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Prevention better than cure?
This systematic review looks at methods of ‘barrier protection’ or ‘barrier-enforcing’ to minimise allergic rhinitis symptoms, using 15 RCTs. Whilst the authors admit that patient numbers were small in a number of these studies, generally it seems that barrier techniques...
A classification of a new cell - the retrosphenoid cell
This is a concise paper which describes a previously undefined type of cell within the sphenoethmoidal complex. It identifies the retrosphenoid cell, differentiated from an Onodi cell by being entirely within the posterior wall of the sphenoid sinus, lying between...
Smell training is also effective in older patients
Olfactory loss is a common problem with a significant impact on quality of life. It has been demonstrated that olfactory training (OT) improves olfactory function in younger patients, but this study focuses in on patients aged 45 years and older....
Don’t smoke after a septoplasty!
This is a retrospective review of 281 patients, all of whom underwent elective septoplasty. Simply put, those who smoked displayed a much higher postoperative septal perforation rate than those who did not. So, some cautionary advice for patients undergoing this...
A bittersweet finding
This is an elegant study, documenting the role of, and activation of, nitrous oxide in chronic sinusitis. Bitter taste receptors (TR2) have recently been identified as novel ‘players’ in sinonasal innate immunity and in chronic rhinosinusitis. The receptors are triggered...ESHNR 2023
Melvin D’Anastasi, President of the Maltese Association of Radiologists and Nuclear Medicine Physicians (MARNMP). The 35th Annual Meeting of the European Society of Head and Neck Radiology and Refresher Course, which took place on the picturesque island of Malta, proved...‘The Sun does not forget a village just because it is too small’ – African proverb
Solar powered hearing aids In the middle of the morning of January 24, 2002, I had been in Otse for only three days, a village of 3500 in the south of Botswana, when I heard a knock at the door....
Complications in Facial Plastic Surgery
Facial plastic surgery is an increasingly expanding sub-specialty of ENT and it is always welcome news to hear of books related to this sub-specialty, particularly good books, and this book certainly fits into that category. This multi author book is...
Preoperative planning of the surgical patient
This article covers the need to effectively optimise patient status preoperatively to help maximise postoperative outcomes. The article is well written and emphasises close liaison with anaesthetic colleagues particularly regarding airway assessment and nausea and vomiting. As is becoming common...
Basic principles of bioengineering and regeneration
The ability to create de novo tissue to replace that removed from patients during surgery is a relatively recent advance. However, this is a fast-moving field and one which surgeons must be aware of from practical, ethical and scientific viewpoints....
