Immunotherapy for allergic rhinitis – a United Kingdom survey and short review

2005 ◽  
Vol 119 (10) ◽  
pp. 799-805 ◽  
Author(s):  
G Dhanasekar ◽  
A B Izzat ◽  
A R D'Souza

Allergic rhinitis (AR) is a common condition which is treated using different modalities, including immunotherapy. The aim of this study was to survey the current management strategies among ENT consultants in the UK in treating AR, and their views on immunotherapy. The study design was a postal questionnaire survey and the setting a university teaching hospital. Participants were consultant members of the British Association of Otolaryngologists – Head and Neck Surgeons (BAO-HNS). The main outcome measures were common treatment modalities adopted by the survey group to treat AR, and the number of consultants practising immunotherapy. The majority (81.1 per cent) of the consultants surveyed practise medical therapy with or without surgery. Immunotherapy is advised by 26 per cent of ENT consultants, but only 6.6 per cent currently administer immunotherapy.

2006 ◽  
Vol 31 (6) ◽  
pp. 552-555 ◽  
Author(s):  
S Duvvi ◽  
R Gollapalli ◽  
V Sankar ◽  
T Walker ◽  
B.N Kumar ◽  
...  

ISRN Urology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Andrew Fletcher ◽  
Ananya Choudhury ◽  
Nooreen Alam

Bladder cancer continues to result in substantial morbidity and mortality for affected individuals. Advances in the management of metastatic bladder cancer have been limited. Chemotherapy with platinum-based regimes remains the mainstay of first-line treatment. Studies investigating alternative regimes have offered no survival advantage. Targeted therapies may offer benefit either as single agent or in combination with chemotherapy. Symptoms due to metastatic bladder cancer impact patients' quality of life, and therefore holistic management is vital. Such management includes radiotherapy, bisphosphonates, and the involvement of specialist palliative care services. This review will discuss the current management for metastatic bladder cancer, future potential treatment modalities, and the evidence to support the management strategies.


2009 ◽  
Vol 124 (2) ◽  
pp. 199-203 ◽  
Author(s):  
G Dhanasekar ◽  
A Liapi ◽  
N Turner

AbstractObjectives:To determine (1) the preferred adenoidectomy technique among UK ENT consultants, and (2) the need for revision adenoidectomy following the standard technique of blind curettage with digital palpation.Method:Postal questionnaire.Participants:We included 539 consultant members of the ENT–UK.Main outcome measures:Commonly used adenoidectomy techniques, and whether revision adenoidectomy was considered a problem.Results:The response rate was 66.6 per cent (359 respondents). Twenty-seven respondents did not perform adenoidectomy, while 332 did. A total of 312/332 respondents (94 per cent) believed that adenoidectomy had a role in the treatment of chronic serous otitis media. The majority of respondents (232/332; 69.9 per cent) reported examining the postnasal space digitally at adenoidectomy. The preferred routine adenoidectomy technique was blind curettage for 263 respondents (79.2 per cent), suction diathermy ablation for 27 (8.1 per cent) and curettage under direct vision (using a mirror) for 13 (3.9 per cent). In response to the question ‘Do you recognise the need for revision adenoidectomy as a problem?’, 205 (61.7 per cent) respondents replied ‘never’, 39 (11.7 per cent) ‘rarely’, 54 (16.3 per cent) ‘< 2 per cent’ and 36 (10.8 per cent) ‘>2 per cent’.Conclusions:The most commonly used adenoidectomy technique in the UK is digital palpation followed by blind curettage, according to this postal questionnaire survey. Few respondents reported performing adenoidectomy under direct vision: only 10 per cent used a mirror during the procedure and only 8 per cent used an endoscope.


Dental Update ◽  
2020 ◽  
Vol 47 (9) ◽  
pp. 739-746
Author(s):  
Claire Hopkins

Rhinosinusitis is a common condition, affecting more than one in ten adults. This article will review current management strategies. While multi-factorial in aetiology, odontogenic rhinosinusitis is an important subgroup that is often misdiagnosed and recalcitrant to management. Patients with rhinosinusitis often report facial pain, but when it is severe, and mismatched in severity to other sinonasal symptoms, facial migraine should be suspected. Finally, the risks of implantation in the setting of maxillary sinus mucosal thickening and the need for ENT referral in such cases will be discussed. CPD/Clinical Relevance: Sinus issues may present to a dentist as dental pain, and dental disease may itself cause sinusitis. With increasing use of cone beam imaging, sinus pathology will be detected frequently in dental practice and this review will help to advise practitioners on current best practice.


2019 ◽  
Vol 80 (11) ◽  
pp. 647-651 ◽  
Author(s):  
James Duncan ◽  
Robert Duncan ◽  
Saksham Bansal ◽  
Dominic Davenport ◽  
Andrew Hacker

Lateral epicondylitis or tennis elbow is a common condition estimated to affect between 1 and 3% of adults. As a result of its high prevalence, both primary and secondary care physicians are frequently presented with this problem, so knowledge of its presentation and up-to-date management strategies is essential. This review collates the most recent evidence on lateral epicondylitis to help the clinician perform assessments and make treatment decisions, based on the best current clinical practice.


2005 ◽  
Vol 119 (4) ◽  
pp. 259-263 ◽  
Author(s):  
E Z Osman ◽  
M K Aneeshkumar ◽  
R W Clarke

Approximately half a million children in England and Wales receive in-patient or day-case surgical treatment annually. Otolaryngology is the surgical specialty that provides the greatest number of episodes of such care. As 30–50 per cent of our total volume of work is paediatric, we feel it is important to assess current attitudes to paediatric otolaryngological practice. In its year 2000 document Children’s Surgery: a First Class Service, The Royal College of Surgeons (RCS) of England sets out recommendations on how children’s surgical services should be delivered in the UK. A postal questionnaire was sent to all UK-based ENT consultant members of the British Association of Otorhinolaryngologists-Head and Neck Surgeons (BAO-HNS). The questionnaire was designed to assess the current practice of paediatric otolaryngology in the UK with an emphasis on the RCS recommendations. Wide variations were found, and they are discussed with reference to the recommendations.


2004 ◽  
Vol 92 (5) ◽  
pp. 689-693 ◽  
Author(s):  
A.E. Powell ◽  
H.T.O. Davies ◽  
J Bannister ◽  
W.A. Macrae

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