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1439 results found

Do implants assist rehabilitation following mandibular reconstruction?

When undertaking mandibular reconstruction, optimal function and aesthetic rehabilitation is the goal. There is no doubt that patients consider chewing, swallowing and speech to be of paramount importance. Following surgery, suboptimal rehabilitation leads to a fall in quality of life...

A comparison of cold dissection, coblation and diode laser tonsillectomy

Excellence in tonsillectomy is based on the time taken, blood loss and rapid recovery with minimal pain. In this study, 120 children underwent tonsillectomy by three methods, namely cold dissection, coblation and diode laser dissection in three randomly allocated groups...

Aerosols and polypi

Infection in the operative cavities after endoscopic sinus surgery for sinonasal polyposis leads to recurrence of symptoms and mucopurulent discharge. The usual therapies include systemic antibiotics sometimes with steroids. The authors hypothesised that the use of a topical antimicrobial (tobramycin...

Budesonide irrigation in polyposis

It is very well known through many RCTs and now meta-analyses that saline-based irrigation is beneficial in patients after sinus surgery. It is also demonstrated that intranasal steroids are beneficial postoperatively but there is also a trend for steroid based...

BAHA loading two weeks after implant insertion

The time thought necessary for sufficient osseointegration to occur to enable use of a BAHA has reduced from months to a few weeks. This paper further reduces this timescale to two weeks in patients with healthy bone and soft tissue...

Is there a role for hyperbaric treatment in sudden hearing loss?

Sudden sensorineural hearing loss is a common presentation to ENT departments with a significant difference in management both at a local and regional level. The authors seek to clarify the role of hyperbaric oxygen therapy in combination with oral and...

A new idea for olfactory recovery, but not the evidence to support it

Smell training for olfactory loss of all types is a well-recognised treatment, and the typical regimen of rose, clove, lemon and eucalyptus is frequently used. This study looks to compare using eight essences rather than four to see if this...

Laryngopharyngeal reflux - would mucolytics help?

With laryngopharyngeal reflux (LPR) being such a common presenting complaint to ENT clinics, who would not want to have more, effective treatment options for patients suffering with this annoying condition? In their small randomised, controlled trial, Chae et al put...

The future of rhinology

Over the last few decades, rhinology has been one of the most dynamic and progressive areas of ENT. Professor Fokkens is perfectly placed to offer insight into the future possibilities that could transform our patients’ care, many of which are...

Bringing space science to balance and tinnitus

Jameel Muzaffar is a specialist registrar in ENT surgery in the West Midlands. His research interests include applications of imaging to ENT. Chris Coulson is a consultant otologist, particularly interested in the development of technological solutions. He is part of...

Dysphagia

Natalie Watson, MBBS, MA, FRCS (ORL-HNS), Consultant ENT Surgeon Specialising in Laryngology, Guy’s and St Thomas’ NHS Foundation Trust, UK. nataliewatsonent@gmail.com@surgeonsinger Guest Section Editor The function of swallowing is one third of the triad of laryngology. Dysphagia describes difficulty swallowing...

The Laryngeal Pacemaker – developing an innovative solution for bilateral vocal fold paralysis

Bilateral vocal fold paralysis is a difficult condition to manage, with surgical interventions previously limited to tracheostomy or arytenoidectomy. Re-innervation surgery has been developed and, in recent years, a Laryngeal Pacemaker is now in clinical trials. We speak to two...