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Atlas of Endoscopic Sinus and Skull Base Surgery

This surgical textbook has a target audience of otolaryngology consultants carrying out basic and advanced rhinological procedures. It is also suited to otolaryngology trainees and fellows. Although it would provide a useful reference text for otolaryngology consultants I found it...

Vestibular Testing Interpretation: Drill and Practice

My overall impression of this book is that I liked it. While it reports to be designed for a trainee or junior practitioner, it may be useful for clinicians for whom vestibular conditions and testing is an area of heart-sink...

Clinical Esophagology and Transnasal Esophagoscopy

This textbook starts by giving a background to esophageal anatomy, physiology and non-invasive tests, an area that is often overlooked and not considered in detail in other texts read by ENT surgeons. Transnasal esophagoscopy is a comparatively new domain for...

Role of non-echo planar diffusion weighted magnetic resonance imaging in detection of cholesteatoma

Whilst the method of canal wall down and same-session reconstruction is emerging to be more popular, canal wall up procedures are still performed. In either, it is necessary to ensure eradication of cholesteatoma or detect its recurrence. The reliability of...

Efficacy of stereotactic radiosurgery for facial nerve schwannoma

This international multicentre study reviewed the results of stereotactic radiosurgery (SRS) in 63 patients with facial nerve schwannoma over three decades. The facial nerve schwannoma were distinguished from vestibular schwannoma based on intraoperative findings or typical temporal or extra temporal...

Paediatric idiopathic sudden sensorineural hearing loss

This Turkish retrospective study looked at the radiological and clinical characteristics, prognostic factors and treatment outcomes in children diagnosed with idiopathic sudden sensorineural hearing loss (ISSNHL). Forty-eight children were included over an eight-year period. Complete recovery (CR) was achieved in...

Diagnosing complications of acute mastoiditis in emergency situations

In many cases, acute mastoiditis is manageable with intravenous antibiotics and hospitalised care. However, the decision whether to intervene surgically remains crucial and reliance is based on radiological findings – CT scans for bony changes and MRI for possible intra-cerebral...

Endoscopic transsphenoidal surgery versus dopamine agonist therapy for microprolactinomas

This study addresses the importance of the location of microprolactinomas in determining prognosis after surgery. Long-term dopamine agonist treatment is the current standard of treatment for microprolactinomas. However, patients often seek surgical removal. The authors of this study retrospectively analysed...

Is bone scanning still of value?

This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...

Obstructive sleep apnoea: Does maxillomandibular advancement work?

This is a paper from the Netherlands reviewing 62 patients who underwent maxillomandibular advancement for moderate to severe obstructive sleep apnoea. The authors observed a 71% success rate with mean apnoea hypopnea index (AHI) reduction of 69%. There was no...

FESS for recurrent acute rhinosinusitis: at last, some data

As noted in both the EPOS 2012 and in the (more recent) ICARS 2016, there is a paucity of evidence on the effectiveness of surgery for recurrent acute rhinosinusitis (RARS). The authors used a control group of patients with CRSsNP,...

Playing hide and seek with parathyroid glands

This article focuses on revision surgery with respect to parathyroid glands. Clearly the stakes are higher with respect to the patients’ risks, but also with respect to the revision surgeon in finding the offending gland in scar tissue, where someone...