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Corticosteroid prescribing in ENT - are we at risk of being sued?
Of medications leading to malpractice claims, corticosteroids comprise the third most common. They are used widely and have a significant side-effect profile: hypertension, lipodystrophy, diabetes, avascular necrosis of the femoral head, peptic ulceration and psychiatric reactions to name but a...
Effects of diet and exercise on tinnitus
Subjective tinnitus is the perception of sound without any external stimulus. There is no consensus on the aetiology of tinnitus. Obesity is one condition that has been associated with subjective tinnitus. The authors conducted a randomised controlled trial to assess...Hyperacusis-related distress and comorbid psychiatric illness
Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...Musical hallucinations and audiology
Many of us will have been stuck with an ‘earworm’ for a day but consider how it would be to have that earworm stuck on repeat, possibly forever. Drs Lauw, Blom and Coebergh review the current literature on musical hallucinations...RNID’s campaign to restore NHS earwax removal services in the UK
Wax removal in the UK has become a topic of intense discussion. Here, Crystal Rolfe discusses the RNID’s findings and approach to tackling the issue. Earwax build-up can cause painful and distressing symptoms – a 2022 RNID survey found people...Cochlear implant care for deaf children in Côte d’Ivoire
Deafness is a global public health problem. More than 1.5 billion people (nearly 20% of the global population) live with hearing loss, and 430 million of them have disabling hearing loss, including 34 million children. In sub-Saharan Africa, nearly eight...The effects of polypharmacy in the elderly
Another pill to cure the ill? Alec Lapira discusses the warning signs of polypharmacy in the elderly population. Polypharmacy in the elderly Polypharmacy – defined as the use of five or more medications – occurs in 20–37% of older people...Surgical management of sleep disordered breathing
Snoring and sleep-disordered breathing are often described as multi-level problems, and different surgical procedures are required to treat the various sites of airway narrowing and/or collapse. Jonathan Hobson gives us an eloquent run-through the various options available to the ENT...
