Diagnostic criteria for superior semicircular canal dehiscence syndrome
6 September 2021
| Victor Osei-Lah
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Neurotology, ENTA-Vestibular Disorders
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Superior canal dehiscence, inner ear, labyrinth, third mobile window
The latest Bárány Society’s consensus document on diagnostic criteria for vestibular disorders is one for superior semicircular canal dehiscence syndrome (SCDS). There are three major categories: (A) Symptoms consistent with a third mobile labyrinthine window; (B) Physiologic tests – clinical...
The incidence of coagulopathies in children presenting with post-tonsillectomy haemorrhage
6 September 2021
| Bhav Patel
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Paediatric ENT
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Coagulopathies, pediatric tonsillectomy, post-tonsillectomy hemorrhage
Tonsillectomy is often the first haemostatic challenge for a child. Postoperative haemorrhage may therefore represent the first presentation of a child’s underlying bleeding disorder. This study aimed to quantify the rate of occult coagulopathy in patients who had experienced a...
Hydrogen peroxide and its uses in healthcare
6 September 2021
| Gauri Mankekar
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Neurotology, Otology
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Antiseptic, Hemostasis, Hydrogen peroxide
This is an interesting review about the origin and uses of hydrogen peroxide, especially in neurosurgery. However, its uses are ubiquitous and applicable to several medical specialties. When hydrogen peroxide was first discovered in 1818 by Louis Thenard, it had...
Treatment of internal carotid artery blowout with embolisation and bypass grafting (nasopharyngeal carcinoma)
6 September 2021
| Richard (Wei Chern) Gan
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ENTA-Head & Neck, ENTA-Skull Base Surgery
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bypass, carotid blowout syndrome, embolization, head and neck cancer, oral and nasal massive hemorrhage
Carotid artery blowout syndrome (CBS) occurs when there is rupture of the carotid artery causing massive epistaxis and bleeding through the oral cavity caused by tumour invasion, surgery, radiotherapy, or infection. This article proposes a revascularisation strategy for internal carotid...
Outcomes at three years post-implantation of the Bonebridge device
6 September 2021
| Aileen Lambert
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ENTA-Auditory Implants
This is a MED-EL-funded study of the hearing outcomes and complication rates of the Bonebridge active transcutaneous bone conduction implant (BCI). The authors have declared no conflict of interest. Follow-up occurred at intervals for 36 months post-implantation in all 57...
How can we actually be culturally responsive?
6 September 2021
| Anna Volkmer
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ENTA-Speech and Language Therapy
Now, more than ever, we need to take action to meet the needs of the students and patients we work with. Black Lives Matter only emphasised how little progress has been made in this area to date. The authors of...
How much does FESS improve the sense of smell?
6 September 2021
| Joanna Stephens
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ENTA-Rhinology / Sinus
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chronic disease; endoscopy, olfaction disorders, olfactory perception, patient reported outcome measures, risk, sinusitis, smell
We are all familiar with patients who undergo a seemingly successful FESS but, in spite of this, have persistent smell dysfunction postoperatively. This study compares a surgical group with a control group, measuring olfactory function pre and postoperatively using Sniffin...
Is there evidence to support early discharge of patients with tonsillitis, quinsy and epistaxis?
6 September 2021
| Madhup K Chaurasia
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ENTA-Laryngology / Swallowing / Voice
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Epistaxis, Peritonsillar Abscess, Tonsillitis
The COVID-19 pandemic, with its unprecedented pressures on the NHS, demands changes in the management of common ENT emergencies. In this review article, information has been gleaned from 22 relevant articles on how this can be done. The Portsmouth tonsillitis...
Does Koos classification predict facial nerve dysfunction?
6 September 2021
| Gauri Mankekar
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Otology, Neurotology, ENTA-Skull Base Surgery
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Acoustic schwannoma, Facial nerve, Koos classification
The Koos classification is a grading system used often for preoperative evaluation of acoustic tumours on imaging studies. It indirectly correlates to the size of the tumour. Size of the vestibular schwannoma is often considered the main determinant for hearing...
Can we centralise cochlear implant surgery and keep most appointments close to home?
1 July 2021
| Robert Nash
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ENTA-Auditory Implants, Paediatric ENT
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Category of auditory performance (CAP) scores, Cochlear implantation, Satellite habilitation centres, Speech intelligibility rating (SIR) scores
The NHS Five Year Forward View promoted seeing patients closer to home in order to provide better care, cut down on missed appointments and reduce costs. This encouraged the development of ‘hub and spoke’ models of care, but this model...
Compress to suppress the venous tinnitus
1 July 2021
| Sangeeta Maini
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Otology
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Tinnitus Handicap Inventory, Venous pulsatile tinnitus, compression reconstruction of sigmoid sinus
This interesting retrospective case series analyses the effectiveness of a modified surgical technique with retromastoid reconstruction of the sigmoid sinus by mechanical compression with Surgicel and bone wax packing under local anaesthesia for patients with venous pulsatile tinnitus related to...
Canal wall up mastoid defects - can they be usefully reconstructed with hydroxyapatite cranioplastic cement?
1 July 2021
| Lucy Dalton
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Neurotology, Otology, Paediatric ENT, ENTA-Skull Base Surgery
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cranioplastic reconstruction, hydroxyapatite cement, mastoid cortex, mastoidectomy
Standard canal wall up (CWU) mastoid surgery leaves a mastoid defect of varying size, commonly covered by soft tissue. Rarely, this bony defect can cause discomfort, cosmetic issues or other problems. To mitigate these, the defect can be filled either...
