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Management of frontal sinus fractures

Frontal sinus fractures are uncommon (associated with around 5-15% of facial fractures). The authors divide frontal sinus fractures into isolated anterior table fractures, fractures involving the frontal sinus outflow tract and posterior table fractures, discuss some of the recent relevant...

Does endoscopic sinus surgery for chronic rhinosinusitis improve COPD?

Chronic rhinosinusitis (CRS) can be associated with asthma, with a reported frequency of asthma in patients with CRS of up to 44%. COPD is another lung condition that can be associated with CRS. This longitudinal study reviewed the nasal and...

Adjuvant radiotherapy for T4N0 laryngeal cancers treated with laryngectomy

A total laryngectomy remains the gold standard for the initial treatment of advanced (T4) squamous cell carcinomas of the larynx without evidence of distant disease. Adjuvant radiotherapy (RT) is also recommended for such cancers. In the absence of other adverse...

CIICA’s new resources: summaries of the CI information from the WHO World Report on Hearing

The new global network, CI International Community of Action (CIICA) has produced four summaries from the exciting and comprehensive World Report on Hearing 2021. These summarise the information and evidence about cochlear implants (CIs) included in the report which are...

ENT and evidence-based medicine: How do they benefit each other?

How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...

Barotrauma

Barotrauma is an injury which is due to the effects of pressure upon an air-containing space. Healthy middle ear cavities and paranasal sinuses are normally in equilibrium with the atmospheric pressure, but if an individual moves away from the surface,...

Hearing matters in New Year's Honours

Emeritus Professor David Kemp from the UCL Ear Institute, widely known for his discovery of otoacoustic emissions, has been made a CBE for services to auditory sciences and public health. Robert Nolan, chair of Deafblind UK, was awarded OBE for services to people living with deafblindness.

Comprehensive Handbook of Pediatric Audiology – Second Edition

The authors of the Comprehensive Handbook of Pediatric Audiology, as stated themselves, have striven to pen an exhaustive and academic textbook on audiology. In my view, it certainly meets their aim of being at a masters or doctoral level. However,...

Wearable sensors for assessment of vestibular disorders

This prospective preliminary study describes the use of commercially available wearable inertial sensors (Mobility LabTM) in assessing the functional ability of individuals with vestibular disorders. Traditionally the Romberg’s, Tandem Walking and Fukuda’s Stepping tests were used to clinically evaluate individuals...

Postconcussion syndrome: weighing up the options on balance

Balance problems, dizziness, headaches, nausea, vomiting and sensitivity to light and sound, are a few of the symptoms which may be associated with post concussion syndrome (PCS), concussion symptoms which persist longer than 21 days. This article presents a physical...

Machine learning and the future of otolaryngology

If you are over 30 years of age, you have witnessed a technology revolution that has grossly affected how we live: computers have come from being an oddity to an everyday feature in our households and places of work; the...

The process of medical innovation

You’ve got an amazing idea for a new device. It is going to change how your speciality of surgery is practised. It will lead to better operative results and lower risks to patients – that’s amazing, can I see it?...