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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...Surgical technology and operating room safety failures: lessons from vascular and general surgery
Background – surgical technology and otolaryngology An estimated 234 million major surgical procedures are performed annually worldwide. This requires the interaction of multidisciplinary teams with varying contributions of surgical technology and therefore makes surgical procedures prone to multiple sources of...The role of macrolide antibiotics in chronic rhinosinusitis
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...
Does ipratropium responsiveness predict posterior nasal nerve neurectomy/ablation outcomes in chronic rhinitis?
This study’s main objective was to assess whether topical ipratropium response is predictive of subsequent response to posterior nasal nerve (PNN) interventions, including surgical neurectomy or in-office ablation, in chronic rhinitis (CR). This is a retrospective study of adult patients...Minimally invasive craniotomy for middle fossa dura repair using the exoscope
A minimally invasive temporal craniotomy using an exoscope offers improved visualisation, ergonomics and recovery for middle fossa dural CSF leak repair. Cerebrospinal fluid (CSF) leak through a dural defect, regardless of the cause, typically requires surgical repair. Depending on the...Superior semicircular canal dehiscence: transmastoid obliteration
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...Finding the right balance: remote dizzy patient consultation during a pandemic
During the COVID pandemic, all our working patterns have changed. One significant impact had been on the management of outpatient consultations and the increase in telephone consultations and enhanced vetting. In this article the authors share their experience of managing...PHACON artificial bone models for ENT training
Simulation, both in training and clinical practice, has become an increasingly important facet of a surgeon’s life. The escalating costs of cadaveric material makes synthetic alternatives an attractive proposition but, up until recently, these artificial versions have lacked the material...An overview of human factors in ENT and anaesthesia
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...The Matchgirls and Phossy Jaw: a striking tale of industrial action
Poor working conditions, long hours, low pay – and the prospect of a dangerous and disfiguring osteonecrosis of the jaw. These were the triggers for the 1400 ‘matchgirls’ of the Bryant and May factory to strike in July 1888, a...Specialist teams deliver world-class trauma care
University Hospitals Birmingham NHS Foundation Trust runs the Queen Elizabeth Hospital Birmingham, which is a designated Major Trauma Centre. The Trust holds the contract to treat all UK injured military personnel evacuated from combat zones overseas. More than 1200 of...
