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Congenital cytomegalovirus causing deafness in children: an update

Congenital CMV is the leading non-genetic cause of sensorineural hearing loss in children. Keith Trimble draws our attention to this and gives a comprehensive guide on diagnosis and treatment. Congenital cytomegalovirus (cCMV) infection is common, affecting 1% of all newborns,...

Parathyroidectomy

Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

In conversation with Trevor McGill

After more than four decades of paediatric clinical practice, Trevor McGill shares his wealth of experience and knowledge with Pat Bradley. Trevor, as a national and internationally acknowledged Paediatric Oto-Rhino-Laryngologist, Head and Neck Surgeon, to what do you owe this...

The use of THRIVE in laryngology and phonosurgery

The team in Lewisham has been using THRIVE for our phonosurgical cases for about a year. Here, we discuss the pros, cons and potential pitfalls of setting up and using THRIVE as ventilation during anaesthesia rather than using an ML...

Awake transnasal laryngeal and pharyngeal biopsy in the unsedated patient

In an attempt to improve the efficiency and flow of patients through a busy ENT clinic, technology now allows the ENT surgeon to consider biopsies in the outpatient setting on a more regular and controlled basis. This can avoid the...

COVID-19 tracheostomies

This is a review of tracheostomies completed by an OMFS Unit in London from 10 March to 18 May 2020. A total of 176 COVID-19 patients were admitted to intensive care, 72 of which required tracheostomy due to prolonged respiratory...

Approach to the orbital floor: which is better?

During skeletal surgery sufficient exposure is key – often a direct approach through the overlying tissues is the easiest route. In the face, however, as the scar would be readily visible, approaches are designed to hide this. Surgical access to...

Adult Rhinosinusitis Clinical Practice Guideline update

This is a summary of the ‘Clinical Practice Guideline: Adult Sinusitis’ from the American Academy of Otolaryngology-Head and Neck Surgery Foundation. This is an update of the 2015 version. Evidenc-based statements: 1a. Differential diagnosis of acute rhinosinusitis: Clinicians should distinguish...

Tracheostomy safety project

Tracheostomy care is evolving, with the majority of procedures now performed percutaneously to facilitate weaning from mechanical ventilation in the critically ill. Traditional surgical indications remain, but surgical tracheostomies are increasingly performed in more complex patients. This brings unique challenges...

BAHA stability measurement in children

This useful paper reports the experience of using resonance frequency analysis for single stage bone-conduction implants in a paediatric population. A smartpegTM is attached to the abutment and vibrated by a close quarters magnetic field. The amount of vibration is...

Decreased paediatric myringotomy and insertion of ventilation tube rates during Covid 2019 pandemic

This study involves a province in Canada and claims that the need for paediatric myringotomy and insertion of grommets reduced to a third with public health measures aimed at reducing transmission of respiratory viruses, including SARS-CoV-2, in the Covid-19 pandemic....

59th Inner Ear Biology Workshop (IEB 2024) and 7th International Conference on Hyperacusis and Misophonia (ICHM7)

This September, two scientific meetings were held together in Warsaw, Poland: the 59th Inner Ear Biology Workshop and the 7th International Conference on Hyperacusis and Misophonia.