june 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 Ear Surgery vs. Traditional Microscopic Surgery (Comparative Study)

Endoscopic ear surgery provides equal or better visualization and similar hearing outcomes to microscopic techniques while reducing canal morbidity and postoperative discomfort.

• 2. Chronic Rhinosinusitis Phenotype-Outcome Study

Patients with eosinophilic CRS show greater improvement with biologics, while non-eosinophilic CRS responds more consistently to surgery plus topical steroid irrigations.

• 3. Adenoidectomy Outcomes in Pediatric Eustachian Tube Dysfunction

Adenoidectomy significantly improves ETD-related symptoms in children, especially when enlarged adenoids contribute to mechanical obstruction.

• 4. Tympanoplasty Under Local vs. General Anesthesia (Randomized Trial)

Tympanoplasty under local anesthesia provides equivalent graft take and hearing outcomes with shorter recovery and fewer anesthesia-related adverse effects.

• 5. Allergic Rhinitis Immunotherapy Long-Term Follow-up Study

Subcutaneous immunotherapy maintains sustained symptom reduction years after completion, especially in monosensitized patients.

• 6. Sleep Apnea Nasal Surgery Outcomes Study

Nasal surgery improves CPAP tolerance and reduces required CPAP pressures but rarely cures OSA when performed alone.

• 7. Pediatric Epistaxis Management Trial (Silver Nitrate vs. Electrocautery)

Electrocautery offers a lower recurrence rate than silver nitrate for recurrent pediatric epistaxis, with similar safety.

• 8. Middle-Ear Ventilation Tube Duration Predictors Study

Shorter tube retention times are associated with younger age and active allergic rhinitis, but do not significantly affect long-term hearing outcomes.

• 9. Laryngopharyngeal Sensory Testing in Chronic Cough

Patients with chronic cough exhibit decreased laryngeal sensory thresholds, supporting a neurogenic hypersensitivity mechanism.

• 10. Voice Therapy vs. Proton-Pump Inhibitors in LPR-Related Dysphonia

Voice therapy provides greater functional voice improvement than PPIs in patients with mild-to-moderate LPR-associated voice disorders.