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A match made in heaven: being a good supervisor
Supervision is a core component of clinical training for all healthcare professionals. Most colleges advocate supervisors be trained in the skill of supervision, but this is not standard practice. Often supervisors rely on the skills they learn from their own...
Is GERD linked to CRS?
We are all well aware that both chronic rhinosinusitis and reflux are prevalent in our populations. This meta-analysis looked at 25 studies investigating the association between GERD, LPR and CRS, therefore evaluating more than 117,000 patients. The results are fascinating...
Neonatal nasal stenosis - conservative approach
The authors retrospectively evaluated the efficacy of heated humidified high-flow nasal cannula (HFNC) in neonates with nasal stenosis for this study. Of the six infants included in the study, five had congenital pyriform aperture stenosis. Three of these five also...
An effective treatment for post Covid-19 smell loss?
It is well understood that calcium levels in the nasal mucous affect the ability to smell, with higher levels having a negative impact, and some studies have shown increased calcium levels in patients suffering with Covid-19-related olfactory dysfunction. Calcium chelating...
Early DCR may be better than delayed in acute dacrocystitis?
Traditionally, acute dacrocystitis has been treated conservatively with antibiotics, analgesia and warm compresses, with surgery reserved for later when the infection has subsided. This meta-analysis looks at early vs. late endonasal dacrocystorhinostomy (DCR) in the treatment of acute dacrocystitis, looking...
Idiopathic sudden sensorineural hearing loss and vertigo
This prospective longitudinal study evaluated vestibular function inpatients with idiopathic sudden sensorineural hearing loss (ISSHL) using caloric and video head impulse tests. All patients were admitted for treatment of their ISSHL and divided into two cohorts depending on presence or...
Volume changes in hemiglossectomy reconstruction
This paper analyses the volume changes in 10 patients, five of whom had hemiglossectomy reconstruction with a radial forearm free flap, whilst the other five patients had reconstruction with an anterolateral thigh flap. Both groups underwent postoperative radiotherapy. The volume...
All present and correct
You have ear protection, but are you using it properly? What are the risks over time? The design of standard earplugs has changed a lot in a decade. Earplug attenuation did reduce over time but still remained safe, however the...
Cochlear implantation in inner ear schwannoma patients
Inner ear schwannomas (IES) are rare. Patients with IES tend to lose their hearing. Surgery is a treatment option, but it leads to complete loss of hearing. Other treatment options include stereotactic radiosurgery (SRS) and watchful waiting (WW). The authors...
A useful adjuvant treatment for SNAC or IP
5-Fluorouracil (5FU) is a topical preparation used in the treatment of various dermatological, ocular and gynaecologic malignant and pre-malignant conditions, and this literature review looks at the efficacy of 5FU in treating inverted papilloma and sinonasal tumours. The authors cite...
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...
