And the guns fell silent on the Western Front.
Authors: Fishman J, Fisher E, Hussain M PMID: 30511614 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 6, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

A novel use of intratympanic dexamethasone for intractable posterior canal benign paroxysmal positional vertigo: report of two cases.
CONCLUSION: The findings support an underlying inflammatory pathology in intractable benign paroxysmal positional vertigo; intratympanic steroids should be considered as an intermediate option before proceeding to a definitive surgical intervention. PMID: 30486912 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 1, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Epistaxis and mortality.
CONCLUSION: Epistaxis may be seen as a general marker of poor health and a poor prognostic sign. PMID: 30457066 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 21, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Tongue base mucosectomy for carcinoma of unknown primary using endoscopic electrocautery: rationale for wider implementation of an institutionally restricted technique.
CONCLUSION: Tongue base mucosectomy using electrocautery and conventional tonsillectomy equipment is a safe, effective technique in the identification of cervical metastasis from an unknown primary site. It expands the potential breadth of use, quickens prolonged diagnostic pathways and obviates the necessity for pan-mucosal irradiation. PMID: 30457073 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 21, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Effect of bidi smoking on nasal mucociliary clearance: a comparative study.
Authors: Paul B, Menon SS, Vasthare R, Balakrishnan R, Acharya S Abstract OBJECTIVE: To compare nasal mucociliary clearance in adult non-smokers, cigarette smokers and bidi smokers using the methylene blue dye test. METHODS: The study sample consisted of 20 non-smokers, 20 cigarette smokers and 20 bidi smokers (age range, 20-40 years). A single drop of the methylene blue dye was placed at the anterior end of the inferior turbinate of the participants' nasal cavity. The distance travelled by the methylene blue in 15 minutes inside the nasal cavity was measured. Nasal mucociliary clearance of the three groups was...
Source: Journal of Laryngology and Otology - November 21, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The utility of virtual reality surgical simulation in the undergraduate otorhinolaryngology curriculum.
CONCLUSION: Virtual reality may be a fun and engaging way of teaching ENT. Furthermore, it could help guide student career planning. PMID: 30457086 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 21, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Hearing recovery from deafness caused by bromate intoxication.
CONCLUSION: Severe-to-profound sensorineural hearing loss is a common symptom of bromate intoxication. Bromate-induced hearing loss may be partially treated, and early application of continuous haemodiafiltration might be useful as a treatment for this intractable condition. PMID: 30442210 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

A simple, quick, validated method of recording the nasal cycle in humans using a subjective scale.
Authors: Williams MR, Eccles R Abstract BACKGROUND: Studies on the nasal cycle can be limited by time-consuming rhinomanometric measurements. However, quantifiable subjective assessment of nasal airflow has been limited by poor correlation with rhinomanometric data, even when investigating patients with a deviated nasal septum. METHODS: Thirty healthy participants attended two study days for rhinomanometric and subjective assessment of nasal airflow (using the subjective ordinal scale). A nasal partitioning ratio was calculated for both measures. RESULTS: Objective and subjective nasal partitioning ratios w...
Source: Journal of Laryngology and Otology - November 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Determinants of hearing loss severity in tympanic membrane perforations in a sub-Saharan African setting.
CONCLUSION: Tympanic membrane perforation size was a predictor of hearing loss severity in our setting. Site, duration and aetiology seem to have no impact on hearing loss severity. PMID: 30409241 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 10, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Incidental mastoiditis on magnetic resonance imaging scans: clinical relevance and cost implications.
CONCLUSION: The diagnosis of mastoiditis is primarily clinical. An incidental finding of high signalling in the mastoid region on magnetic resonance imaging is highly unlikely to represent actual clinical disease. In patients who are scanned for other reasons and who do not complain of otological symptoms, such findings are unlikely to require otolaryngology input. PMID: 30392474 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Portable audiometric screening platforms used in low-resource settings: a review.
CONCLUSION: Portable hearing screening tools are readily available to assess hearing loss in low-resource areas. Each technology has advantages and limitations that should be considered when identifying the optimal methods to assess needs in each country. PMID: 30392484 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Nasal eosinophilia in nasal smears of patients with persistent and intermittent allergic rhinitis.
Authors: Berkiten G, Aydoğdu I, Kumral TL, Saltürk Z, Uyar Y, Arslanoğlu A, Tutar B, Göker AE Abstract BACKGROUND: Eosinophils are the principal effector cells involved in the pathogenesis of allergic rhinitis. Cell numbers increase in non-allergic rhinitis patients with eosinophilia, aspirin hypersensitivity and nasal polyposis, as well as in allergic rhinitis patients. Exfoliative nasal cytology can be used in the differential diagnosis of allergic rhinitis. OBJECTIVE: To evaluate nasal eosinophilia in nasal smears of patients with mild, persistent and intermittent allergic rhinitis. METHODS: ...
