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Risk factors in free flap failure
This is a retrospective analysis from China of 881 free flaps over nearly four years, 49 of which were ‘taken back’, 26 of which were lost, giving a 97% success rate. The commonest cause of flap failure was venous thrombosis....
Scoring system to predict hearing impairment following hemifacial spasm surgical treatment
The authors analysed brain stem auditory evoked potentials prospectively in 100 patients undergoing endoscopic microvascular decompression for management of hemifacial spasm over a period of two years. They then developed a scoring system based on electrophysiological events to predict the...
Are vascular loops at the CPA of any clinical significance?
Neurotologists have grappled with this question for many years. The aim of the study was to determine the clinical relationship of vertigo symptoms with vascular loop compression syndrome using 3D T2WI turbo spin echo high-resolution MRI. The study included 417...
Neck dissection in adenoid cystic carcinoma is a risk worth taking?
This paper from Stanford University presents impressive figures to guide the debate on the extent of surgical management in adenoid cystic disease. Adenoid cystic carcinomas present a particular problem in that they can recur even after 20 years. They have...
Tinnitus Treatment: Clinical Protocols Second Edition
When asked to review the second edition of the popular Tinnitus Treatment: Clinical Protocols, I had high expectations. The first edition, published in 2005, has been a trusted resource for students and clinicians alike, and this second edition does not...
RadCases Head and Neck Imaging
This is one of a series of books published by Thieme which are written for trainees in radiology. The depth and breadth would suit a higher-level trainee with an interest in head and neck imaging coming up to exit examinations...
Key topics in Otolaryngology – Third Edition
Eighteen years after the second edition of Key Topics in Otolaryngology, Nick Roland and his co-editors have published the long-awaited third edition. This concise book has been the friend of the examinee for the last two decades within UK and...
Sublingual house dust mite immunotherapy
House dust mite immunotherapy in allergic rhinitis was shown to be effective in trials with a relatively small number of participants. The authors of this study performed a multicentre double-blind randomised controlled trial to investigate effects of house dust mite...
Be mindful of exposure
This is a topic which has been highlighted before in the Hearing Research series, as the evidence base regarding the specific impact of acoustic trauma on the auditory system has been expanding regularly in the last few years. This particular...
Occurrence of cancer in asymmetrical tonsillar enlargement in adults
With significant increase in head and neck cancer in the last decade, attributed to HPV, fast-track referrals from primary care have markedly increased, adding further to the burden on the NHS. Whether or not unilateral tonsillar enlargement alone, without red...
Patient-related factors that require revision surgery for otosclerosis
Stapes surgery for otosclerosis has a high success and low complication rate but, over a period of time, good results can deteriorate, requiring revision surgery. In this study, the authors have focused on patients’ demographic data as predictive factors for...
