ENT Updates for the GP | Medical company
ENT Updates for the GP
Phone: 07 54510333
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25.01.2022 Adenoids and middle ear fluid... https://pubmed.ncbi.nlm.nih.gov/32838976/
23.01.2022 Although you may never heard of it, I have had dentists referring many kids with molar hypomineralisation for an ENT assessment for years now. Dentists have been noticing things that the research is now coming to validate. https://pubmed.ncbi.nlm.nih.gov/32801371/
23.01.2022 This is yet another paper showing that the diagnosis of ADHD in kids is circumspect when they have an ENT problem. This times it is about allergies and hayfever. This paper specifically advises against making a diagnosis and treatment of ADHD until all options are considered first. http://www.ncbi.nlm.nih.gov/m/pubmed/27216352/
22.01.2022 There are many neurological conditions ties in with OSA https://pubmed.ncbi.nlm.nih.gov/32756228/
22.01.2022 Sleep disordered breathing may be a significant condition in terms of its increased prevalence and adverse impact for those with cystic fibrosis https://pubmed.ncbi.nlm.nih.gov/32841845/
22.01.2022 Medication for paediatric sleep disordered breathing- yet another analysis showing it is not delivering the results that surgery does. https://www.ncbi.nlm.nih.gov/pubmed/31978261
22.01.2022 If you ever wondered why ENT surgeons often do turbinate surgery when they do septal surgery, it is because turbinate size is often affected by the deviation of the septum. I explain more about this in detail in my book, Snored to Death, but here is a paper showing the changes are mucosal rather than bone related. https://www.ncbi.nlm.nih.gov/pubmed/29417277
21.01.2022 A quick chat about mouth breathing https://youtu.be/4meF-Q3MQ9U
21.01.2022 Patients with a blocked nose should be seeing an ENT- even more so if they have asthma https://pubmed.ncbi.nlm.nih.gov/33235473/
21.01.2022 Yet another reason to take snoring in kids seriously: "A reduction in HRV in children with habitual snoring could be associated with possible increases in cardiovascular risk in adulthood." https://www.ncbi.nlm.nih.gov/pubmed/30686970
21.01.2022 An important condition to be mindful of as the population is a high risk group https://www.ncbi.nlm.nih.gov/pubmed/32126418
20.01.2022 An important thing to note- if any of your patients diagnosed with atrial fibrillation have not had an assessment for OSA, it may be a very worthwhile ecercise https://pubmed.ncbi.nlm.nih.gov/33213809/
20.01.2022 Children with Autism have a range of sleep problems that are far more common than the general population. Regular screening for these is very important. https://www.ncbi.nlm.nih.gov/pubmed/30745433
20.01.2022 It is important to make sure the quality of sleep is not impacted upon by the presence of nasal allergies https://pubmed.ncbi.nlm.nih.gov/33618771/
19.01.2022 There are so many treatment options these days for sleep apnoea- here are but a few... https://www.ncbi.nlm.nih.gov/pubmed/31509502
19.01.2022 This is the sort information we may need - more so than the AHI https://pubmed.ncbi.nlm.nih.gov/32764677/
18.01.2022 Even I need to be reminded about the rare stuff sometimes https://pubmed.ncbi.nlm.nih.gov/32229043/
18.01.2022 Just because the tonsils are OK does not mean the adenoids are OK https://pubmed.ncbi.nlm.nih.gov/32838641/
18.01.2022 Important information for those involved in workplace medicals. https://www.ncbi.nlm.nih.gov/pubmed/31533301
18.01.2022 Small vessel cerebral ischaemia is something we need to be vigilant about https://pmlegacy.ncbi.nlm.nih.gov/pubmed/32415639
18.01.2022 This paper has been posted previously, but it is such an important finding, it is worth reposting again and again- it shows that kids left to outgrow airway problems don't do very well later on in terms of behaviour and emotions. As it says at the end, get in early. http://www.ncbi.nlm.nih.gov/m/pubmed/22392181/
