Post-tonsillectomy bleeding was commoner in adults and mostly came around day 7

The edition in brief

In 945 tonsillectomy patients at one Lebanese centre, post-tonsillectomy haemorrhage occurred in 2.65% (95% CI 1.7 to 3.9); 92% was secondary, typically around day 7, and adult age was the only independent predictor (adjusted OR 2.93, 95% CI 1.17 to 7.36; 7.4% vs 1.9%). A meta-analysis of 32 studies found that worse pretreatment global quality of life (HR 1.11 per 10-point worsening, 95% CI 1.08 to 1.14) and physical functioning (HR 1.16) were consistently associated with higher mortality in head and neck cancer. A 78-patient trial reported greater hearing gain and lower anxiety and depression scores when 7 days of electroacupuncture were added to drug treatment for sudden sensorineural hearing loss, but its design and reporting leave it low-confidence. The updated tinnitus guideline strongly recommends distinguishing bothersome from nonbothersome tinnitus, asking about self-harm risk, and avoiding imaging solely for tinnitus without concerning features; it recommends cognitive behavioural therapy and advises against routine drugs, supplements and rTMS.