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Indication and timing of electrodiagnostic tests in facial palsy
This excellent review describes the benefits and limitations of electrodiagnostic testing for patients with facial paralysis. Tests such as Schirmer, stapedial reflex and electrogustometry have been largely replaced by neurophysiologic tests like nerve excitability test (NET), electroneuronography (ENoG), surface electromyography...
Quinsy and culture
Peritonsillar abscesses are frequently encountered in clinical practice. Standard treatment includes empirical medical treatment and drainage. This study aimed at evaluating the value of culture and sensitivity testing of the aspirate in guiding antibiotic treatment. Patients received empirically amoxycillin, amoxycillin...Chester-gel technique
Umesh Nagalotimath and Robert Temple describe a simple and effective technique for enhancing vision during endosheath use for flexible nasendoscopy. Endosheaths are used to complement the cleaning of flexible scopes. The advantages are time saving for clinicians as this reduces...ENT in this issue...Rhinoplasty
Joanne Rimmer, MBBS, MA(Hons)Cantab, FRCS(ORL‑HNS), Consultant Otolaryngologist / Rhinologist, Monash Health, Melbourne, Australia. E: rimmer.joanne@gmail.com Rhinoplasty may be done purely for aesthetic reasons, as an essential part of a functional septorhinoplasty, or for a combination of both cosmetic and functional...Less Than Full time Training in Otolaryngology
A recent Statement from the Association of Surgeons in Training (ASIT) stated that in 2011 there were 17 otolaryngology trainees in Less Than Full Time training (LTFT) [1]. Otolaryngologists in LTFT posts (17/151) is the largest group after general surgery...In conversation with Prof Peter John Wormald: The past, present and future of treating CRS
At ERS2023, Prof PJ Wormald will lecture on the past, present and future of treating chronic rhinosinusitis (CRS). We caught up with him recently to hear about the major improvements, the hypes and his dreams for the future of treating...
Close monitoring of patients for delayed hyponatremia post-transsphenoidal surgery
he incidence of delayed hyponatremia is 16-28% and usually accounts for unplanned readmission of the patient within 30 days after transsphenoidal surgery. One of the surrogate measures of quality of care adopted by the government and regulatory agencies is 30-day...
When to operate on a patient without chronic disease?
As ENT surgeons, we spend a lot of time managing chronic rhinosinusitis, so a review and update on the management of the acute disease is always helpful. The standard medical treatment of antibiotics, nasal steroids and nasal decongestants are reported...Head and neck cancer multidisciplinary team
Why do we have MDTs? Do they make a difference to outcomes? Jon Bernstein explores the whys and wherefores of the head and neck cancer MDT, and wonders where things might go from here… Head and neck (upper aerodigestive tract)...Dysphagia
Natalie Watson, MBBS, MA, FRCS (ORL-HNS), Consultant ENT Surgeon Specialising in Laryngology, Guy’s and St Thomas’ NHS Foundation Trust, UK. nataliewatsonent@gmail.com@surgeonsinger Guest Section Editor The function of swallowing is one third of the triad of laryngology. Dysphagia describes difficulty swallowing...
Which bit of our brains do we need to recognise fear, disgust and happiness?
Recognising other people’s emotions is a useful life skill for human interaction in both social and vocational situations. Yet there remains significant debate about which areas of the brain are required to enable us to read and understand these facial...