17.01.2022 An important consideration in so called "essential hypertension". https://www.ncbi.nlm.nih.gov/pubmed/31970622
17.01.2022 Please get your ENTs involved when it comes to managing asthma. https://www.ncbi.nlm.nih.gov/pubmed/31284929
16.01.2022 An ENT may need to be involved in assessing patients with high blood pressure as the operations they can perform may be beneficial for their health https://pubmed.ncbi.nlm.nih.gov/32797275/
16.01.2022 There is a lot of immune dysregulation going on in children with tonsil and adenoid problems https://pubmed.ncbi.nlm.nih.gov/31461789/
15.01.2022 A really important consideration for those who have patients with any form of dementia I would suggest. https://www.ncbi.nlm.nih.gov/pubmed/31936521
14.01.2022 This is information that every parent of a child born prematurely should be made aware of to heighten their vigilance for breathing problems during infancy and childhood https://pubmed.ncbi.nlm.nih.gov/33629766/
14.01.2022 while we have relatively good data on the benefit on treating those with obstructive sleep apnoea syndrome (OSAS), treating those with OSA that do not meet the diagnostic criteria of OSAS remains a challenge as to what to do https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6760394/
13.01.2022 It is rather concerning that so many children with ADHD had undiagnosed sleep disorders https://pubmed.ncbi.nlm.nih.gov/33155540/
13.01.2022 while having bad tonsils out reduces general antibiotic prescribing in such patients, there are some important things brought up her that are worth highlighting; Large tonsils is not an indication for antibiotics- acute tonsillitis is though There is next to no role for antibiotics in the post-operative period; it is normal to have bad breathe, temperatures, white patches on the tonsil bed, and an escalation in pain a few days after surgery. Please do not make antibiotics a go to option in such cases. https://pubmed.ncbi.nlm.nih.gov/33152956/
13.01.2022 These factors are ones that the family doctor would be very familiar with as pat of caring for families that attend as a cohort to the same clinic. https://pmlegacy.ncbi.nlm.nih.gov/pubmed/31253409
13.01.2022 With CPAP compliance considered to be 4 hours per night, that seems significantly inadequate based on what this research showed was necessary for the more severe end of the spectrum, https://www.ncbi.nlm.nih.gov/pubmed/30485257
12.01.2022 There are things that dentists can spot that can help us find patients with obstructive sleep apnoea https://www.ncbi.nlm.nih.gov/pubmed/32056412
12.01.2022 This paper highlight the variability in sleep apnoea patient phenotypes and the importance of getting the right treatments for the right patient. https://www.ncbi.nlm.nih.gov/pubmed/31119286
12.01.2022 There substantial confounders when it comes to making a diagnosis of asthma https://pubmed.ncbi.nlm.nih.gov/32820164/
11.01.2022 Patients with rheumatoid arthritis need to make sure they are seeing their dentist regularly, and maybe even an ENT if there is a sinus problem https://pubmed.ncbi.nlm.nih.gov/33089506/
11.01.2022 Please do not order plain film sinus x-rays. If an xray of the sinuses is indicated, make it a CT scan https://pmlegacy.ncbi.nlm.nih.gov/pubmed/32417856
11.01.2022 One for your renal physicians https://pmlegacy.ncbi.nlm.nih.gov/pubmed/32629235
11.01.2022 Some helpful advice for those that find their patients are overusing nasal decongestants. https://www.ncbi.nlm.nih.gov/pubmed/31818321
09.01.2022 A simple adjunct therapy for those with OSA and allergic rhinitis https://pubmed.ncbi.nlm.nih.gov/32828117/
09.01.2022 Of the 6 things they found related to asthma, 4 of these are things that ENTs are looking for. By fully addressing any contributing pathology, we have a better chance of adequate asthma management. https://www.ncbi.nlm.nih.gov/pubmed/31969736
08.01.2022 Surgery has widespread benefits that not even CPAP can deliver for patients with OSA. https://www.ncbi.nlm.nih.gov/pubmed/31570053
