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A new tool to enhance smell recovery?

Vericiguat is a soluble guanylate cyclase activator which boosts intracellular cGMP and promotes smooth muscle relaxation. It is approved for use in heart failure, but the authors hypothesise that it may also enhance neuronal olfactory signalling via cGMP elevation. Eighty-eight...

Polidocanol – a safer and equally effective alternative to ethanol for the treatment of thyroid cysts?

Percutaneous needle aspiration is a minimally invasive treatment option for thyroid cysts but suffers from a high recurrence rate (86% in 1 case series). This recurrence rate can be reduced substantially with the instillation of ethanol following aspiration. Ethanol instillation...

Telehealth for cochlear implant follow-up care

For individuals with moderate-to-profound sensorineural hearing loss, cochlear implants are a highly effective form of hearing rehabilitation. Despite their effectiveness, utilisation is low, with approximately only 12.7% of suitable adult candidates receiving implants. Barriers to access include the geographic distribution...

The BAYAD alar technique – visual landmark guided paradigm in alar base reduction

Alar base reduction can be a technically demanding component in rhinoplasty, especially within the ethnically diverse populations where rigid anthropometric norms may not apply. Mahmood introduces the Balanced Aesthetic Yielding of Alar Design (BAYAD) technique – a rulerless intraoperative visual...

Narivent – an effective, fast-acting non-vasoconstrictive nasal decongestant?

The nasal obstruction associated with acute and chronic rhinitis is often considered one of the most unpleasant symptoms associated with these conditions. Whilst topical over-the-counter vasoconstrictors such as xylometazoline and oxymetazoline are highly effective at alleviating nasal obstruction, they are...

Brain tumours don’t do what they’re told to – linguistic sequalae of low-grade brain tumours

Brain tumours typically grow slowly, resulting in the gradual progression of symptoms including, in some instances, tumour-related language difficulties. Traditionally, brain tumours were thought to result in language symptoms correlating with traditional lesion-symptom mapping, and research to date has mainly...

The keystone island perforator flap – expanding the toolbox for aesthetic nasal reconstruction

The complexity of nasal reconstruction lies in its dual objective: restoring structural integrity while preserving subtle contours and symmetry that define facial aesthetics. This retrospective cohort study from a single centre in the United States evaluated the effectiveness of the...

Do in-office steroid injections help for idiopathic subglottic stenosis?

Idiopathic subglottic stenosis (iSGS) is a narrowing of the trachea of unknown cause, usually affecting middle-aged Caucasian women. In-office intralesional steroid injection (SILSI) is a recent advance in minimally invasive treatment aiming to reduce inflammation and scarring. The authors of...

Could hearing aids help stave off dementia in older adults?

HearCog is a two-year randomised control trial of hearing loss and dementia being undertaken by Ear Science Institute Australia (Ear Science). The study is investigating whether hearing aids can delay or arrest cognitive decline.

Rapid genetic testing to avoid hearing loss in neonates

Thousands of newborn babies could avoid a lifetime of hearing loss thanks to a new rapid genetic test. In this article, we learn how. We have demonstrated for the first time that a rapid genetic test from a cheek swab...

Mastering Medical Photography of the Head and Neck

Medical photography has always been an integral part of the medical profession with benefits that span diagnosis, follow up, assessment of results and teaching. The popularisation of digital photography has made it more accessible to most doctors and other health...

Are noise-cancelling headphones a cause for concern?

Audiologists are calling for more research into the impact of noise-cancelling headphones on auditory processing, particularly among children and young people. The issue has been receiving media attention recently after a BBC News report asked whether headphones are to blame...