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Assessment of the incidence of LPR in the Greek population using the Reflux Symptom Index

Using the self-administered nine-item Belafsky Reflux Symptom Index (RSI) questionnaire, the authors of this article assessed the prevalence of laryngopharyngeal reflux (LPR) in the general adult Greek population as well as predisposing and associated factors for developing LPR. They found...

CSOM in Mwanza, Tanzania

This is a prospective, cross-sectional study involving 301 patients consisting of farmers, students and employed professionals attending an ENT clinic in Mwanza, Tanzania. Of the 301 patients, 13 were HIV positive; 37.9% had some degree of conductive / sensorineural /...

Incidental findings in paranasal sinus Magnetic Resonance Imaging (MRI) studies

Incidental findings in the paranasal sinuses of mucosal thickening and polyps in MRI studies may cause concerns for clinicians and patients. The authors studied MRIs of 982 participants with a mean age of 58.5 years who randomly and independent of...

Laryngopharyngeal reflux (LPR) in posterior laryngitis

The authors of this study investigated the prevalence of acid reflux in the proximal oesophagus and functional gastrointestinal symptoms in patients with posterior laryngitis. They analysed plasma motilin as well as health-related quality of life (HRQOL) questionnaires before and after...

Treatment of olfactory dysfunction

The sense of smell is crucial to our being able to relish food and experience our environment. Olfactory dysfunction has been trivialised or ignored previously, but the negative consequences of the loss of sense of smell are being increasingly highlighted....

Transnasal oesophagoscopy: prospective cohort review

This paper looked at 257 patients undergoing the procedure in a tertiary otolaryngology department. In light of the morbidity of upper GI endoscopy associated with the sedation required, the safety profile of transnasal oesophagoscopy is a clear advantage. This cohort...

3D ultrasonography for evaluation of muscles following facial palsy

Reconstructive surgery for facial nerve palsies is not recommended beyond two to three years after a degenerative facial nerve lesion. Since the time course of muscle atrophy is variable, this timeline is a rough guideline. The only assessment method currently...

How effective are our two-week-wait guidelines in picking up head and neck cancer?

With a 30% increase in the incidence of head and neck cancer since 1999 in the UK, it is important that the two-week wait referral guidelines safely encompass all risk factors but also render these urgent referrals based on signs...

Landmark Papers in Otolaryngology

“It is the supreme art of the teacher to awaken joy in creative expression and knowledge” says Peter Rea in his foreword to this book. He is quoting Albert Einstein, of course, and also introducing this book with a delightfully...

Covid-19 A message from Gareth Smith

Whilst our ENT colleagues have scrambled to the coronavirus ‘call to arms’ and taken the ultimate risk, for many audiologists and audiology services the threat of this global virus presents some different challenges. Whilst social isolation is a scary thought...

Mindfulness meditation versus relaxation therapy for tinnitus

Tinnitus, defined by McFadden as “a conscious experience of sound that originates in the head of its owner, without an external acoustic source”, has a high prevalence and variable psychological impact. It results from maladaptation of the brain to a...

A review of significant issues in the management of obstructive sleep apnoea in children

There are considerable variations in the management of obstructive sleep apnoea in children and this suggests a need for more research and evidence-based information. In this review article, the authors address four key issues. Literature compares tonsillectomy with tonsillotomy, the...