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Reflections on educational gatherings in the COVID era

The COVID pandemic has brought disruption and uncertainty for the organisers of medical conferences. ENT and audiology have always thrived on a healthy exchange of views and the sharing of knowledge across subspecialties and across national boundaries. Ray Clarke asked...

ENT in this issue...FESS - The Stammberger Legacy (May/Jun19)

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK E: d.costello@nhs.net Claire Hopkins, FRCS(ORLHNS) DM (Oxon),Guy’s and St Thomas’ Hospitals, London; Professor of Rhinology, King’s College London, UK....

Ida Institute course makes tele-audiology easier and better

The COVID-19 pandemic provided hearing care professionals an opportunity to review the provision of hearing services. We hear from Lise Lotte Bundesen, Managing Director of the Ida Institute, about the potential of tele-audiology and how it can help to maintain...

A diagnosis-based scoring system to predict outcomes in necrotising otitis externa

Patients admitted with necrotising otitis externa have increased six-fold in the last 10 years. The prognosis is variable and dependent on co-existing morbidities. Charlston Comorbidity Index (CCI) is a weighted comorbidity scoring method, based on the presence or absence of...

Diagnostic features of acute invasive fungal sinusitis

Acute invasive fungal sinusitis (AIFS) is a rare but frequently lethal condition, commonly associated with a high morbidity among those that survive. It has gained recent media attention on account of its increased incidence following infection with (and treatment for)...

Compress to suppress the venous tinnitus

This interesting retrospective case series analyses the effectiveness of a modified surgical technique with retromastoid reconstruction of the sigmoid sinus by mechanical compression with Surgicel and bone wax packing under local anaesthesia for patients with venous pulsatile tinnitus related to...

Relationship between high resolution radiological features of the otic capsuleand audiometric parameters in patients with otscerosis

The audiometric pattern in patients with otosclerosis and outcomes of stapedectomy are variable. Whether this has anything to do with the number of sites affected by otosclerosis in the otic capsule and the disease pattern according to foci location, foci...

Gadolinium enhanced MRI and the diagnosis of Ménière’s disease

Despite various criteria applied over the years to diagnose Ménière’s disease since the concept of endolymphatic hydrops was first observed in postmortem examinations of patients in 1938, the diagnosis still remains mainly clinical. To visualise endolymphatic hydrops in MRI imaging,...

Parapharyngeal space tumours – is the transoral approach effective?

Several approaches are described to the parapharyngeal space to permit resection of tumours in this region, with the most commonly employed approach being the transcervical route. The transoral approach remains somewhat controversial as it is felt that this approach can...

Method of delivery: all topical nasal corticosteroids are not made equal

There is an increasing body of evidence that the role of surgery for chronic rhinosinusitis is to facilitate the delivery of topical medical treatment – most notably, topical corticosteroids. Two recent studies, one using flow dynamics and another one examining...

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...

Sinonasal Complications of Dental Disease and Treatment: Prevention - Diagnosis - Management

As otorhinolaryngologists, we are trained to examine the computed tomography (CT) scans of all patients with maxillary chronic rhinosinusitis (CRS) for potential dental disease. The mainstay of managing this is generally limited to referring the patient to their dentist or...