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Does Tranexamic acid reduce intraoperative bleeding during FESS?

Intraoperative bleeding during FESS can reduce visibility and obscure important landmarks. This can result in longer operative times, increase risks of complications and even lead to incomplete surgery. Tranexamic acid is a drug which prevents fibrinolysis and stabilises blood clots....

What to do if adenotonsillectomy does not cure sleep apnoea in children?

This article reviews the management of children with persistent obstructive sleep apnoea (OSA) following adenotonsillectomy (AT). Risk factors for patients to have persistent disease include obesity, being Afro-Caribbean and existing co-morbidities such as craniofacial and neuromuscular disorders. Initial assessment of...

Gender inequality across medical specialties in the United States

The authors of this study collected and evaluated 4222 surveys of patient satisfaction ratings of male and female residents across subspecialties in the United States. Half of the evaluated residents were females, with first and second year residents being evaluated...

The decision-making process by parents of children with residual hearing who receive cochlear implants

It can be a difficult decision for parents whose children have residual hearing whether or not to undergo cochlear implantation. Their children may seem to be hearing with their hearing aids, and even in some cases can hear without aids....

Choosing instrumental assessments of swallowing for children

Swallowing disorders in children are increasingly common due to advances in medical care allowing them to survive prematurity or complex health conditions. Careful assessment of eating and drinking is necessary to ensure that children are managed both safely and with...

Outcomes of reirradiation for recurrent head and neck SCC

Recurrent squamous cell carcinoma of the head and neck is often a challenge to manage when radiotherapy has previously been administered as a component of the initial treatment. Salvage surgery is usually the preferred modality of treatment, but for unresectable...

Barriers and facilitators to app use in Australian audiology clinics

Too old to app? Time to think again! Bec Bennett discusses why it’s time for healthcare professionals to hit reset on expectations of digital literacy. Mobile health (mHealth) apps have the potential to enhance audiological care by supporting the self-management...

Kingdon Review of Children’s Hearing Services

The Department of Health and Social Care has published the ‘Kingdon Review of Children’s Hearing Services: Final Report’, led by Dr Camilla Kingdon, President of the Royal College of Paediatrics and Child Health.

What’s the appetite for clinical risk?

The first Professor and Chair of Medical Professionalism at RCSI and BSHS, Dubhfeasa Slattery provides an overview of how a desire for better healthcare at all levels can be harnessed and nourished, leading to a potential life-long interest in reducing...

Collaborating with patients on research priorities in hyperacusis: the James Lind Alliance project

An innovative and inclusive approach to the identification and prioritisation of research questions is to place the views of patients at the heart of the process, and in partnership with clinicians. The application of this to hyperacusis is described by...

Carleton Medical release updated range of CO2 Lasers

Carleton Medical have released an updated range of CO2 lasers for the UK.

Destination unknown

We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...