Source: Journal of Laryngology and Otology - November 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Never say never: circumventing a contraindication to control apnoea-induced epileptic events with a mandibular advancement device.
CONCLUSION: This paper highlights a novel application of mandibular advancement devices, used in combination with continuous positive airway pressure, which resulted in complete resolution of sleep deprivation and apnoea-induced epileptic events. PMID: 30394239 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Paediatric tracheostomy tubes: recent developments and our current practice.
CONCLUSION: The choice of a paediatric tracheostomy tube remains largely determined by individual clinical requirements. Although we still favour a small range of tubes for use in the majority of our patients, there are circumstances in which other varieties are indicated. PMID: 30394249 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Comparison of the application of artificial ossicles and autologous ossicles in the reconstruction of a damaged ossicular chain.
CONCLUSION: Ossicular chain reconstruction is an effective way of improving hearing in patients with ossicular chain damage. The results suggest that repair with either the titanium partial ossicular reconstruction prosthesis or autologous ossicles can improve hearing following ossicular chain injury with facial nerve paralysis caused by a temporal bone fracture. PMID: 30387409 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 4, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Arterial spin labelling and diffusion-weighted magnetic resonance imaging in differentiation of recurrent head and neck cancer from post-radiation changes.
CONCLUSION: Combined tumour blood flow and apparent diffusion co-efficient can differentiate recurrence from post-radiation changes. PMID: 30387410 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 4, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Does smoking increase the risk of peritonsillar abscess formation?
Authors: Fishman J, Fisher E, Hussain M PMID: 30387411 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 4, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Image-guided transnasal endoscopic fine needle aspiration or biopsy of parapharyngeal space tumours.
CONCLUSION: Transnasal image-guided endoscopic aspiration or biopsy of the parapharyngeal space is a novel technique that has not been previously described. PMID: 30382012 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 3, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Endoscopic triple-C tympanoplasty: an alternative approach to anteriorly located tympanic membrane repair.
CONCLUSION: Endoscopic triple-C tympanoplasty is a comfortable, minimally invasive alternative method to repair anterior tympanic membrane perforations. The graft success rate and the degree of recovery from hearing loss were in accordance with the literature. However, more reliable results may be obtained in a larger series with longer follow-up times. PMID: 30376900 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 1, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Plasma levels of endothelial cell-specific molecule-1 and pentraxin-3 in idiopathic sudden sensorineural hearing loss.
CONCLUSION: To our knowledge, this is the first study investigating plasma ESM-1 and PTX-3 levels in idiopathic sudden sensorineural hearing loss. Increased plasma ESM-1 levels may confirm endothelial dysfunction involvement in idiopathic sudden sensorineural hearing loss pathogenesis, which could be associated with vascular impairment. PMID: 30370871 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 31, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Studying the result of underlay myringoplasty using platelet-rich plasma.
This study aimed to determine the efficacy of platelet-rich plasma during underlay myringoplasty. METHODS: The study included 40 patients. Autologous platelet-rich plasma was applied in-between temporalis fascia graft and tympanic membrane remnant during underlay myringoplasty in group 1 (n = 20). The outcome was evaluated after three months and compared with group 2 (n = 20), a control group that underwent routine underlay tympanoplasty. RESULTS: After three months' follow up, graft uptake was 95 per cent in group 1 and 85 per cent in group 2 (p
Source: Journal of Laryngology and Otology - October 31, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Moffett's muted mules: the science of laryngology in the art of war.
CONCLUSION: Moffett's technique of vocal cordectomy provided a quick, reproducible and safe solution for devoicing mules. It proved to be advantageous on the battlefield and demonstrated his achievements outside the field of medicine. PMID: 30370874 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 31, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Scalar localisation of peri-modiolar electrodes and speech perception outcomes.
Authors: Shaul C, Dragovic AS, Stringer AK, O'Leary SJ, Briggs RJ Abstract OBJECTIVE: To identify the intracochlear electrode position in cochlear implant recipients and determine the correlation to speech perception for two peri-modiolar electrode arrays. METHODS: Post-operative cone-beam computed tomography images of 92 adult recipients of the 'CI512' electrode and 18 adult recipients of the 'CI532' electrode were analysed. Phonemes scores were recorded pre-implantation, and at 3 and 12 months post-implantation. RESULTS: All CI532 electrodes were wholly within scala tympani. Of the 79 CI512 electrodes int...
Source: Journal of Laryngology and Otology - October 31, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Hearing loss in the trenches - a hidden morbidity of World War I.
CONCLUSION: Today, one can recognise that a scant evidence base and misconceptions influenced the mismanagement of hearing loss by otolaryngologists in World War I. However, noise-induced hearing loss is still very much a feature of armed conflict. PMID: 30370887 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 31, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Tinnitus information online - does it ring true?
