NOVEMBER 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. Chronic Rhinosinusitis — DISE-Guided Surgical Planning Outcomes Study

DISE-guided identification of nasal and pharyngeal obstruction patterns results in more targeted surgery and improved postoperative symptom control.

• 2. Endoscopic Tympanoplasty — Anterior Perforation Closure Study

Endoscopic techniques achieve higher closure rates for anterior tympanic membrane perforations compared with traditional microscopic approaches.

• 3. Pediatric OSA — Residual Disease After Adenotonsillectomy Cohort

Residual OSA remains common in children with obesity, craniofacial narrowing, or severe preoperative AHI despite adenotonsillectomy.

• 4. Allergic Rhinitis — Continuous vs. Seasonal Intranasal Steroid Use Study

Continuous intranasal corticosteroid therapy provides better long-term symptom control than seasonal or intermittent use in perennial allergic rhinitis.

• 5. Otitis Media With Effusion — Watchful Waiting vs. Early Grommets Trial

Watchful waiting remains safe in most children with OME, with early grommet insertion offering faster hearing improvement but no long-term advantage.

• 6. Septoplasty — Combined Septal Correction and Nasal Valve Repair Outcomes

Addressing nasal valve dysfunction at the time of septoplasty significantly improves postoperative airflow and patient satisfaction.

• 7. Laryngopharyngeal Reflux — Non-Acid Reflux Treatment Study

Alginate-based therapy improves throat symptoms more consistently than PPIs in patients with predominantly non-acid LPR.

• 8. Snoring / Mild OSA — Combined Nasal and Oral Appliance Therapy Study

Combined nasal surgery or dilation with oral appliance therapy provides greater snoring reduction than either intervention alone.

• 9. Pediatric Recurrent Epistaxis — Topical Ointment vs. Cautery Comparison

Regular topical nasal ointment use reduces recurrence of pediatric epistaxis nearly as effectively as cautery with better tolerance.

• 10. Voice Disorders — Early Voice Therapy After Acute Laryngitis Study

Early initiation of voice therapy shortens symptom duration and reduces progression to chronic dysphonia after acute laryngitis.