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Vestibular Disorders

This is an excellent compendium of vestibular disorders, edited by two of the leading figures in otolaryngology. It is also a tribute to one of the most extraordinary colleagues, David Pothier, plucked tragically in his prime after a heroic battle...

In the context of the person with aphasia participating in life

Approaches to assessment and treatment for people with aphasia have traditionally taken a syndrome or deficit-based view. It’s only in the last few decades that a more functional approach to aphasia has been recognised, namely the need to couch both...

A systematic review of adjunctive probiotic therapy in the management of chronic rhinosinusitis

It is generally understood that administering substances containing live microbiologically active micro-organisms (probiotics) enhances the treatment of chronic rhinosinusitis. Probiotics manipulate and rebalance the alterations occurring in the local microbiome in chronic rhinosinusitis patients. This results in propagation of healthy...

Measuring the ‘impact’ of preoperative immunonutrition

Using preoperative nutritional supplements as part of ‘enhanced recovery’ in surgical patients is not a new concept. This interesting paper looks at the latest development in optimising patients undergoing head and neck oncological surgery. Immunonutrition (Nestle’s ‘Oral Impact’ in this...

What is the evidence for contralateral tonsillectomy in TORS for known unilateral tonsil malignancy?

The concept of field changes by carcinogens within the upper aerodigestive tract is well established with reported rates of synchronous tumours of 4% and second primaries of 36%. The tonsil in particular has the highest rate of synchronous tumours, postulated...