CONCLUSION: In general, the quality of tinnitus websites is fair and the readability is poor, with substantial variability in quality between websites. The Action on Hearing Loss and the British Tinnitus Association websites were identified as providing the highest quality information. PMID: 30353795 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 27, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Single-stage helical rim reconstruction using a post-auricular bipedicled flap.
CONCLUSION: Contralateral graft harvest and staged operations for helical rim reconstruction are associated with donor site morbidity and the inconvenience of multiple operations to achieve the desired reconstructive outcome. Our single-stage helical rim reconstruction technique was well tolerated by patients, and showed satisfactory aesthetic results in terms of size and symmetry. PMID: 30345936 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 24, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Juvenile nasopharyngeal angiofibroma: a single centre's 11-year experience.
This study aimed to present the clinical features and surgical outcomes of juvenile nasopharyngeal angiofibroma patients who were surgically treated. METHODS: The medical records of 48 male patients histologically confirmed as having juvenile nasopharyngeal angiofibroma, who underwent transnasal endoscopic surgery between 2005 and 2016, were retrospectively reviewed. RESULTS: The overall recurrence rate was 20.8 per cent; however, the recurrence rate differed significantly between patients diagnosed aged less than 14 years (34.7 per cent) and more than 14 years (8 per cent) (p
Source: Journal of Laryngology and Otology - October 24, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

A dural arteriovenous fistula associated with an encephalocele presenting as otitis media with effusion.
CONCLUSION: Dural arteriovenous fistula is an uncommon intracranial vascular malformation rarely seen by otolaryngologists, with pulsatile tinnitus being the usual presentation. To our knowledge, this is the first reported case of dural arteriovenous fistula presenting with conductive hearing loss and otalgia. PMID: 30322412 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 18, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Saline injection to determine the volume required for personalised patulous Eustachian tube augmentation with long-standing material.
CONCLUSION: This approach could allow more personalised treatment and help identify patients likely to benefit from the procedure. PMID: 30322420 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 18, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Hypocalcaemia following laryngectomy: prevalence and risk factors.
CONCLUSION: This is the largest study to investigate the prevalence of hypocalcaemia following laryngectomy and the first to include follow up of longer than three months. Total thyroidectomy significantly increased the risk of hypocalcaemia at all time frames and independent of other variables. PMID: 30305187 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 12, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Assessment of nasal functions and their relationship with cholesteatoma formation in patients with unilateral chronic otitis media.
CONCLUSION: The present study, with a larger sample size compared to previously published literature, supports the conclusion that unilateral nasal obstruction is unlikely to lead to chronic otitis media on the same side. The results also suggest that nasal functions do not contribute to the development of cholesteatoma. PMID: 30305189 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 12, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Performing and analysing tone-induced cervical and ocular vestibular-evoked myogenic potentials in traumatic and non-traumatic vestibular pathology.
CONCLUSION: Both cervical and ocular vestibular-evoked myogenic potentials offer several parameters for detecting abnormalities. The technique reported enables us to assess patients in an accurate fashion whether or not they have suffered traumatic neck injuries. PMID: 30296951 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 11, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Peritonsillar infiltration of lidocaine with adrenaline is associated with increased risk of secondary post-tonsillectomy haemorrhage.
CONCLUSION: Every seventh paediatric patient experienced a complicated recovery after tonsillectomy, caused by post-tonsillectomy haemorrhage in most cases. Local peritonsillar infiltration of lidocaine with adrenaline was associated with an increased risk of post-tonsillectomy haemorrhage. PMID: 30296953 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 11, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Tone-induced cervical and ocular vestibular-evoked myogenic potentials: comparing abnormalities in traumatic and non-traumatic vestibular disease.
CONCLUSION: Vestibular-evoked myogenic potentials are helpful in documenting pathology, including bilateral pathology, which is outlined in the literature as being exceedingly difficult to compensate for. PMID: 30295212 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 10, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Reviewing indications for panendoscopy in the investigation of head and neck squamous cell carcinoma.
CONCLUSION: Panendoscopy remains integral in the assessment of transoral robotic surgery suitability. Refining indications for modern panendoscopy could reduce the need for this procedure in this cohort of patients. PMID: 30289089 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Ossicular chain mobilisation versus reconstruction in surgery for isolated malleus and/or incus fixation: systematic review and meta-analysis.
Authors: Crutcher WL, Tassone P, Pelosi S Abstract OBJECTIVE: To compare post-operative audiometric outcomes for the two prevailing surgical approaches for isolated malleus and/or incus fixation: ossicular mobilisation with preservation of the ossicular chain, and disruption and reconstruction of the ossicular chain. METHODS: A search was conducted, in December 2016, of PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature articles written in English. Papers presenting original data regarding post-operative audiometric outcomes in patients who underwent surgical treatment for malleus and/...
