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A systematic review of adjunctive probiotic therapy in the management of chronic rhinosinusitis

It is generally understood that administering substances containing live microbiologically active micro-organisms (probiotics) enhances the treatment of chronic rhinosinusitis. Probiotics manipulate and rebalance the alterations occurring in the local microbiome in chronic rhinosinusitis patients. This results in propagation of healthy...

Four lessons: the development of speech and language therapy research for people with dementia care

Dementia has been described as the biggest expanded caseload for speech and language therapists. Everyone with dementia experiences communication difficulties. The late Prof Audrey Holland revolutionised the work of speech-language pathologists in this field through four key lessons. Lesson 1:...

Auditory-Verbal Therapy for Young Children with Hearing Loss and Their Families, and the Practitioners Who Guide Them

This book is well written but a little too wordy and technical for the wide range of people that it is intended. Each chapter is broken down into readable sections and is very well-referenced throughout the text and very comprehensibly...

Prof ED Kitcher

Much has been said of the paucity of ENT Services in Africa [1]. Whilst Ghana has always been at the forefront of healthcare in Sub Saharan Africa, its ENT and allied services were somewhat suboptimal in the 1980s. This article,...

Gene therapy restores baby’s hearing

The guest editor of a forthcoming supplement for ENT & Audiology News has helped enable a baby girl born deaf to hear unaided for the first time.

Does salvage treatment in sudden sensorineural hearing loss work?

Many treatment strategies for sudden sensorineural hearing loss (SSNHL) have been discussed, but the high spontaneous recovery rate (32-65%) of idiopathic SSNHL and differing treatment guidelines make comparing outcomes difficult. Systemic steroids are the most common first-line therapy with significant...

Does talking better make you feel better?

Interaction-focused therapy for people with language impairment (aphasia) following a stroke or brain injury is routinely used by speech and language therapists in clinical practice. These types of interventions are based on research into the organisation of interactions and interactional...

More than words: looking at all the evidence

Evidence based practice (EBP) is a three-pillared approach whereby information on the research evidence, factors relating to the patient and clinical experience are all considered to inform a care decision. Unfortunately, there is frequently very little research evidence to inform...

Patient reported outcomes improve if antibiotic choice is directed from endoscopic culture results in chronic rhinosinusitis

The use of antibiotics in chronic rhinosinusitis (CRS) has been established as part of the EPOS guidelines, as has the role of taking swabs for microbiology culture. There has not been much literature however on whether tailoring antibiotics in response...

Should intratympanic steroids be the first line treatment for sudden sensorineural hearing loss?

This article looked at whether intratympanic steroids (ITS) provide more benefits over systemic steroid therapy (SST) as initial therapy in patients with idiopathic sudden sensorineural hearing loss (ISSHL). This meta-analysis study, based on published RCTs, concluded that ITS treatment exhibited...