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A funny thing happened whilst your boss was away at a conference
What is the difference between God and Professor Sir Donald Harrison? God is everywhere – Sir Donald is everywhere except at the Royal National Throat Nose and Ear Hospital! This was a common joke about Sir Donald, who was much...Effects of blast and acoustic trauma: assessment of hearing status on war veterans
Introduction Acoustical conditions of the military are often dangerous and there is a real risk of blast trauma and acoustic trauma [1, 2]. Levels of military noises maybe reach up to 125 dBA [3]. Weapons produce instant shock waves (10μs)...What has NAIROS taught us about septoplasty?
Septoplasty is a commonly performed procedure worldwide for nasal obstruction associated with a deviated nasal septum. In the UK, with long waiting lists for septoplasty, there is a large and unexplained variation in the incidence of this procedure between individual...
Cerebrospinal fluid leaks after vestibular schwannoma surgery
This study analyses 30-day readmission data after vestibular schwannoma surgery using a multicentre longitudinal State of California dataset. The authors studied risk factors, and timing of readmission in 6820 patients over 15 years. Of these, 490 readmissions were reported for...
Can PRP injections treat atrophic rhinitis?
As we all know, atrophic rhinitis is a thankfully rare but debilitating condition characterised by nasal obstruction, dryness, crusting and foul smell (ozaena). There are currently minimal treatment options available, none of which have proven particularly effective. The authors present...
Tramadol soaked nasal packs for post-septoplasty analgesia
Having had a septoplasty a number of years ago for the potential treatment of snoring, I was intrigued by this paper which compared the analgesic effect of tramadol-soaked and lignocaine-soaked nasal packs following septoplasty. In my practice, I have always...How cognition influences hearing aid use
Introduction Hearing aids are designed to provide amplification for individuals with poor auditory sensitivity. Signal processing algorithms are designed and implemented in hearing aids to further enhance speech intelligibility and to improve listening comfort by attenuating unwanted background noise. Sarampalis...In conversation with Guri Sandu - Cutting Edge Laryngology 2019
Guri Sandu is a Consultant Otolaryngologist and Head & Neck Surgeon at Imperial College and The Royal National Throat Nose and Ear Hospitals in London, with honorary contracts at The Royal Brompton, University College and St Bartholomew’s Hospitals. He is...
First signs of late nodal metastases
This is a retrospective review of 65 patients who had late metastases during follow-up after initial curative treatment. They analyse the detection methods of palpation, ultrasound, CT and subjective symptoms. Palpation detected the nodes in 31 patients, ultrasound in 17,...
Sublingual gland tumour resection
This paper from South Korea analyses the pathology arising from 20 malignant sublingual gland tumours. Adenoid cystic carcinoma followed by mucoepidermoid carcinomas were the most common. Tumour invasion into the lingual nerve was detected in 40% of cases, and into...
Speech in noise hearing difficulties
The phenomenon of speech understanding in noise in normal hearing people attracts the interest of researchers continuously. This study’s aim was to further explore the possible reasons behind these difficulties. The participants were 50 adults that reported having normal hearing...
