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This monthly review presents curated summaries of noteworthy ENT research and clinically relevant publications, compiled by Dr. Rohan S. Navelkar to support evidence-based, structured and exam-oriented ENT learning.
1. Tympanoplasty — Endoscopic Underlay vs. Overlay Study
Endoscopic underlay tympanoplasty provides higher graft success and fewer complications compared with the overlay approach in most perforation types.
2. Chronic Rhinosinusitis — Long-Term Adherence to Steroid Irrigation Study
Long-term adherence to high-volume steroid irrigation strongly predicts sustained symptom improvement in CRS patients post-ESS.
3. Pediatric OSA — DISE vs. Clinical Examination Accuracy Study
DISE identifies dynamic airway obstruction patterns missed on routine examination, significantly improving surgical planning in pediatric OSA.
4. Allergic Rhinitis — Oral Antihistamine vs. Leukotriene Modifier Trial
Oral antihistamines provide superior symptom relief to leukotriene modifiers except in patients with concomitant asthma, where montelukast performs better.
5. Otitis Media With Effusion — Efficacy of Autoinflation Devices
Autoinflation leads to faster resolution of OME and reduces the need for tympanostomy tube placement in selected children.
6. Septoplasty — Predictors of Suboptimal Outcome Study
Persistent nasal valve collapse and unaddressed turbinate hypertrophy are the strongest predictors of limited symptomatic improvement after septoplasty.
7. Laryngopharyngeal Reflux — Dietary Modification Outcomes Study
A low-acid, plant-forward diet significantly reduces throat symptoms and improves Reflux Symptom Index scores in mild-to-moderate LPR.
8. Snoring — Palatal Radiofrequency vs. Soft-Palate Pillar Implants
Radiofrequency ablation provides greater snoring reduction than pillar implants with fewer foreign-body complications.
9. Pediatric Sinusitis — Endoscopic vs. Medical Management Study
ESS offers superior symptom relief for refractory pediatric CRS compared with continued medical therapy, with low complication rates.
10. Voice Disorders — Stretch-and-Flow vs. Resonant Voice Therapy Trial
Both therapies improve dysphonia, but stretch-and-flow therapy yields greater improvements in breathiness and airflow efficiency.
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