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The National Bone Conducting Hearing Implant Registry

Are you an otologist with an interest in implant surgery? Is your unit on the registry? If not, you’d better have a good excuse after reading this… What is the National BCHI Registry? The National Bone Conducting Hearing Implant (BCHI)...

How can we improve outcomes for patients with acute vestibular neuritis?

Vestibular neuritis is a common disorder that can leave up to 50% of patients with persistent vertigo symptoms for months to years following the acute insult. Often their first contact with ENT or balance specialists is many months after the...

Advances in diagnosis and management of allergic rhinitis

This article reviews advances in the diagnosis and management of allergic rhinitis. Recent advances in the diagnosis of allergic rhinitis include testing of local immunoglobulin E (IgE), urinary test to diagnose aspirin hypersensitivity and optical rhinometry to assess degree of...

What is Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)?

THRIVE is a physiological mechanism for oxygenating and ventilating patients who are under general anaesthesia and who have diminished or absent respiratory effort [1]. Classical ventilation requires bulk flow of gases into and out of the lungs driven by chest...

Advanced Caucasian and Mediterranean Rhinoplasty

This is a single author text book written by Peter Lohuis from Utrecht, and therefore differs from the majority of multi-author rhinoplasty texts. The book is essentially therefore a comprehensive ‘how I do it’ from first consultation through to patient...

A comparison between trainee and trainer outcomes in mastoid surgery

In this era where training faces restrictions due to theatre time, fewer sessions available to trainees and requirements of consultant-led and consultant-delivered services, one unit confirmed that myringoplasties given to trainees reduced from 34.2% to 16%. This study compares outcomes...

Balloon eustachian tuboplasty and inferior turbinectomy

This Taiwanese prospective case-control study looked at concurrent inferior turbinectomy (via submucosal turbinectomy) and balloon eustachian tuboplasty on symptoms related to eustachian tube dysfunction. A total of 50 patients who underwent inferior turbinectomy with balloon eustachian tuboplasty were recruited prospectively...

Is virtual reality the future of vestibular rehabilitation?

The use of virtual reality (VR) in vestibular rehabilitation is gaining some popularity but availability is hampered by cost. One VR system in use in some centres is the Hybrid VR unit which incorporates motion trackers and force platforms. This...

Advances in surgical innovation for head and neck cancer

This article reviews current advances in surgical treatment of head and neck cancers such as sentinel node biopsy, stereolithic modelling, transoral robotic surgery and intra-operative imaging of tumour margins. Sentinel node biopsy has been found to be especially useful for...

High dose betahistine as effective as, but slower acting compared to intratympanic dexamethasone in intractable Meniere’s disease

The management of intractable Meniere’s disease poses a complex conundrum to otolaryngologists. The focus of treatment is decreasing the severity and frequency of vertigo and tinnitus whilst trying to preserve hearing. Betahistine has been used for many years in the...

Landmark Papers in Otolaryngology

“It is the supreme art of the teacher to awaken joy in creative expression and knowledge” says Peter Rea in his foreword to this book. He is quoting Albert Einstein, of course, and also introducing this book with a delightfully...

Accurately diagnosing reflux to direct personalised treatment

Laryngopharyngeal reflux (LPR) frequently causes severe extra-gastrointestinal symptoms – such as a persistent cough, vocal problems, asthma or difficulty swallowing – that can be easily confused with a common cold and allergies.