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Merocel vs Cutanplast Anal packing

1 September 2018 | | Absorbable, Biocompatible materials, Gelatin sponge, Nose, Pain, Polyvinyl acetate, Postoperative care, Septoplasty
This study compared two different nasal dressings after septoplasty. Seventy-six patients acted as their own controls by having one nostril packed with Merocel and one nostril somewhat improbably with Cutanplast Anal (gelatin sponge). It seems that the gelatin sponge was...

What’s the risk of regrowth with partial (intracapsular) tonsillectomy

1 January 2015 | | ENTA - ENT | OSAHS, Partial tonsillectomy, Potential risk factors, Tonsillar regrowth
Partial (intracapsular) tonsillectomy is enjoying somewhat of a revival offering the potential for less postoperative pain and bleeding whilst relieving the obstructive element. The authors look at 303 patients, 82 of whom had partial tonsillectomy using coblation. They measured pre...

A new septoplasty technique

1 November 2014 | | ENTA - Skull Base Surgery, ENTA - Head & Neck | Deviation, High dorsal deviation, Nasal septum, Septoplasty, Wedge
This article describes a novel septoplasty technique to correct a cartilaginous deflection. Although it took a while to understand it as the operative photographs were not very helpful it is an interesting concept. The author excises an inferior strip and...

Risk factors for post tonsillectomy bleeds

1 November 2014 | | ENTA - Skull Base Surgery, ENTA - Head & Neck | Bleeding, Postoperative hemorrhage, Reoperation, Tonsillectomy
This paper reviews post-tonsillectomy bleeding in 692 patients and attempts to tease out risk factors. The overall bleed rate of 11.6% seems very high. The return to theatre rate was 2.6%. The paper identifies male patients and adult patients as...

DIY Epley manoeuvre

1 October 2018 | | ENTA - Tinnitus, ENTA - Otology
This is an interesting paper that looks at getting patients to do their own particle repositioning manoeuvre (PRM) after having it done by a clinician (‘Epley’ to you and me although there are some slight differences) once a week for...

Laryngeal cleft in a 66-year-old man!

1 January 2019 | | Congenital malformation, Laryngo-trahcheo-esophageal cleft, Larynx
This is a fascinating case report of a 66-year-old man who presented with a carcinoma of the piriform sinus. During chemoradiotherapy, he developed dyspnoea, dysphagia and aspiration pneumonia. His chemoradiotherapy was stopped and he underwent a pharygnolaryngectomy. When the surgical...

Music and cochlear implants

5 June 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Auditory Implants, ENTA - ENT, ENTA - Otology, ENTA - Paediatrics
Introduction The introduction of multichannel cochlear implants (CIs) in the early 1980s provided children and adults with severe and profound hearing losses with greatly improved speech perception skills. In this paper, however, I am going to focus on an area...

Otolaryngologists and audiologists are invited to learn about and lead efforts to reduce the global burden of hearing loss

3 November 2022 | | ENTA - Audiology - Adult, ENTA - Otology
IFOS promises to be a multidimensional meeting, with contributions from speakers from all corners of the world covering a huge array of subjects. We hear about how the global health aspects of hearing loss will be covered in the congress....

Intratympanic treatments for subjective idiopathic tinnitus

24 May 2017 | | ENTA - Audiology - Adult, ENTA - ENT, ENTA - Otology, ENTA - Tinnitus
Direct application of medication into the ear is long established, going back as far as written records. In the modern era, greater understanding of aural anatomy revealed that drugs instilled in the middle ear could potentially diffuse into the cochlea...

Cognitive effort and listening in everyday life

26 June 2017 | | ENTA - Audiology - Adult, ENTA - Neurotology
Dining with family members, amongst the clinking of dishes and glasses, the sounds of conversations and laughter, the husband, a user of hearing aids, misses his wife’s request to bring another bottle of wine. After a third try, the wife,...

Tinnitus in middle-age: prevalence and incidence

1 March 2015 | | ENTA - Audiology - Adult, ENTA - Tinnitus
Population-based studies of tinnitus provide crucial underpinning evidence which highlights the need for further research on the effective diagnosis and clinical management of this heterogenous condition. Furthermore, such studies provide evidence of the burden of this condition both on the...

When patient choice stands in the way of patient-centredness

1 July 2015 | | ENTA - ENT, ENTA - Audiology - Adult
In the field of hearing care, there is increasing focus on ensuring patient autonomy and choice. Greater participation in decision making is supposed to result in better patient satisfaction. A study conducted in ENT and audiology clinics paradoxically suggests that...