Source: Journal of Laryngology and Otology - October 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

M énière's disease: 'a riddle wrapped in a mystery inside an enigma'. Has the key been found?
Ménière's disease: 'a riddle wrapped in a mystery inside an enigma'. Has the key been found? J Laryngol Otol. 2018 Sep;132(9):763 Authors: Fishman J, Fisher E, Hussain M PMID: 30289103 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Wound healing after tonsillectomy - a review of the literature.
CONCLUSION: Wound healing post tonsillectomy has been poorly researched. Having a better understanding of the process of wound healing would allow surgeons to potentially prevent, anticipate and manage complications from the surgery that arise as part of the healing process. PMID: 30289104 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 7, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The effects of systemic steroid therapy on macrophage migration inhibitory factor concentrations in patients with nasal polyps.
CONCLUSION: These findings suggest that concentrations of macrophage migration inhibitory factor may play a role in the pathogenesis of nasal polyps. PMID: 30270817 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - October 2, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Successful hearing improvement with direct acoustic stimulation in a patient with schizophrenia.
CONCLUSION: Hearing restoration was the main reason for the reduction of auditory hallucinations in our patient. Hearing loss is a potentially reversible risk factor for psychosis, but this association is often overlooked. PMID: 30261939 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 30, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The ineffectiveness of applying moisture to the ear on the incidence and severity of otic barotrauma for air passengers.
CONCLUSION: Applying moisture is ineffective for passengers heavily predisposed to otic barotrauma. PMID: 30232949 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 21, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Variability of vestibular aqueduct measurements among axial, single-oblique and double-oblique computed tomography images.
CONCLUSION: The morphology and dimensions of the vestibular aqueduct were highly variable among axial, single-oblique and double-oblique images. PMID: 30226116 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 20, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis - ERRATUM.
Authors: INTEGRATE (The National ENT Trainee Research Network) PMID: 30226120 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 20, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Volumetric analysis of vocal fold atrophy via magnetic resonance imaging.
CONCLUSION: Given the lack of statistically significant difference in thyroarytenoid muscle volume between age groups on magnetic resonance imaging, the prevailing assumption that age-related thyroarytenoid muscle atrophy contributes to presbyphonia should be re-examined. PMID: 30208975 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 15, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Analysis of smoking behaviour in patients with peritonsillar abscess: a prospective, matched case-control study.
CONCLUSION: There is a statistically significant association between peritonsillar abscess and smoking. PMID: 30208977 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 15, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Streamlining grommet pathways for otitis media with effusion and hearing loss in children: our experience.
CONCLUSION: Direct-listing pathways for grommet insertion can reduce waiting times and expedite surgery. Implementation involves a simple alteration of current practice, adhering to National Institute for Health and Care Excellence Clinical Guideline 60. The ultimate decision regarding surgery still rests with ENT specialists. PMID: 30208983 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 15, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Stapedotomy using a 4 mm endoscope: any advantage over a microscope?
CONCLUSION: Endoscopic stapedotomy has comparable hearing outcomes. Sinonasal endoscope serves as a better tool for: minimal incision, canalplasty avoidance, less chorda tympani mobilisation, and stapes footplate perforation ability. PMID: 30198460 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 11, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Audiologist-led screening of acoustic neuromas in patients with asymmetrical sensorineural hearing loss and/or unilateral tinnitus: our experience in 1126 patients.
CONCLUSION: Patients with asymmetrical sensorineural hearing loss and/or unilateral tinnitus can be safely screened for acoustic neuroma and independently managed by audiologists as a first or only point of contact, resulting in considerable departmental cost savings. PMID: 30198461 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 11, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The surgical management of bilateral facial paralysis: case report.
Authors: Hardy A, Muzaffar J, Kumar R, Irving R Abstract BACKGROUND: Unilateral total facial palsy is a debilitating condition that can affect an individual's physical, social and emotional wellbeing. When this occurs bilaterally, the severity of impact is extreme, with significant cosmetic disfigurement and functional morbidity. A variety of facial reanimation techniques have been used for unilateral facial weakness of varying House-Brackmann grades, and these are also applicable in bilateral cases. In bilateral cases, it is difficult to gauge successful improvement in comparison to the contralateral side, which a...
Source: Journal of Laryngology and Otology - September 8, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The use of thalidomide therapy for refractory epistaxis in hereditary haemorrhagic telangiectasia: systematic review.
CONCLUSION: Current available evidence suggests that low-dose thalidomide is effective in transiently reducing epistaxis frequency and duration. Further studies are required to establish a treatment regimen to prevent side effects. PMID: 30191780 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - September 8, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research