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Surgical approach to trigeminal neuralgia
This article provides a summary of the operative techniques available for treating patients with trigeminal neuralgia who have medication resistant pain or medication intolerance. Microvascular decompression is performed via suboccipital craniotomy to find and resolve the underlying nerve compression. The...OBITUARY: Dr David Pothier
David Pothier passed away on July 27, 2018 in the early hours of the morning following a struggle with recurrent brain cancer. His passing extinguished a brilliant light, the likes of which few of us will witness in our lifetime....Retrograde cricopharyngeal dysfunction (RCPD) - inability to burp: treatment with Botox injection
As unusual as it may sound, some people have great difficulty burping. We hear of one approach to tackling this problem. Retrograde cricopharyngeal dysfunction (RCPD) is a condition presenting with inability to burp, resulting in gaseous distension of the digestive...
Metformin, the magical solution!
Both noise-induced hearing loss (NIHL) and vestibular schwannomas (VSs) pose a challenge in terms of management. Metformin was suggested as a potential therapeutic drug for NIHL when the drug-target interaction data was investigated. Additionally, there are studies which demonstrate reduction...ENT leadership
Challenges The first challenge is to agree what we mean by the term leadership because there are many different ways in which the term is used. What is, however, a consensus is that the key distinction between leadership and management...Bishop Berkeley and the Freireich experimental hypothesis
Our resident reporter at large tells us about two of his heroes, both of whom have quite clear merits and foibles. My patients just keep on getting better. You may well point out that under the care of a clinician...Establishing a medical device company: an ENTrepreneur’s experience
In 2004, while I was suturing the mucopericondrial flaps for a septoplasty, I thought to myself, “there must be an easier and faster way of doing this”. Even though I had no formal training in business or medical device development,...
Factors associated with laryngopharyngeal reflux
This Chinese cross-sectional survey across three hospitals and 320 patients looked at the effect of unhealthy lifestyles and eating habits, as well as psychological difficulties, on the development of laryngopharyngeal reflux (LPR). All the participants underwent gastroscopy, laryngoscopy and various...ENT in this issue...Entrepreneurs and Innovation
Innovation has been the by-word of almost every meeting for the past five years. But what is it really? And how do we achieve it? I’ve always thought of it as a way of solving problems you have, not only...Obituary: John Noel Gleave Evans (1934-2022)
John Noel Gleave Evans DLO FRCS, formerly consultant otolaryngologist to St Thomas’ Hospital and Great Ormond Street Hospital for Children, died peacefully at home on 27 March 2022 at the age of 87.Dizziness: confusion, issues and considerations
Douglas L Beck gives his unique take on the difficulties involved in diagnosing dizzy patients and the importance of well-founded research acting as the basis for any diagnosis and treatment decisions. Dizziness. Uh-oh. We really have a very limited understanding...
