Category Archives: ENT

Orofacial pain

This often gets inaccurately attributed to rhinosinusitis; in fact, chronic rhinosinusitis does not cause orofacial pain (although acute episodes can do so). Consider the presence or absence of nasal symptoms (blockage/congestion, +/- nasal discharge) and of tenderness or swelling of … Continue reading

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Carcinoma of the sinuses

Notes on sinonasal carcinoma, from the BJGP May 2018: Sinonasal malignancies are rare (1/100 000). Most common, or least uncommon if you prefer, in men in 5th – 7th decade of life. Interestingly, unlike all other head/neck malignancies, it does … Continue reading

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Red flags for urgent referral of hearing loss

This article in the BMJ was about NICE guidance on hearing loss generally, but had some useful bits on warning signs that should prompt immediate referral. Referrals should be to ENT unless stated otherwise. To be seen within 24 hrs … Continue reading

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Ménière’s disease

Frequently overdiagnosed. Presents with a combination of the following symptoms, lasting for <24 hours at a time: Ear fullness Fluctuating hearing loss Low-pitch tinnitus Vertigo episodes lasting at least 20 mins at a time (typically 2 – 3 hours). Note … Continue reading

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Ear conditions

Exostoses: overgrowths of bone in the external ear canal; they present as whitish lumps narrowing the canal. They are particularly common in people who spend a lot of time swimming in cold water. They can obstruct wax or cause hearing … Continue reading

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Treatment of chronic vertigo

There’s a useful article on the BMJ page right now, on chronic vertigo; apparently, first-line treatment for chronic vertigo is vestibular rehabilitation. This involves daily low-intensity exercises for 6 – 12 weeks to stimulate natural vestibular rehabilitation, and has been … Continue reading

Posted in Credits 2017, ENT, Vertigo | Leave a comment

Exercise-induced laryngeal obstruction

The cause of EILO is unclear, but it may be due to laryngeal hypersensitivity. It’s most common in athletic females under 20. Symptoms include shortness of breath, throat discomfort, chest tightness, and wheeze developing during intense exercise. EILO, for obvious … Continue reading

Posted in Credits 2016, ENT, Respiratory | Leave a comment