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Salivary pepsin – a simple test for LPR?

A diagnosis of laryngopharyngeal reflux (LPR) can be made on the basis of characteristic symptoms and nasendoscopy findings. Objective tests exist for this condition; for example, 24-hour dual-channel pH-metry which is considered to be the gold standard. Such tests are,...

Choline PET-CT: an accurate diagnostic tool for the detection of parathyroid adenoma?

Hyperparathyroidism (HPT) is an endocrine disorder characterised by an increase in the secretion of parathyroid hormone (PTH), with a resulting increase in calcium plasma levels, which can cause renal lithiasis, fractures, and osteoporosis, the most frequent symptoms of the disease....

Applying ‘Sal classification’ to parotid cytology to replicate the success of the Thy classification system

The usefulness of the Thy classification in thyroid gland disease has led to attempts to generate a similar cytology classification for parotid lesions. However, the accuracy of fine-needle aspiration cytology in salivary gland disease is more variable because of the...

3D printed temporal bones for drilling are here!

It was only a matter of time before the 3D printer was used to help us with simulated temporal bone (TB) drilling. This group printed three paediatric TB models and evaluated their quality. They were found to be of ‘high...

Disorders of the Vestibular System: Diagnosis and Management

This book is aimed at specialist trainees and consultants with an interest in improving their knowledge and understanding of this traditionally obscure area of otolaryngology. There are very comprehensive chapters on anatomy and physiology of the vestibular system along with...

Cholesteatoma and Ear Surgery

The book Cholesteatoma and Ear Surgery is a selection of papers and presentations, including round tables and symposia, that constitute the proceedings of the 10th International Conference on Cholesteatoma and Ear surgery, a highly successful meeting that attracted over 1000...

Tubomanometry in eustachian tube dysfunction

This prospective study evaluated the validity and reliability of tubomanometry (TMM) in 25 patients with sinus disease, 75 patients with middle ear disease and 25 healthy volunteers. After thorough clinical examination, the participants were evaluated with TMM, nasal endoscope, otoendoscope,...

Demonstrating unobservable effects of therapy through PROMS: a review

Ultimately, healthcare should meet the needs of the people it is designed for. One way of measuring this is using patient-reported outcome measures (PROMS). These tools capture the patient’s perspective and have been described as demonstrating the unobservable effects of...

Cognitive Behavioral Therapy for Tinnitus

I was sceptical when I read that Cognitive Behavioral Therapy for Tinnitus was aimed at both clinicians and people with tinnitus. All too often, books intended for such a wide readership end up being too academic to appeal to patients...

Satisfaction levels in elderly patients with cochlear implants

Hearing rehabilitation in the elderly is of utmost importance as it is associated with depression and dementia in this age group. Cochlear implantation is indicated for hearing-impaired individuals who do not derive adequate benefit from conventional hearing aids. In this...

Directional microphones and speech

This study aimed to research how speech recognition, listening effort and localisation depends on hearing aids’ microphone configuration in people with moderate to severe hearing losses. Eighteen participants with sensorineural, symmetrical, moderate to severe hearing loss were tested. Participants were...

How useful is AHI?

There is a growing unease in the sleep medicine world about the usefulness of the apnoea-hypopnoea index (AHI). Most of our objective evidence about obstructive sleep apnoea (OSA) is in some way related to the AHI, and the respiratory physicians...