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The right to choose: the how-to of practicable supports
Providing all practicable supports to enable a person to participate in decision-making is one of the five key principles of the English and Welsh Mental Capacity Act 2005. This article (set in the Canadian legal framework, which has many similarities...
Earlier intervention to correct anosmia?
This is an interesting study aimed to determine the timing for successful surgical intervention in improving the sense of smell in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). A total of 86 CRSwNP patients with loss of smell and...
Nasopharyngeal versus nasal swabs for COVID-19
This systematic review from Austria compares nasopharyngeal swab (NPS) and PCR test to nasal swabs from the other nasal areas with PCR. After finding 425 articles, using PRISMA guidelines 18 were deemed suitable for comparison. Anterior nasal swabs (ANS) and...
Is benign intracranial hypertension underdiagnosed in patients with spontaneous CSF leaks?
In ENT practice we come across spontaneous CSF leaks. Patients present either as unilateral watery rhinorrhoea or otorrhoea, or sometimes as hearing loss with a watery middle ear effusion. Clinicians, after confirming the diagnosis of CSF leak with beta 2...
Vestibular function preservation after minimally invasive paediatric cochlear implantation
This retrospective study analysed results in 24 paediatric patients with low-frequency residual hearing before and after minimally invasive cochlear implantation. The authors define minimally invasive cochlear implantation as a round window insertion of flexible Nucleus CI422, Nucleus CI522, MedEl Flex...
Factor favouring the need for revision FESS in chronic sinusitis with polyps – a multivariate analysis including phenotypes
Chronic rhinosinusitis with polyposis is a type 2 inflammation with risks of recurrence and need for revision operations. This is known to depend on the endotype and phenotype factors. This is a retrospective study of 212 patients. Of these, 112...
Quinsy and culture
Peritonsillar abscesses are frequently encountered in clinical practice. Standard treatment includes empirical medical treatment and drainage. This study aimed at evaluating the value of culture and sensitivity testing of the aspirate in guiding antibiotic treatment. Patients received empirically amoxycillin, amoxycillin...
Loudness tolerance levels and misophonia
Misophonia is a prevalent condition, yet its assessment and management remain underrecognised by many audiologists. Current literature highlights the frequent co-occurrence of misophonia with tinnitus and hyperacusis. Hence, the link between loudness intolerance problems and misophonia has been hypothesised by...Unlocking better reflux diagnostics with Peptest®
BIOHIT HealthCare recently hosted a fascinating webinar on Peptest, its innovative, non-invasive saliva-based test that is redefining reflux diagnosis. Led by Andrew Woodcock, Chief Scientific Officer at RD Biomed, the comprehensive session explored the science behind Peptest, from its early...Share your perspective on improving reflux care pathways
BIOHIT HealthCare recently brought together leading ENT specialists and speech and language therapy professionals for a roundtable discussion on the complexities of diagnosing laryngopharyngeal reflux (LPR) and extraoesophageal reflux. Key themes included the lack of consensus around LPR as a...
How do you actually get therapists to do the therapy you need them to?
Aphasia is an acquired communication disorder that affects approximately a third of people who have a stroke and for which speech and language therapy is the main treatment. However, there are known gaps between evidence-based recommendations and the delivery of...
