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Is clinical HIT as good as vHIT in the emergency room?

1 May 2018 | | Acute vestibular syndrome, head impulse test, posterior circulation stroke, vestibular neuritis, video-oculography based head impulse test
Establishing the cause of acute vestibular syndrome (AVS) is critical in the first few hours of presentation in the emergency department. The first question to ask is, “is it due to a peripheral vestibular pathology or a stroke?” This is...

What to do with incidental findings on FDG PET/CT?

1 July 2018 | | CT, PET, PET/CT, findings, head and neck cancer, imaging, incidental
18F-fluoro-deoxy-glucose positron emission tomography/computed tomography (FDG PET/CT) is commonly used in head and neck cancer staging. This investigation frequently identifies incidental findings unrelated to the index head and neck cancer. To assess the nature of these incidental findings, notes of...
JPRAS (JOURNAL OF PLASTIC, RECONSTRUCTIVE AND AESTHETIC SURGERY) cover

A single blinded RCT comparing triamcinolone with 5-FU treatment for keloid scars

1 July 2019 | | ENTA - Speech and Language Therapy | 5-fluorouracil, Immunohistochemistry, Keloid, Scar treatment, Triamcinolone
This single blinded RCT compared 43 patients with 50 symptomatic keloids that were randomised to two matched groups of 25 scars, receiving either 5-fluorouracil (5-FU) or current first line treatment, triamcinolone (TAC). The surgeon administering the injectable treatments was unblinded,...
Audiology and Neurotology journal cover image.

Blood-sampling prognostic predictors for Bell’s palsy

6 January 2023 | | ENTA - Otology
Bell’s palsy is generally defined as an acute-onset unilateral idiopathic mononeuropathy in the facial nerve. It is of unknown aetiology, however, inflammation is considered a major cause. Electroneurography assessing nerve excitability is the most reliable examination for predicting prognosis of...

Outcomes of office-based biopsies for laryngopharyngeal carcinoma – faster diagnoses and equivalent oncological outcomes as compared to biopsies under general anaesthesia

7 January 2025 | | ENTA - Head & Neck
Patients in the UK with head and neck cancers are the most likely to face long waits to treatment in comparison to other cancer sites, with only just over half commencing treatment within 62 days of being referred on a...

Teenagers with misophonia

1 January 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic
Misophonia can be a distressing condition for teenagers and can have devastating effects upon their home and school lives. There is little research in this area and, as Lucy Partridge explains, more is greatly needed in order to identify interventions...

Paediatric ENT trauma

31 October 2018 | | ENTA - Audiology - Paediatric, ENTA - ENT, ENTA - Paediatrics
Managing trauma in children often strikes terror in doctors who do not deal with children regularly. Kate Stephenson explains the approach to a child who has suffered ENT trauma and specific things to look for in children. ENT injuries are...

Destination unknown

4 May 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

Drawing pictures and telling stories: treating tinnitus in childhood

24 May 2017 | | ENTA - Audiology - Paediatric, ENTA - Tinnitus
There is increasing awareness that tinnitus is not restricted to adults. Indeed, the available evidence suggests that some experience of tinnitus in children is fairly common [1]. For many, tinnitus has little effect and requires limited or no intervention. For...

ENT in this issue...Women in Leadership

1 September 2019 |
Sujana S Chandrasekhar, MD, Past President, AAO-HNS/F; Secretary-Treasurer, American Otological Society; Consulting Editor, Otolaryngologic Clinics of North America; Recipient, AAO-HNS WIO Helen Krause Trailblazer Award and AMA Physician Mentor Recognition Award. Emma Stapleton Consultant Otolaryngologist, Cochlear Implant and Skull Base...

In conversation with Duncan Boak, founder of Fifth Sense

1 July 2016 | | ENTA - ENT, ENTA - Rhinology / Sinus
Anosmia Our sense of smell is something we take for granted – but imagine if it wasn’t there… We see many patients who struggle with anosmia, but perhaps don’t always appreciate how much of an effect it has on their...

Speech Testing

4 May 2023 |
Gareth Smith, MSc, AuD,Consultant Clinical Scientist (Audiology), Mid and South Essex NHS Foundation Trust, UK. gareth.smith8@nhs.net@garethlsmith How often do patients come to hearing healthcare professionals having noted a difficulty hearing quiet beeps in a silent environment? Rarely? Never? Yet they...