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Adult Rhinosinusitis Clinical Practice Guideline update
This is a summary of the ‘Clinical Practice Guideline: Adult Sinusitis’ from the American Academy of Otolaryngology-Head and Neck Surgery Foundation. This is an update of the 2015 version. Evidenc-based statements: 1a. Differential diagnosis of acute rhinosinusitis: Clinicians should distinguish...
Waiting for smell to recover after post-viral hyposmia
The patient with post-viral anosmia will always want to know how long they must wait to reach a plateau. This study from South Korea of a comparatively small group (20 controls and 63 patients) tells us that favourable prognostic indicators...
Management of patients with advanced otosclerosis
This paper discusses the management options of advanced otosclerosis. There are several definitions for advanced otosclerosis in the literature but, more recently, the diagnosis of advanced otoscletosis has been reserved for patients who have less than 30% aided speech discrimination...
Effect of stimulation levels on speech recognition and auditory threshold performance
When programming a Cochlear® device, two measurements are normally assessed. T levels relate to the quietest sound the CI user can hear i.e. thresholds, and C levels are comfortable levels which are tolerable for the CI user. If these levels...
Auricular acupuncture for tinnitus
Acupuncture has long been suggested as a complementary option for tinnitus, but its effectiveness remains uncertain. This systematic review analysed 57 studies published between 1975 and 2023, drawn from an initial 167 identified. The studies were highly variable, ranging from...Lenire tinnitus treatment device now available in Canada
The Lenire® tinnitus treatment device is now available in Canada through 21 clinics across Alberta, British Colombia, Manitoba, Ontarioand Québec. Forty-three percent of Canadians (11.2 million) report experiencing tinnitus in their lifetime, with 37% (9.2 million) experiencing tinnitus in the...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...Looking forward: incoming RSM presidents preview the year ahead
This November, Professor Simon Lloyd takes over from Patrick Axon as Otology Section President of the Royal Society of Medicine, and Professor Vin Paleri takes over from Michelle Wyatt as President of the Laryngology and Rhinology Section. Both incoming presidents share highlights from their programmes for the forthcoming year.
Keep the condyle if you can
This is a study of 41 patients who underwent benign tumour resection and reconstruction over a four year period. Patients fell into three groups; condyle preserved, condyle sacrificed, condyle frozen in combination with a DCIA free flap. Following this, they...
Advanced Caucasian and Mediterranean Rhinoplasty
This is a single author text book written by Peter Lohuis from Utrecht, and therefore differs from the majority of multi-author rhinoplasty texts. The book is essentially therefore a comprehensive ‘how I do it’ from first consultation through to patient...
Importance of face-to-face communication in clinical practice
Breakdowns in communication with patients who have difficulty in understanding, speaking or hearing may occur during a consultation. The authors of this paper studied the hearing-related breakdowns in communication especially amongst older adults with hearing impairment (HI) using conversational analysis...
