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Smoking and immunotherapy – does it worsen outcome?

This interesting study aimed to address the issue of smoking in patients who had their allergic rhinits treated by sublingual immunotherapy (SLIT). Assessment was with validated quality of life questionnaires. There were 163 patients recruited in Greece who had completed...

Salivary duct clipping for drooling

Drooling can be a challenging problem to manage in paediatric ENT. The variety of medical and surgical treatments suggests that there is no gold standard treatment. Nicola Stobbs and Ravi Thevasagayam describe an approach to ligating the salivary ducts. Drooling...

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...

Interleukins, cilia and polyps

Interleukins (ILs) including IL13 (Th2 cytokine) are inflammatory mediators and their role in asthma has been detailed before. This study explores IL13 receptor expression in chronic rhinosinusitis with nasal polyps (CRSwNP). The authors investigate protein and mRNA expression levels of...

The modern management of Ménière's disease

In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

The role of public health in addressing age-related hearing loss

Prevention and treatment of hearing loss needs to be viewed through a public health lens, but what does that look like? Kelly Reavis and colleagues explain the steps to addressing hearing healthcare from a public health perspective and why this...

Elasticated retraction in head and neck surgery – a trainee’s perspective

The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

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,...

Comprehensive Management of Swallowing Disorders – Second Edition

On first glimpse this 548-page A4 book looked like it was going to be a nightmare to review, but once I started reading, I was pleasantly surprised. This is the second edition of this American book with the first edition...

Diseases of Ear, Nose & Throat

This book is a very enthusiastic attempt by the author to cover all aspects of ENT in approximately 600 pages. In doing so, the author at times has lost the audience he is trying to capture. Some aspects have reasonable...

Self-Assessment of Hearing - Second Edition

As an audiologist, I am often reminded of the estimated number of hearing aids that end up in patients’ drawers, rather than in their ears. Although the reasons for non-compliance with amplification are numerous and complicated, the patients’ reported perspective...

Atlas of Otologic Surgery and Magic Otology, Second Edition

After having read a variety of books that focus on otology, the Atlas of Otologic Surgery and Magic Otology provides a complete and holistic perspective on the field of otology, including a wide range of topics such as structure and...