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Head and neck high dependency unit - an alternative to ITU?
Close observation of the airway is a primary requirement for patients undergoing major head and neck surgery. It is also necessary for patients with upper airway infection and trauma. Wound care, drains, feeding and analgesia also require specific attention. Whilst...
How well are we managing epistaxis cases?
Epistaxis constitutes 34.5% of all emergency admissions to otolaryngology departments nation-wide. Presently there are no detailed consensus guidelines for this commonest emergency, and there is tremendous variation of practice. Quite often, non-ENT trained doctors manage this emergency. This paper reviews...
Botox application for drooling shrinks salivary glands
The large majority of sialorrhoea (drooling) in paediatric patients is managed conservatively. However in severe cases, often where there is associated developmental delay or a motor disorder, medical and surgical techniques can be used to decrease salivary flow. Botulinum toxin...
Acute mastoiditis pre- and post-Covid-19 pandemic
This retrospective single centre study evaluated the influence of non-pharmaceutical interventions (NPI) like use of face masks, hand hygiene, and contact restrictions on the incidence and severity of acute mastoiditis during the Covid-19 pandemic. The study collected data of acute...MBE for John FitzGerald
Dr John FitzGerald, Consultant Clinical Scientist and Head of Audiology Services at Norfolk and Norwich University Hospitals (NNUH) NHS Foundation Trust has been made an MBE in the King’s Birthday Honours in June.
Transnasal oesophagoscopy: prospective cohort review
This paper looked at 257 patients undergoing the procedure in a tertiary otolaryngology department. In light of the morbidity of upper GI endoscopy associated with the sedation required, the safety profile of transnasal oesophagoscopy is a clear advantage. This cohort...Acute otitis externa: what are the important outcomes?
Matthew Smith discusses a project looking at outcomes of acute otitis externa interventions, and how, going forward, the INTEGRATE team are working with patients to develop outcome measures. Acute otitis externa (AOE) is one of the most common conditions of...Connected hearing healthcare: the realisation of benefit relies on successful clinical implementation
Connected hearing healthcare is the one of best tools for improving access to, as well as the overall quality, of hearing healthcare. Evelyn Davies-Venn and Danielle Glista discuss the benefits and important factors that contribute to successful implementation of this...
