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How should I excise sinonasal tumours, open or endoscopic? En bloc or piecemeal?

Sinonasal tumours often present late because initial symptoms mimic benign disease. They tend to produce more unilateral nasal symptoms, and patients with advance disease often describe paraesthesia and other cranial neuropathies. They only account for approximately 3% of upper aerodigestive...

The association of frontal recess anatomy and mucosal disease on the presence of chronic frontal sinusitis: a computed tomographic analysis

Ostial obstruction is a primary pathophysiological mechanism contributing to sinusitis, which can be caused by anatomical variations, mucosal inflammation or both. This retrospective case series aimed to identify anatomical factors and inflammatory areas relating to chronic frontal sinusitis on nasal...

Trends in parathyroidectomy

The authors retrospectively analysed Hospital Episode Statistics data for parathyroidectomy between 2000 and 2010. Overall, parathyroidectomy rates nearly doubled from 3.3/100,000 population in 2000 to 5.8/100,000 in 2010, with particularly significant increases in elderly patients. The authors attribute this rise...

Paediatric idiopathic sudden sensorineural hearing loss

This Turkish retrospective study looked at the radiological and clinical characteristics, prognostic factors and treatment outcomes in children diagnosed with idiopathic sudden sensorineural hearing loss (ISSNHL). Forty-eight children were included over an eight-year period. Complete recovery (CR) was achieved in...

Pretend placements: simulation is as good as the real thing

Clinical placements are now, more than ever during the COVID-19 pandemic, a huge time and personnel commitment. Recently, allied health students have had huge changes to their placements, often undertaking them entirely remotely. This article describes a novel method of...

Cognitive function is preserved in episodic vestibular disorders

Cognitive deficit in bilateral vestibular failure in particular, but also in unilateral vestibular failure, is well documented. The authors designed this prospective study to determine if deficits in cognition, as well as anxiety and depression, were present in episodic vestibular...

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...

Effective and profitable provision of paediatric audiology care in the private sector

Similar to other specialty areas of hearing healthcare, paediatric audiology is a potential net loss for a private-sector, for-profit, business. Given the time-intensive needs of patients with cochlear implants, tinnitus and those who are under the age of 18 years...

Developing ENT and audiology services in Southern Africa (Part 2)

In the last issue of ENT & Audiology News, we heard from retired Professor Christopher Prescott on the challenges faced and progress made made locally to address the inequity and inequality of access to ENT and allied health professional services...

In conversation with Professor Jos Eggermont

Having known Jos for many years, I jumped at the opportunity to catch up with him for our Nov/Dec 2020 series of tinnitus items. My questions reached him during lockdown, and he was enjoying the chance to get on top...

Establishing a hearing service and ear hospital in Nepal: the Ear Aid Nepal experience

Following the earthquake that devastated Nepal in April 2015, the year ended on a positive note with the opening of an ENT hospital in Pokhara. Mike Smith, a UK-born ENT surgeon has been the driving force behind the conception and...

Curettage adenoidectomy impairs eustachian tube function

Adenoidectomy is a common procedure undertaken for obstructive sleep apnoea and nasal obstruction. Curettage is the most common technique but is associated with complications (mucosal trauma, bleeding) that may cause eustachian tube dysfunction (ETD). This study analysed changes in middle...