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From the editor NovDec 2019

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net Welcome There are many jokes told by anaesthetists about surgeons, and perhaps even more in the...

Can obstructive snoring affect the snorer’s ears as well?

Patients with obstructive sleep apnoea (OSA) often show severe nasal obstruction, chronic sinusitis and/or a deficit of nasal mucociliary clearance with nasopharyngeal stagnation of secretions possibly predisposing to eustachian tube dysfunction (ETD). This clinical prospective study investigates ETD, nasal resistance...

Preoperative risk factors: when do you need to refer to the haematologist?

It is essential that clinicians are able to identify and assess which patients are in the high risk category for bleeding during ENT surgery. A full history, including medications, herbal remedies taken, any other medical co-morbidities and family history of...

BLA/UEP Inaugural Joint Meeting

Matthew Cherko, Consultant Laryngologist, Royal Berkshire Hospital, Reading. It was a historic day when the highly anticipated inaugural joint meeting between the British Laryngological Association (BLA) and the Union of the European Phoniatricians (UEP) took place in London. In a...

Which bone conduction implant (BCI) device to use?

Bone conduction implants (BCI) are alternatives when the use and benefit of conventional, prosthetic equipment is limited or contraindicated in patients who suffer from conductive, mixed and single-sided deafness. They are broadly divided into two main groups delivering vibration directly...

Does surgery work for acquired stenosis of the ear canal in the long term?

The surgical treatment of acquired post-inflammatory atresia of the external auditory canal (EAC), namely meatoplasty, is challenging with variable long-term outcome. This study looked at the clinical, audiological data, long-term outcome and patient satisfaction after performing meatoplasty. Sixteen patients were...

Handbook of Otolaryngic Allergy

This book is an excellent companion for doctors dealing with allergy and rhinological complications of allergy. It contains detailed information of immunological pathways, from cells to systemic effects, of cellular reaction. It is well organised and takes the reader through...

Themistocles Gluck – the true father of laryngectomy

Most head and neck surgeons and ENT-specialists may know that the first laryngectomy for cancer was performed by Billroth on 31 December 1873. Billroth´s assistant, Vincenz Czerny, had outlined the operation in experimental surgery on dogs in 1870. Three years...

Joining forces to improve laryngopharyngeal reflux diagnosis

BIOHIT HealthCare is pleased to extend its corporate partnership with the British Laryngological Association (BLA) for a second year running, supporting its pursuit of improved diagnosis for laryngopharyngeal reflux (LPR).

Does endoscopic tympanoplasty give better results than a conventional approach?

This is a retrospective review looking at two groups of patients who had undergone middle ear surgery for chronic otitis media (perforation, retraction pocket/cholesteatoma) either open or endoscopic. Four hundred and five patients underwent open ear surgery and 501 endoscopic,...

Should intratympanic steroids be the first line treatment for sudden sensorineural hearing loss?

This article looked at whether intratympanic steroids (ITS) provide more benefits over systemic steroid therapy (SST) as initial therapy in patients with idiopathic sudden sensorineural hearing loss (ISSHL). This meta-analysis study, based on published RCTs, concluded that ITS treatment exhibited...

Is combined two wall decompression approach a better surgical outcome for Grave’s orbitopathy?

This retrospective study looked at the outcome of endoscopic medial wall combined with transcutaneous lateral orbital wall decompression in Graves’ orbitopathy. The following parameters were studied: reduction in proptosis; change in visual acuity and diplopia. A total of 36 orbits...