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Post-operative tonsillectomy bleeding with a normal clinical exam

Tonsillectomy is amongst the most common surgical procedures performed across the western world. For patients who report bleeding post-tonsillectomy, but have no clinical findings on examination, the management can be unclear. The accepted current management in most centres would be...

Otorhinolaryngology training in Haiti: a call for accompaniment

Haiti is a small Caribbean country in which a group of freedom fighters successfully defied Napoleon and the French military. It has faced embargoes, economic isolation, political crises and devastating natural disasters since its independence. Its GDP is 0.01% of...

Nasal polyps, does size matter?

This study from Germany investigates the correlation between nasal polyp size and return of olfactory function following endoscopic sinus surgery. Olfaction is affected more in patients with CRSwNP than with CRSsNP and the best chance of smell recovery occurs in...

Biologic therapies for chronic rhinosinusitis with nasal polyps: a new paradigm

Surgery for nasal polyposis has evolved significantly in the last 30 years, and now the medical management may be on the cusp of a revolution. Biologics using monoclonal antibodies to target specific immune pathways have introduced a paradigm shift in...

Daflon – a new way to treat idiopathic epistaxis

Epistaxis is a common ENT emergency and most cases are idiopathic. Flavonoids are natural substances with variable phenolic structures that are found in fruit and vegetables and take effect on blood vessels. Daflon is proposed to control epistaxis by “improving...

Acute ENT activity in a teaching hospital

This Belgian prospective audit attempted to provide justification for the provision of a 24-hour emergency service at a large 1038-bed teaching hospital (with 31 ENT consultants). The authors looked at a one-month period during which 190 patients were admitted. They...

Dysphagia services in the emergency department

The emergency department acts as the first port of call for many individuals with wide-ranging diagnoses and conditions, several of whom may potentially present with dysphagia. It is not a usual environment in which speech and language therapists regularly work,...

Thoughts on war: von Clausewitz revisited

We few, we happy few, we band of brothers; For he to-day that sheds his blood with me Shall be my brother; be he ne’er so vile, This day shall gentle his condition: And gentlemen in England now a-bed Shall...

New hearing healthcare service-delivery models with connected technologies

Connected hearing healthcare can improve access to affordable hearing healthcare. DeWet Swanepoel discuss how innovative trends in connectivity and technology offer opportunities for novel and decentralised models of delivering high-quality hearing healthcare. Megatrends in connectivity and technology have ushered in...

In conversation with Nick Jones

“I admit to having felt vulnerable and anxious about exposing my work to scrutiny, and I still do.” From nasal reconstruction to poetry composition: retired rhinologist, Nick Jones - author of new poetry collection, Encounter - tells us more about...

Reflections on educational gatherings in the COVID era

The COVID pandemic has brought disruption and uncertainty for the organisers of medical conferences. ENT and audiology have always thrived on a healthy exchange of views and the sharing of knowledge across subspecialties and across national boundaries. Ray Clarke asked...

Practical training courses for otolaryngology trainees

In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...