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1011 results found

Reactive lesions of the contralateral vocal cord – excise or leave?

It is well recognised that benign lesions of one vocal cord can give rise to reactive lesions of the contralateral vocal cord directly opposite to the primary lesion. These contralateral reactive lesions (CRLs) are thought to arise due to impact...

Does stress and anxiety worsen idiopathic sudden hearing loss outcomes?

There have been suggestions that the natural course of the idiopathic sudden sensorineural hearing loss (ISSNHL) is not affected by intensive therapy. There is speculation as to whether unknown factors affect the treatment prognosis. This is a retrospective study of...

How to tackle the problem of ciprofloxacin-resistant ear infections?

The growing issue of ciprofloxacin-resistant ear organisms is certainly a pertinent one. The situation here in the UK, where ototoxic topical drops are frequently given initially in the presence of pus and a perforation, differs markedly from elsewhere where fluoroquinolones...

Non-autologous graft material in paediatric tympanoplasty – is it as good as temporalis fascia and is it cost-effective?

This retrospective case review looks at the experience of a single unit using a variety of autologous (temporalis fascia, n=292) and non-autologous graft material, n=241 (alloderm (human dermis), biodesign (porcine submucosa, $170-$255) and tutoplast (human pericardium, $350). The average patient...

Bell’s palsy incidence in Korean population

Bell’s palsy is an acute idiopathic paresis or paralysis of the peripheral facial nerve. It is the most common cause of facial nerve palsy with a reported incidence ranging from 11.5–55.3 per 100,000. The aetiology remains unclear. Several studies have...

Older patients hospitalised for pneumonia: what factors determine survival after discharge?

A high proportion of older adults hospitalised for pneumonia may have co-existing risk of aspiration due to dysphagia. The authors of this single-centre retrospective cohort study followed up patients over the age of 65 who were admitted to hospital with...

Robotic assisted orbital surgery (RAOS) – a novel approach to orbital malignancy surgery

Robotic technology in ENT surgery has been used in certain areas of head and neck cancer care but, in this article, we hear of an exciting development from the team at Guy’s & St Thomas’. Advances in surgical robotic technology...

In conversation with John Carlisle: the silent hero shaping medical publication integrity

Have you ever been curious as to what your anaesthetist is getting up to on their laptop during long cases? Me neither, but I always generally assumed they were trading Bitcoin, solving the Riemann hypothesis and buffing their Tinder profile....

Cocaine-induced ENT pseudo-GPA (CIEpGPA): an underdiagnosed entity

Cocaine-induced ENT pseudo-GPA is increasingly seen in our ENT clinics. The authors of a new ENT UK guideline offer a concise overview for day-to-day recognition and management. Use of cocaine has steadily increased in Europe since 2010 and now represents...

Big data and the future of cochlear implant aftercare

With a million people using cochlear implants worldwide, the time is right for us to harness this vast data for patient benefit. Every day, cochlear implant (CI) processors quietly collect data: how long they’re worn, how often users switch programs...

Cochlear implant care for deaf children in Côte d’Ivoire

Deafness is a global public health problem. More than 1.5 billion people (nearly 20% of the global population) live with hearing loss, and 430 million of them have disabling hearing loss, including 34 million children. In sub-Saharan Africa, nearly eight...

In conversation with John Carlisle: the silent hero shaping medical publication integrity

Have you ever been curious as to what your anaesthetist is getting up to on their laptop during long cases? Me neither, but I always generally assumed they were trading Bitcoin, solving the Riemann hypothesis and buffing their Tinder profile....