Nice | New treatments for migraines and sinusitis

These are 2 new guidelines from NICE. I thought it was interesting to know that they are out there, but we don't need to know much about them at this stage.

Transcutaneous stimulation of the cervical branch of the vagus nerve for cluster headache and migraine.

This is safe, but there is limited evidence of efficacy, so the procedure can only be used with special arrangements for clinical governance. It is used by the patient themselves with a handheld device. It can be used during an acute attack or for prophylaxis. The aim is to reduce the severity and frequency of attacks.

Corticosteroid eluting stent for treating chronic rhinosinusitis.

Again this is safe, but there is limited evidence of efficacy. The idea is that these stents are placed into the ostia after endoscopic surgery. They then slowly release steroid, to maintain the patency of the ostia. The stents slowly dissolve.

 

Louise Hudman

I'm a freelance GP locum in Winchester & Southampton.

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