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Pioneering standards of aural care in the UK: vision and initiatives of the NACSG
Ear wax removal remains a controversial subject in the UK. How will a strategy group support reform in the sector? Background: elevating standards in aural care The National Aural Care Strategy Group (NACSG) was established to address the multifaceted challenges...‘The Sun does not forget a village just because it is too small’ – African proverb
Solar powered hearing aids In the middle of the morning of January 24, 2002, I had been in Otse for only three days, a village of 3500 in the south of Botswana, when I heard a knock at the door....
Middle Ear and Mastoid Surgery
I enjoyed reading Middle Ear and Mastoid Surgery by Sanna et al. The authors are to be commended on the excellence of the illustrations within this text, both in schematic line drawings and operative images. I found both to be...
Balance Disorders: A Brief Overview
Managing balance patients poses a challenge for many clinicians. Vestibular disorders affect a large part of the population and hence present to various specialties including ENT, audiology, neurology and primary care. The healthcare cost of balance disorders and any resultant...
Laryngeal Cancer: Clinical Case-Based Approaches
This book, published by Thieme, provides a lot of information in a compact size. I enjoyed reading the book as it has an international list of authors and contributors from South America, USA, Europe and Asia which gives it an...
Tinnitus Treatment: Clinical Protocols Second Edition
When asked to review the second edition of the popular Tinnitus Treatment: Clinical Protocols, I had high expectations. The first edition, published in 2005, has been a trusted resource for students and clinicians alike, and this second edition does not...
Precision medicine in allergic rhinitis and chronic rhinosinusitis
Precision medicine (PM) with its ‘four Ps’ (personalised, predictive, preventive and participatory) is about appreciating differences between individuals when offering management options for health problems. Multiple groups interested in rhinology such as EPOS and ARIA supported a review of the...
Managing the thyroglossal duct cyst
Although the operation to remove thyroglossal cysts and their tracts is commonly performed, a full understanding of the possible anatomical locations of the tracts may be less appreciated. This article helps the reader understand the possible variations available which should...
Managing spontaneous CSF leaks secondary to benign intracranial hypertension
Spontaneous CSF leaks are a rare entity. In this paper, a Spanish group report their experience managing the condition using endoscopic surgery in 35 patients over an eight year period. Leak locations included the cribriform plate (18/35), ethmoid roof (15/35)...
Risk of malignancy in non-diagnostic thyroid FNACs
Thyroid nodules are present in between 21-68% of the general population. The evaluation of these nodules to exclude thyroid carcinoma includes fine-needle aspiration cytology (FNAC) and a non-diagnostic cytology result occurs between 8-20% of the time. This retrospective cohort study...
How well are we managing epistaxis cases?
Epistaxis constitutes 34.5% of all emergency admissions to otolaryngology departments nation-wide. Presently there are no detailed consensus guidelines for this commonest emergency, and there is tremendous variation of practice. Quite often, non-ENT trained doctors manage this emergency. This paper reviews...
