve spontaneously within three months. Early and proper management of OME can help avoid hearing and speech impairment that...

BSFPS Annual Meeting 2024

Robert Maweni, Rhinology and Facial Plastic Surgery Fellow, HEE Thames Valley, Oxford, UKThe British Society of Facial Plastic Surgery (BSFPS) Annual Meeting 2024 convened on 18th October at the historic Albert Hall Conference Centre in Nottingham. The event gathered leading...

A new hope for post-COVID olfactory loss?

Does anyone remember COVID? It seems that what happened between 2019 and 2021 is all but forgotten about. Aside from it cropping up on news feeds occasionally and a few out-of-date automated phone messages that start off with ‘During the...

Does middle turbinate resection affect olfaction in endoscopic transsphenoidal surgery?

The middle turbinates (MT) are sometimes partially resected during endoscopic transnasal transsphenoidal pituitary surgery to improve surgical access. Some outfracture the middle turbinates instead. This article presents results of the first prospective randomised study, investigating the effects of such surgery...

Patients with severe uncontrolled CRSwNP respond to biologics in the real world

Clinical trials have demonstrated that biologics are effective in treating patients with chronic rhinosinusitis with nasal polyps (CRSwNP). This multicentre (15 tertiary care centres in France) observational prospective cohort study aims to examine the effectiveness of biologics in treating CRSwNP...

Breath – The New Science of a Lost Art

‘Popular science’ has become a discrete genre in the publishing world and there seems to be an insatiable desire for well-written books that explain the mysteries of human physiology to ‘lay’ readers. This is one such book, and the author...

Alternobaric vertigo: asymmetrical vestibular function due to asymmetrical middle ear pressures (Iron Man’s archenemy)

The Marvel Cinematic Universe could certainly be deemed an ‘extreme environment’ and yet very rarely do we see the Avenger’s popping to the clinic for a check-up. Hee-Young Kim has wondered how they cope with extreme pressure changes and discusses...

Not just the scissors: the story of Myron Metzenbaum

Myron Metzenbaum was born in Cleveland, Ohio (USA) in 1876, the fourth of nine children. As a young man, he worked in the family’s linen store, where his father was well known to be very kind to the less fortunate...