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Is Dymista® useful for paediatric allergic rhinitis?

Allergic rhinitis (AR) affects up to 14.6% of the paediatric population. Whilst a recent Cochrane review has considered the evidence for intranasal corticosteroids as `weak and unreliable’ in paediatric AR, this product is a novel formulation combining Fluticasone and Azelastine...

The future of audiology rehabilitation? Smartphone apps to collect real-world experiences and support clinical decision-making

Ecological momentary assessment (EMA) is gaining momentum in the world of connected hearing healthcare and real-world assessment. Barbra Timmer explains how EMA will play a key role in transforming the information that clinicians use in decision-making and measuring outcomes. Did...

Vertigo: Clinical Practice and Examination

This textbook offers a straightforward overview of vertigo management. It is easy to read. There are 25 references but I cannot see that they are cited in the text. I find it difficult to identify who the audience would be...

Endoscopic excision of cholesteatoma

In this article Vikranth Visvanathan describes an exciting development on the use of endoscopic technology in complex otological practice. Transcanal endoscopic ear surgery (TEES) is rapidly evolving as a recognised method of addressing middle ear and mastoid pathology. Since its...

CI outcome measures and different languages

Outcome measures for hearing rehabilitation strategies in children are the subject of endless debate. The underlying problem with measuring outcomes in this population is delineating the extent to which development (which is in itself variable) and hearing ability (usually the...

Medical Journals and The Journal of Laryngology and Otology

Medical journals have a fascinating history. One early journal, The Lancet, was founded in 1823 and its first Editor, London surgeon Thomas Wakley (1795-1862), had a turbulent life. He lived in an era where quackery was rife and where the...

Is one glass of wine on call safe?

It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

Total lower lip reconstruction: a review

Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...

A path to leadership

In this article we learn more about the Ruth Thomsen’s journey in audiology and healthcare science, exploring the opportunities on the road less travelled. “Two roads diverged in a wood, and I—I took the one less traveled by,And that has...

Stapedotomy in osteogenesis imperfecta

Osteogenesis imperfecta (OI) is a rare connective tissue disease caused by a defect in collagen structure. Hearing loss is a characteristic feature of OI. It typically presents with conductive hearing loss initially, followed by a superimposed sensorineural component later in...

An overview of cranioplasty

This article provides a summary of the indications, materials and current techniques available in cranioplasty. Cranioplasty is performed to restore the normal architecture of the skull following craniectomy for many reasons including intracranial infection, trauma and neoplasm. The timing of...

COVID-19 and medical practice

The pandemic has deeply affected all types of medical and surgical practice and even publications. In this issue, the lead article was on the French consensus on ENT practice during the pandemic. In ENT practice, both patients and health workers...