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

Allergic Fungal Rhinosinusitis

Image A is a noncontrast CT scan of paranasal sinuses in the coronal plane showing opacification of the ethmoid sinuses with heterogeneous areas of hyperattenuation which is often described as a ‘double density’ appearance. Image B is an endoscopic view during sinus surgery and shows thick tenacious secretions being removed from the right paranasal sinuses using a sinus sucker.

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Nasal desmoid tumor: A rare case report

Abstract

Desmoid tumors are benign neoplasms that show locally aggressive growth but lack the potential to metastasize. Histopathologically these tumors lie between exuberant fibroproliferations and low grade fibrosarcomas and are classified as abdominal, extra-abdominal and intra-abdominal. Little is reported about clinical features and outcome of desmoids tumors of head and neck. They are rarely fatal but have a high propensity for local recurrence causing significant patient morbidity and complex patient management issues. We describe a rare case of external nasal desmoid tumor in a 10 year old male child which was managed with surgical resection and the child has been in follow up for 1 year without recurrence.

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Developing the morbidity and mortality meeting in a tertiary referral Ear, Nose and Throat department

Abstract

Background: The morbidity and mortality (M&M) meeting should be an agent for robust selfaudit and quality improvement within the local surgical department. Recent recommendations have been published on this subject by the Confidential Reporting System in Surgery (CORESS).

Method: An audit was performed to assess the effectiveness of the Ear, Nose and Throat departmental M&M meeting. Changes were then implemented to reduce wasted time, and to spend more of the time available discussing adverse events and learning outcomes.

Results: Following these changes the mean participant score for the meeting’s educational value rose from 6.2 to 8.9 out of a maximum of ten, while the mean score for impact on patient safety rose from 6.0 to 8.7.

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Publication trends in Otorhinolaryngology journals in the United Kingdom over a 20-year period

Abstract

Objectives: To look for any change in trends in the country of origin of papers published by UK Otorhinolaryngology journals over a twenty-year period.

Methods: Articles published in Clinical Otolaryngology(CO) and the Journal of Laryngology and Otology(JLO) in 1992,2002 and 2012 were analysed and the country of origin of the lead author recorded comparing the contributions from UK authors to those from the Rest of the World(ROW).

Results: 1073 articles were published from both journals originating from 53 different countries. Both CO and JLO showed a statistically significant decrease in the proportion of contributions from the UK compared with the ROW with a drop from 63% to 47% and 53% to 39% respectively from 2002 to 2012.

Conclusions: An increasing proportion of articles in both journals are originating abroad, likely due, in part, to the internet. It may become harder for UK based surgeons to have their work published.

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Role of hydrogen peroxide in the management of post tonsillectomy haemorrhage

Abstract

Objectives: To review literature on the use of hydrogen peroxide gargles in treating primary and secondary post-tonsillectomy bleeding (PTB), and investigate its rationale.

Method: A literature search was performed on PubMed and Medline databases. Articles in English focusing on hydrogen peroxide use in PTB were identified.

Results: 7 articles were found and 3 were selected. Two articles showed no correlation between hydrogen peroxide use and outcomes following PTB. One highlighted significant communal disparity in the use of hydrogen peroxide and the rationale for its use amongst ENT consultants.

Conclusion: Hydrogen peroxide use in PTB is prevalent, but without clear evidence if it works and through what mechanism. Further research must be undertaken to consolidate knowledge and make PTB treatment more efficient.

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