Nasal sprays: commonly used medications that are often misunderstood.

Sinonasal inflammatory disease is very common and all clinicians who care for these patients should understand the topical treatment options available. This article reviews the utility and application of steroidal, saline, decongestant, antihistamine and anticholinergic preparations for the treatment of sinonasal disease, with a particular focus on evidence-based guidelines for use in both specialist and non-specialist healthcare settings.

Hereditary haemorrhagic telangiectasia: an overview from an ear, nose and throat perspective.

Patients with hereditary haemorrhagic telangiectasia can present with a multitude of symptoms caused by telangiectasia and arteriovenous malformations in the nose, brain, gastrointestinal tract, liver and spinal cord. Clinicians should be aware of the potential diagnosis of hereditary haemorrhagic telangiectasia and how to manage these patients both in the acute and chronic setting. Identifying these patients and optimising their management can help reverse the reduced life expectancy back to that of the normal population.

Evaluating the use of Floseal haemostatic matrix in the treatment of epistaxis: a prospective, control-matched longitudinal study.

Epistaxis is a common cause of emergency admissions in ENT. The use of Floseal haemostatic matrix in the treatment of epistaxis has been investigated in a number of studies in North America. We aimed to report a UK-based experience in the context of the current UK management paradigm.

Cleft lip and palate: diagnosis and management.

Cleft lip and palate is the most common congenital facial anomaly in children, which can affect appearance, speech, hearing, growth, psychosocial wellbeing and social integration. This article provides an overview of the condition for the benefit of all health-care professionals.

Topical nasal steroids for treating nasal polyposis in people with cystic fibrosis.

Background: Nasal polyps frequently occur in people with cystic fibrosis. Sinus infections have been shown to be a factor in the development of serious chest complications in these people. Nasal polyps have been linked to a higher risk of lower respiratory tract infections with Pseudomonas aeruginosa .

Topical nasal steroids for treating nasal polyposis in people with cystic fibrosis.

Background: Nasal polyps frequently occur in people with cystic fibrosis. Sinus infections have been shown to be a factor in the development of serious chest complications in these people. Nasal polyps have been linked to a higher risk of lower respiratory tract infections with Pseudomonas aeruginosa .

Who should manage acute periorbital cellulitis in children?

Introduction: Periorbital cellulitis is inflammation of the eye anterior to the palpebral ligament. The sequeale may be life or vision threatening. There is no consensus on the optimal management strategies.

Topical nasal steroids for treating nasal polyposis in people with cystic fibrosis.

Background: Nasal polyps frequently occur in people with cystic fibrosis. Sinus infections have been shown to be a factor in the development of serious chest complications in these people. Nasal polyps have been linked to a higher risk of lower respiratory tract infections with Pseudomonas aeruginosa .

Evidence-based applications of mitomycin C in the nose.

Background: Mitomycin C (MMC) is an antimitotic drug that may, when applied topically, prevent postoperative stenosis. Its use remains controversial. This review aims to provide otolaryngologists with an update of the evidence on the applications of this agent in the nose and sinuses.

Giant vertebro-basilar aneurysm: an unusual cerebello-pontine angle lesion.

Acoustic neuromas (vestibular schwannomas) comprise more than 90 per cent of all cerebello-pontine angle (CPA) lesions. We present a rare case of a giant vertebro-basilar aneurysm presenting as a CPA lesion. The general condition of the patient precluded the completion of the magnetic resonance (MR) sequences.

Acoustic parameters of snoring sound to assess the effectiveness of sleep nasendoscopy in predicting surgical outcome.

Objective: To assess the effectiveness of two grading systems used to predict surgical outcome in nonapneic snorers.

Study Design: A prospective observational study. Prior to undergoing palatal surgery, 20 patients completed a sleep nasendoscopic examination involving sequential steady-state sedation with intravenous propofol.

Acoustic parameters of snoring sound to assess the effectiveness of the Müller Manoeuvre in predicting surgical outcome.

Objective: To assess the effectiveness of the Müller Manoeuvre in predicting surgical outcome in non-apnoeic snorers.

Methods: Forty-one non-apnoeic snorers performed the Müller Manoeuvre, prior to palatal surgery for snoring. Pre-operatively and between 1.

Advances in the management of CSF rhinorrhoea.

Cerebrospinal fluid fistulae are under-diagnosed, difficult to locate and often clinically silent. They are potentially lethal and carry a long-term cumulative risk of meningitis. They should be fully investigated and treated aggressively.