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Tinnitus in patients on therapy with PPI and in PPI non–users
Tinnitus is a chronic and debilitating condition and approximately 10% of the population is afflicted. A myriad of pharmacological treatments for tinnitus are available but only a few controlled studies have shown positive results. The relationship between proton pump inhibitors...
Objective versus subjective – again!
The use of objective measurements of nasal airflow has a long history; however, its clinical application remains, at most, patchy. The main reason for that has been the lack of convincing studies showing a good correlation between the findings of,...
Early intensive aphasia therapy in stroke patients
The impact of aphasia following stroke is devastating. Very early aphasia rehabilitation studies have been the subject of ongoing debate. This paper describes the comparison of a very early aphasia therapy regimen with a historical ‘usual care’ control group after...
A novel way to reduce postoperative nausea and vomiting
This is an interesting RCT which evaluates the prophylactic effect of bilateral endoscopic injection of local anaesthetic in the sphenopalatine ganglion (SPG) on postoperative nausea and vomiting (PONV). It has a robust design, and is sufficiently powered and blinded, with...
Cognition outcomes after cochlear implantation – is there an improvement?
Older adults with a severe to profound hearing loss are more at risk of cognitive decline than adults of a similar age with milder losses or normal hearing. This poses challenges, not only in the assessment process, but also for...
Strategies to improve early development of vocabulary post-cochlear implantation
Cochlear Implantation (CI) is now the standard of care for rehabilitation of children with bilateral severe to profound sensorineural hearing loss. It improves the children’s linguistic input and helps them to develop language. The literature published so far has shown...
Cycle helmets protective against facial injuries?
This is a meta-analysis completed by a maxillofacial unit on the South Coast of England. Nine studies from an initial literature review of 102 were included in the analysis. Cycling has been reported as the cause of 3-20% of facial...
An unrecognised anatomical variant which may help frontal sinus surgery
Anatomic variants in the frontal sinus have significant implications in endoscopic sinus surgery. In this illustrative study, the authors describe a newly-observed anatomical variant – a mucosa lined prism‑shaped space between the most superior part of the nasal septum and...
Balloons – more complicated than first thought?
This study describes the complications seen after balloon sinuplasty (BSP) - a commonly performed procedure (particularly in the USA where it is often performed as an office procedure) versus traditional functional endoscopic sinus surgery (FESS). The data source was a...
The relevance of rhinoplasty and septorhinoplasty from the commissioners
The rising costs of running the National Health Service and its overburdened resources has led to the constant monitoring of the low clinical value treatments. The operations of rhinoplasty and septorhinoplasty inevitably fall into this group and are subject to...
Should we do septoplasty in young adults/adolescents?
Nasal obstruction is a common complaint in both children and adults in the outpatient department. Causes for obstruction include allergic rhinitis, septal deviation, turbinate hypertrophy and chronic sinusitis with or without nasal polyps. For symptomatic patients with moderate to severe...
