July 2025

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. Endoscopic vs. Microscopic Tympanoplasty Outcome Study

Endoscopic tympanoplasty achieves comparable graft success and hearing outcomes to microscopic surgery while reducing postoperative pain and recovery time.

• 2. CRS With Nasal Polyps — Biologic vs. Surgical Management Comparison

Biologic therapy provides substantial symptom reduction in severe CRSwNP, but endoscopic sinus surgery offers greater immediate improvement in obstruction and polyp burden.

• 3. Pediatric Otitis Media With Effusion Ventilation Tube Study

Short-term hearing outcomes improve significantly post-tube insertion, though recurrence risk remains higher in children with allergic rhinitis or adenoid hypertrophy.

• 4. Radiofrequency Ablation for Chronic Nasal Obstruction (Prospective Trial)

Radiofrequency inferior turbinate treatment delivers sustained improvement in airway patency with minimal postoperative discomfort.

• 5. Adenoid Regrowth After Adenoidectomy (Longitudinal Study)

Adenoid regrowth occurs in a small subset of children—mostly in those with allergic disease—leading to recurrent nasal obstruction or snoring.

• 6. Tympanic Membrane Retraction Pocket Management Study

Conservative surveillance is effective for stable retraction pockets, while early cartilage reinforcement is beneficial for cases showing progressive atelectasis.

• 7. Chronic Otitis Media Microbiology Update

Updated culture profiles reveal increasing resistance trends in common middle-ear pathogens, supporting more judicious antibiotic selection.

• 8. Tonsillotomy vs. Tonsillectomy for Pediatric Obstruction

Tonsillotomy provides similar relief from obstructive symptoms as tonsillectomy but with lower postoperative pain and faster return to normal diet.

• 9. Eustachian Tube Balloon Dilation Pediatric Cohort

Balloon dilation in selected pediatric ETD cases yields moderate symptomatic improvement but is less predictable than in adults.

• 10. Snoring Device Efficacy Study (Mandibular Advancement vs. Nasal Dilators)

mandibular advancement devices reduce snoring intensity more effectively than nasal dilators, particularly in patients with retrognathia or mild positional OSA.