08.01.2022 One for your cardiologists https://pubmed.ncbi.nlm.nih.gov/33611699/
07.01.2022 This is modern day upper airway obstruction management.
07.01.2022 ENT Surgery is not the only option for children with upper airway obstruction, but it is still the first line for most. https://pubmed.ncbi.nlm.nih.gov/33152975/
06.01.2022 The hippocampus is the biological equivalent of a computer hard drive, organising and storing memories. I am going to post a few papers over the next few days highlighting what happens to this crucial part of the brain when there is repeated hypoxia .https://www.ncbi.nlm.nih.gov/pubmed/29267958
06.01.2022 If a child is struggling with repeated episodes of croup, make sure they get checked over by a paediatric ENT https://www.ncbi.nlm.nih.gov/m/pubmed/25818348/
05.01.2022 An exercise program may be an important prescription to make for patients with OSA. https://www.ncbi.nlm.nih.gov/pubmed/31050034
05.01.2022 One for your mouth breathing patients having a general anaesthetic- they have a higher chance of developing an airway obstruction.... ncbi.nlm.nih.gov/pubmed/32473063
05.01.2022 One for your cardiologists https://pubmed.ncbi.nlm.nih.gov/33220036/
05.01.2022 There are a lot of things going on here- none of them good https://pubmed.ncbi.nlm.nih.gov/32801297/
05.01.2022 ENTs are really quite good at finding anatomical causes of obstructive sleep apnoea if given the opportunity to do so. https://www.ncbi.nlm.nih.gov/pubmed/30720214
04.01.2022 An important health issue for those that smoke and those that are around them. https://www.ncbi.nlm.nih.gov/pubmed/31987598
04.01.2022 Most kids having surgery to relieve their upper airway obstruction are still not having a sleep study- and I agree. The problem is that a sleep study does not delineate those that do and do not benefit from surgery. https://pmlegacy.ncbi.nlm.nih.gov/pubmed/32427548
04.01.2022 After 12 months most children not treated for their sleep disordered breathing had persistent disease, and symptom wise those treated with surgery were doing best. Whilst surgery may not be the full solution it remains the most robust option as a good place to start. https://pubmed.ncbi.nlm.nih.gov/32836142/
04.01.2022 This is the first of a series of videos where I have a chat about airways and explain my perspective to an orthodontist. Hope you find them interesting. https://youtu.be/_j1ALvmY4wk
04.01.2022 Hay fever impacts on sleep quality https://pubmed.ncbi.nlm.nih.gov/32866850/
03.01.2022 Another paper showing that symptoms are an important part of the management of sleep apnoea. https://www.ncbi.nlm.nih.gov/pubmed/29903827
03.01.2022 Dentists have been using this sort of therapy for over 100 years.... we need to catch up and get an understanding on all the elements of getting breathing sorted https://pubmed.ncbi.nlm.nih.gov/32861058/
02.01.2022 How well would you go if faced with this clinical scenario? https://pmlegacy.ncbi.nlm.nih.gov/pubmed/29934359
01.01.2022 Test your knowledge! Go through this and pause as I come to each question and reflect on why the answer is and then see what I thought. https://youtu.be/jwul4cpw5Y4
01.01.2022 IN children with repeated middle ear infection, using e testing of cochlea function that is more sensitive than a hearing test, there is clear dysfunction of how the cochlea works. https://www.mdpi.com/2075-1729/10/11/287
01.01.2022 For patients troubled by recurrent sinus infections, this research shows medical and surgical treatments are reasonable, with surgery having a better quality of life outcome http://www.ncbi.nlm.nih.gov/m/pubmed/25950995/
01.01.2022 This sounds like a useful tool for those assessing oatients with OSA and their fitness to drive https://pubmed.ncbi.nlm.nih.gov/32821184/
01.01.2022 Living in the country with the highest rate of melanomas occurring, this sort of information is very important to know about https://www.ncbi.nlm.nih.gov/pubmed/30059679
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