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What is in the Fountain of Youth?

Does the auditory system have to age? Can we become more like turtles or jellyfish and keep our internals running without degradation? This essay considers the theoretical underpinnings of biological processes in the cochlear, in particular the role of the...

Nasal septoplasty: is it more effective than medical management?

Question1. How do we know that undertaking an operation will benefit a patient? Question 2. How do policy makers / health systems know an operation is effective and ‘good value for money’? As trained professionals, we spend our careers seeking...

What type of sensitivity?

It is true that the different types of decreased sound tolerance conditions are, in general, poorly defined and the lines between them blurry. Hyperacusis? Loudness recruitment? Misophonia? Phonophobia? Sensory overload in noise? This paper aims to provide reference data for...

COVID-19 and oral cancer

This is a Canadian retrospective paper covering the period of March 2018 to March 2022. It identified 190 patients; 91 pre-pandemic and 99 from the pandemic. From this, they found there was no increase in patient delay, professional delay or...

The role of macrolide antibiotics in chronic rhinosinusitis

The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

Are ENT patients who research their symptoms online better informed?

All our patients look up their symptoms online before they visit us, don’t they? And patients who do so are better informed than those who don’t, right? Well, that’s not actually the case… The ‘information era’ More information is now...

Medicine in the Mountains

This is an easy-to-read paperback with interesting accompanying photographs. Its focus is one of the UK-based teams who have done considerable healthcare work in Nepal. Written by David Hawker, a British anaesthetist, we see the story unfold through his eyes....

Basic Otorhinolaryngology – Second Edition

The second edition of Thieme’s Basic Otorhinolaryngology, as the name suggests, is indeed a step-by-step learning guide for medical students and physicians seeking basic information related to the subject. It comes in an easy-to-learn and user-friendly format, introducing the reader...

Which patients are more likely to have postoperative pulmonary complications after major head and neck?

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

Concussion and vestibular processing deficits

It is well known that patients with mild traumatic brain injury (mTBI), also referred to as concussion, display longstanding vestibular symptoms but often clinical signs and objective vestibular function test abnormalities are lacking. The aim of the study was to...

Long-term results of injection laryngoplasty with polydimethylsiloxane (Vox) for unilateral vocal fold paralysis

Polydimethylsiloxane (PDMS) is widely used for vocal cord injections to treat patients with a vocal cord palsy. It is commercially available as the Vox implant system. Alternative compounds that can be employed include hyaluronic acid and calcium hydroxyapatite (Radiesse Voice)....

An app to help display hearing results

Vestibular neuronitis (VN) is a common condition that we treat. Despite this, many of us lack the in-depth knowledge and scientific reasons for doing what we do. Granted, the evidence is lacking in some areas but this paper is worth...