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EBM and ENT: In conversation with Martin Burton
As part of our new Evidence-Based Medicine section, we’re honoured to feature an interview with Professor Martin Burton, Director of the UK Cochrane Centre. Professor Burton is Professor of Otolaryngology at the University of Oxford and Consultant Otolaryngologist at Oxford...
Eustachian tube dilatation can be done as an office procedure
Symptoms of eustachian tube dysfunction can often prove stressful and the treatment can be quite challenging in terms of sustained improvement. In this study, 31 patients underwent eustachian tube dilatation under local anaesthesia. The procedure is based on the concept...Transnasal oesphagoscopy
In this useful and practical article, the authors describe their use of transnasal oesophagoscopy, including the range of clinical scenarios in which it is used. What is TNO? Transnasal oesphagoscopy (TNO) is a technique that can be used in the...Surgical technology and operating room safety failures: lessons from vascular and general surgery
Background – surgical technology and otolaryngology An estimated 234 million major surgical procedures are performed annually worldwide. This requires the interaction of multidisciplinary teams with varying contributions of surgical technology and therefore makes surgical procedures prone to multiple sources of...
Evidence based guidelines for ONS treatment in occipital neuralgia
Occipital neuralgia (ON) can flummox otolaryngologists especially when it follows mastoid surgery. The paroxysms of sharp, electrical pain originating from the occiput can extend along the posterior aspect of the scalp and even up to the mastoid. Although the aetiology...
Influence of atmospheric conditions on post tonsillectomy secondary haemorrhage
Haemostasis in epistaxis and a good few other conditions outside the field of otolaryngology seem to be affected by the weather. It is generally thought that dry and hot environment encourages secondary post tonsillectomy haemorrhage. Variations in water vapour pressure,...
The right to choose: stories from the rare dementias
People with primary progressive aphasia (PPA) experience an insidious onset and gradual decline in language on a background of lesser or no cognitive impairment, hence a language-led dementia. There are three different PPA variants that correspond with three different clinical...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...
NSC- HHT – a systematic review of intranasal Bevacizumab
This systematic review of 13 studies concerning the use of an anti-angiogenic nasal treatment in the management of epistaxis in HHT patients finds no significant effect. This paper looked at four RCTs, three prospective studies, three retrospective, one case series...
To Hear Again, To Sing Again: A Memoir by Ellis Douek, ENT Surgeon and Hearing Implant Pioneer
“The past is a foreign country: they do things differently there.” LP Hartley’s immortal words could have been written for these fascinating reflections on the practice of ear, nose and throat surgery during the second half of the 20th century....
Bone bridge conduction device for patients with bilateral microtia-atresia
Management of microtia-atresia requires a multidisciplinary approach. Children normally require bone conduction hearing aid devices very early in life to improve and facilitate speech and language development. At a later stage, when the cranial bones have strengthened and become thicker,...
