The Otorhinolaryngologist - The Otorhinolaryngologist

The Otorhinolaryngologist has been accredited by ENT-UK for the purposes of providing ENT specialists with online eLearning Continuing Professional development.The content of the publication covers a range of CPD related topics including "Clinical reviews", "Operative techniques", "Case reports" and a "Trainees section". The articles are all peer-reviewed.

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APPROVED CPD CENTRE.

Satisfactory completion of the CPD assessment related to any SINGLE article, that is attaining a minimum threshold of 70% correct responses, will permit the participant to download a certificate of CPD completion, with an indication of 1 hour CPD activity. Clinicians should only claim credit commensurate with the extent of their participation in the activity.

Latest Articles

Lasers in Otorhinolaryngology – A review

In this article, common otolaryngological procedures that are now being completed with the aid of three main types of lasers – potassium titanyl phosphate (KTP), Carbon Dioxide (CO2) and the neodymium-doped yttrium aluminium garnet (Nd:YAG laser) are discussed. Clinical benefits, safety precautions and problems associated in the use of these lasers are also covered.

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A case of sphenoidal and frontoethmoidal infected mucoceles causing visual impairment

Mucoceles are benign expansile cystic lesions containing mucin or mucopus. They grow gradually and exert pressure on surrounding structures, causing bony remodelling. Bony remodelling around the orbit can lead to pressure on the orbital structures, vessels or nerves causing visual impairment. We describe a case of infected frontoethmoidal and sphenoidal mucoceles causing opthalmological symptoms including visual loss.

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A systematic review of therapeutic options for non-conductive olfactory dysfunction

Background: Olfactory dysfunction affects a significant proportion of the population but appears to be more common in the elderly population (>20% of adults over 60 years old). Unfortunately, many sufferers face an apparent lack of therapeutic options when consulting with medical professionals.

Method: We searched various electronic medical databases for the treatment of non-conductive olfactory dysfunction. After careful review of the abstracts and the full articles, we included publications that fulfilled our inclusion criteria and analysed the results.

Results: A total of 38 publications were included in our review including 6 randomised control trials, 14 cohort studies and 18 observational studies.

Conclusion: Olfactory training appears to improve non-conductive olfactory dysfunction irrespective of the aetiology. Steroids appear to have some benefit, but this may be aetiology dependent and vitamin A and sodium citrate have shown some promise. High quality randomised control trials are still required to determine their place in managing this patient population.

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Case presentation - Atypical mycobacterial cervical lymphadenitis

Neck lumps are a very common presentation to hospital in paediatric patients. Lymphadenitis secondary to atypical mycobacterium infections are rare but recently there has been an increase in prevalence in the UK. The treatment of such cases is controversial; the options of medical, surgical or combination of both are practised, with variations, in different centres around the world. We report a case of a 4 year old girl who presented with a short history of a neck lump due to Mycobacterium Avium Complex (MAC) infection which was surgically excised, with good post-op and aesthetic outcome. This article aims to educate upon the background, clinical features and management of patients presenting with MAC associated neck lumps.

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Laryngo-tracheo-oesophageal clefts

Laryngo-tracheo-oesophageal clefts are rare congenital malformations of the upper aerodigestive tract. A high index of suspicion is required to appropriately diagnose these patients. Management is tailored to the patient’s symptomology, severity and extent of the cleft. Options include conservative, medical and surgical options, with the latter involving endoscopic or open surgical approaches.

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