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MDT clinics for adults with learning disabilities and hearing loss
Healthcare providers can have limitations and challenges providing optimum care for patients with intellectual disabilities. Siobhan Brennan and Susanna Goodhart highlight key professionals and carers who may be instrumental when trying to deliver good management and care along with other...
Death related to epistaxis
One of the commonest emergencies presenting in ENT is epistaxis. The presentation can be through accident and emergency or through ward referrals. In this national audit of epistaxis management involving 113 centres, it was noted that 33 of the 985...Underdiagnosing eosinophilic oesophagitis in food bolus obstruction: a wake-up call for ENT units
The management of FBO has evolved, with most cases now done by upper GI clinicians. Biopsies should be taken routinely to investigate possible eosinophilic oesophagitis. In acute soft food bolus obstruction (FBO), uncovering the root cause is as crucial as...Clinical management: a personal view
When Nigel Beasley approached me to write on my experience of clinical management, I was a little surprised. I see myself as primarily a clinician, but have had increasing involvement with clinical management within my Trust. I am now in...
A novel graft material for endoscopic tympanoplasty using the pre-tragal SMAS layer
The traditional biological graft materials for providing a scaffold for tympanic membrane reconstruction include temporalis fascia as well as conchal and tragal perichondrium/cartilage. This group from Taiwan present a novel graft option using the superficial musculo-aponeurotic system (SMAS) layer. They...Psychogenic vestibular disorders: understanding and management
‘Psychogenic vestibular disorders’, also known as ‘functional vertigo and dizziness’, are common causes of dizziness and balance difficulty. Although our understanding of their underlying pathophysiology remains incomplete, Drs Diego Kaski and Amy Edwards outline how early identification and positive diagnosis...Pinnaplasty for prominent ears
Pinnaplasty is a challenging yet rewarding procedure for which many different techniques have been described. In this article the authors describe their favoured technique, including the important postoperative care. Prominent ears can be a source of significant psychological distress in...ENTelligence: driving safe and transparent AI innovation in ENT
AI is seemingly going to be ubiquitous. How do we as ENT clinicians help to shape its direction? Artificial Intelligence (AI) is reshaping modern medicine. Algorithmic analysis is now influencing decisions once made solely by clinicians. Yet, in surgical specialties...Spotlight on Africa: paediatric ENT focus
Sub-Saharan Africa (SSA) carries 24% of the global disease burden but employs only 3% of the world’s health workers [1]. Unique workforce considerations exist in SSA including a paucity of skilled health professionals and fluctuant political climates [1,2]. Shazia Peer...Mindfulness meditation: how personal experience of managing severe pain contributes to understanding tinnitus management
In this interesting article the author describes the potential benefit of mindfulness in the management of tinnitus, using a case report to illustrate this.This may well be an additional direction we can suggest for our patients. Mindfulness is a word...
Rib grafts for mandibular reconstruction
Reconstruction of the mandible following ablation requires good bone stock to allow optimal function and the placement of dental implants. In the developed world, vascularised bony flaps are accepted as the gold standard but these may not be widely available...
