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A novel way to reduce postoperative nausea and vomiting

This is an interesting RCT which evaluates the prophylactic effect of bilateral endoscopic injection of local anaesthetic in the sphenopalatine ganglion (SPG) on postoperative nausea and vomiting (PONV). It has a robust design, and is sufficiently powered and blinded, with...

Stepwise approach to manage palatal myoclonus successfully

Palatal myoclonic tinnitus (PMT) is a rare condition caused by rhythmic voluntary or involuntary movements of the soft palate, mainly the tensor veli palatini and levator veli palatine muscles. Patients usually present with a ‘clicky’ noise in the ear. Oral...

Can we predict how much benefit patients will get from ESS with a novel monoclonal antibody

Mepolizumab (Nucala) is a humanised IgG1 monoclonal antibody that acts as an IL-5 antagonist. It has been shown to be highly effective in treating severe asthma. It is hypothesised that it will be effective for patients with recalcitrant CRSwNP. This...

Ethanol ablation for benign cystic neck lesions

Benign cystic head and neck lesions have traditionally been managed conservatively or with surgical excision. Ethanol ablation (EA) has now established a role in the management of benign thyroid cysts, and its use has also been expanded to non-thyroid cysts....

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...

How I do it Issue I

To skip directly to features, click the links below: Welcome from the editor - by Miles Bannister KTP laser in the office - by Markus Hess and Susanne Fleischer The surgical management of rhinophyma using a microdebrider - by Andrew...

In conversation with Nick Gibbins

The British Laryngological Association (BLA) will be running its flagship 'Cutting Edge Laryngology' meeting in September at the Royal Society of Medicine. Looking ahead to the event, our editor Declan Costello catches up with BLA president Nick Gibbins. He hears...

Laryngeal dystonia

This narrative review provides a comprehensive and clinically relevant overview of laryngeal dystonia (LD), covering its pathophysiology, diagnosis and treatment options. The authors summarise the evidence supporting LD as a neurogenic movement disorder involving dysfunction of central sensorimotor networks, moving...

Measuring the pitch and loudness of tinnitus

Matching the characteristics of tinnitus Many researchers and clinicians have explored the subjective nature of tinnitus by asking people with tinnitus to adjust a sound so that it matches their tinnitus in some way. This can be useful both for...

Endoscopic airway interventions in children

Open surgery for paediatric airway pathologies such as subglottic stenosis was hailed as revolutionary when many of today’s paediatric ORL specialists were in training. Equipment, facilities and training has moved on and the high-quality optics in modern endoscopes, coupled with...

From the editor JulAug19

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net Welcome We are delighted to launch this current edition of ENT & Audiology News from Brussels,...

Audiology in this issue...Multidisciplinary Teams

Marsha Jenkins, BSc Hons, MSc, Principal Clinical Scientist (Audiology), St Thomas’ Paediatric Hearing Implant Centre, Guy’s & St Thomas’ NHS Foundation Trust E: marsha.jenkins@gstt.nhs.uk Twitter: @GSTTnhs www.guysandstthomas.nhs.uk/our-services/hearing-implant-centre I am delighted to guest edit this collaboration of various clinical MDTs from...