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JAMA Head and Neck image

Prediction of morbidity and mortality in patients undergoing thyroid or parathyroid surgery

30 April 2020 | | Thyroid / Parathyroid Surgery
Major postoperative adverse events in thyroid or parathyroid surgery are uncommon. Various authors have developed risk indices to identify physical deficits in patients undergoing elective surgery. The literature is less clear about patients undergoing thyroid or parathyroid surgery. In this...

Join us at CI2023

16 January 2023
Registration is now open for CI2023: Cochlear Implants in Children and Adults, 7-10 June, in Dallas, Texas, USA, with early bird rates until 7 April 2023. The conference will explore current and emerging topics for CI patients across the lifespan....
Otolaryngology Clinics of North America journal cover image.

Make food thy medicine!

10 March 2023 | | ENT, Rhinology / Sinus | Diet, Diet score, Head and neck cancer, Hearing loss, Mediterranean diet, Plant-based
This is a useful paper emphasising how diet affects health and various ENT conditions. We have known for many years the power of food as medicine. We also know that what we eat can affect our bodies in multiple ways...

Measuring the ‘impact’ of preoperative immunonutrition

1 September 2018 | | head and neck cancer, head and neck surgery, immunonutrition, length of hospital stay, wound infections
Using preoperative nutritional supplements as part of ‘enhanced recovery’ in surgical patients is not a new concept. This interesting paper looks at the latest development in optimising patients undergoing head and neck oncological surgery. Immunonutrition (Nestle’s ‘Oral Impact’ in this...

What is the evidence for duration of antibiotic prophylaxis in head and neck free-flap cases?

1 May 2018 | | clean-contaminated, free flaps, microvascular surgery, prophylactic antibiotics, surgical site infection
The topic of this systematic review is one which is commonly heard in discussions between microbiologists and head and neck surgeons – what is the evidence for antibiotic prophylaxis in clean-contaminated free-flap cases, and crucially, how long should antibiotics be...

Stenting and sinus surgery

1 January 2018 | | Chronic rhinosinusitis, Chronic sinusitis, Drug-eluting stents, Sinus surgery, Stents, Steroid releasing stents
Stents are used in sinus surgery with the aim of maintaining patency of sinus cavity avoiding restenosis from inflammation or scarring. The exact indication for stenting in sinus surgery however is still debated. The authors discussed the potential role of...

A multidisciplinary approach to the management of frontal sinus fracture

1 March 2017 | | Frontal sinus, Naso-orbitoethmoid, Craniofacial trauma, Cranialisation
Frontal sinus fractures account for about 5% of all facial trauma. Fractures of the posterior wall may result in cerebrospinal fluid (CSF) leak and meningitis, while obstruction of the outflow tract can cause sinusitis and mucocele formation. However, there are...

Outpatient closure of CSF leaks: a good idea or a step too far?

1 January 2017 | | ambulatory surgery, anterior skull base, cerebrospinal fluid leak, cerebrospinal fluid rhinorrhea, endoscopic, outpatient, skull-base defect, spontaneous CSF leak
After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...

Is there a ‘best’ ventilation tube?

1 November 2016 | | Complications, Extrusion, Material, Otorrhea, Secretory otitis media, Tympanostomy tubes, Ventilation tubes
Studies on grommet materials and sizes are not exactly new but this was a well-designed randomized study in Sweden with some useful findings. The extrusion rate and complications associated with four different ventilation tubes (grommets) were assessed prospectively in 400...

Laser for active mucosal chronic otitis media

1 November 2016 |
Active mucosal chronic otitis media (COM) is a condition characterised by otorrhoea secondary to chronic inflammation of the middle ear and mastoid mucosa associated with granulations and a tympanic membrane perforation. Surgical intervention is often required, but concurrent mastoidectomy with...

Chronic rhinosinusitis – a pre-malignant condition?

3 May 2024 | | Head and Neck, Rhinology / Sinus
Nasopharyngeal carcinoma (NPC) is a relatively uncommon diagnosis in the West but is prevalent in Southeast Asia. Several factors have been established to be associated with a higher risk of developing NPC, including salted fish consumption, smoking, alcohol, and Epstein...

Current management of unilateral sporadic vestibular schwannoma

10 March 2023 | | Audiology - Adult, Skull Base Surgery, Vestibular Disorders
Vestibular schwannoma is the commonest tumour of the cerebellopontine angle (80%) and accounts for around 8% of all intracranial tumours. The commonest primary presenting symptoms are audio vestibular. Hearing health professionals are often the first contact for patients with potential symptoms of vestibular schwannoma, with the majority then being seen and diagnosed by otorhinolaryngologists.