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Is one glass of wine on call safe?

1 January 2014 | | ENT
It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

The modern management of Ménière's disease

1 November 2015 | | ENT, Vestibular Disorders
In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

Audiology in this issue...Prevention

5 July 2022 |
Alex Griffiths-Brown, BSc(Hons), MRes, Audiologist, The Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK. E: alex.griffiths-brown@nhs.netTwitter: @griffithsbrown1 'Prevention is better than cure’ is an adage that is attributed to the Dutch philosopher, Desiderius Erasmus, in around 1500. It is a...

When should revision FESS leave you reaching for the script pad?

5 November 2021 | | Rhinology / Sinus
This very interesting work from the professorial team in London seeks to define a group of patients with CRSwNP who may benefit from early biological treatment since they are at risk of failure of surgical and conventional medical management. Approximately...

Laryngeal papillomatosis

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Laryngeal papillomatosis remains one of the most frustrating conditions seen by laryngologists. Sam Majumdar gives us an overview of the current science and clinical practice. Human papilloma virus is a small (> 8kb) double stranded DNA virus with approximately 200...

Team proves secure pathway to the inner ear

5 December 2022
An international team of surgeons and scientists has, for the first time, validated safe surgical access to the central core of the human cochlea.

Leaving an impression – OTOSCAN ear scanning solution

1 September 2014 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
Every person has uniquely-shaped ears that continue to grow over time. Making an accurate reproduction of the ear is an important part of delivering a customised ear product. From the early 1950s, this was achieved using a paste which set...

Quo vadis FESS? Future directions in functional endoscopic sinus surgery

1 May 2019 | | ENT, Rhinology / Sinus, Imaging
Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

OTC hearing aids

1 July 2017 | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
The potential for the deregulation of hearing aid technology, through the Over-The-Counter Act has led to a tremendous amount of opinions and views from all stakeholders in the US. You don’t have to go far on the internet, social media...

Prednisolone and/or acyclovir for Bell’s palsy

5 January 2022 | | ENT, Head and Neck
Landmark Paper: Sullivan FM, Swan IRC, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s Palsy. N Engl J Med 2007;357(16):1598-607. Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long-term effects on...

Ossicular reconstruction

27 February 2020 | | ENT, Otology
Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...

Systemic agents in thyroid cancer

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
For those patients who have disseminated or unresectable thyroid cancer, Dr Arabella Hunt and Dr Kate Newbold review systemic treatments, their differences, toxicities and outcomes. Thyroid cancer is the most common endocrine malignancy. It is subdivided into differentiated (papillary, follicular...