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A systematic review of adjunctive probiotic therapy in the management of chronic rhinosinusitis

It is generally understood that administering substances containing live microbiologically active micro-organisms (probiotics) enhances the treatment of chronic rhinosinusitis. Probiotics manipulate and rebalance the alterations occurring in the local microbiome in chronic rhinosinusitis patients. This results in propagation of healthy...

Wandering foreign bodies in the upper aerodigestive tract

Fish and chicken bones, along with metal wires, are among the most commonly ingested foreign bodies. Due to their linear shape and sharp edges, they can sometimes migrate beyond the lumen, making conventional endoscopic extraction unsuccessful. This issue is further...

Early recognition aiding better prognosis?

As we are all aware, acute invasive fungal rhinosinusitis (AIFR) is a life-threatening disease which typically affects immunocompromised patients. It is diagnosed via typical signs, symptoms and presentation but gold standard is by biopsy of tissues demonstrating infiltration fungal hyphae....

Benefits of bilateral cochlear implants

In an ideal world, if you could increase the clinical use of bilateral cochlear implant (CI) treatment, would you? If you’re interested in exploring the clinical benefits of bilateral CIs, or how reviews can directly inform patient care, this systematic...

Paediatrics Issue I

To skip directly to features, click the links below: Welcome from the editor - by Prof Ray Clarke and Claire Benton Industry News Setting up a paediatric ORL service with limited resources - by Raman Eswaran Engaging adolescents in hearing...

Vestibular implantation: are we there yet?

The objectives of this review article were to ascertain, through a systematic literature review, device design, surgical approaches, objective and subjective outcomes as well as limitations of vestibular implantation (VI). Following an extensive systematic search using PRISMA guidelines, 21 studies...

Polidocanol – a safer and equally effective alternative to ethanol for the treatment of thyroid cysts?

Percutaneous needle aspiration is a minimally invasive treatment option for thyroid cysts but suffers from a high recurrence rate (86% in 1 case series). This recurrence rate can be reduced substantially with the instillation of ethanol following aspiration. Ethanol instillation...

The keystone island perforator flap – expanding the toolbox for aesthetic nasal reconstruction

The complexity of nasal reconstruction lies in its dual objective: restoring structural integrity while preserving subtle contours and symmetry that define facial aesthetics. This retrospective cohort study from a single centre in the United States evaluated the effectiveness of the...

Scribe 2.0: streamlining clinical workflow with AI

A standard NHS clinic appointment lasts 15 minutes. In that time, you are expected to call the patient in, greet them, take a full history, perform an examination, formulate a differential diagnosis, explain that diagnosis, discuss investigations, request those investigations,...

Team proves secure pathway to the inner ear

An international team of surgeons and scientists has, for the first time, validated safe surgical access to the central core of the human cochlea.

Tele-audiometry – a ShoeBOX solution

Access to hearing assessment is a global challenge. In relation to the global burden of hearing loss World Health Organisation’s (WHO’s) recent estimate (2013) is that 360 million people in the world have disabling hearing impairment. Two-thirds of these people...

Targeting the microbiome in chronic rhinosinusitis

Researchers at St Paul’s Sinus Centre and UBC in Vancouver are testing a novel treatment for CRS: transferring mucus from a healthy donor into a patient’s sinuses. Chronic rhinosinusitis (CRS) is one of the most common diseases managed by otolaryngologists...