You searched for "wound"

2770 results found

Bone grafting in orthognathic surgery

In this systematic review of 48 articles the authors reviewed the complication, stability, aesthetics and healing of Le Fort I, sagittal split, chin and zygomatic osteotomies. They concluded that there was strong evidence that bone grafting promotes healing of a...

A global survey of tracheostomy healthcare provision and patient participation: requirements for improvement

Patients with tracheostomy require comprehensive care which should begin in the preoperative phase and go through immediate postoperative and discharge phases with patient involvement as well. The authors assessed this with a multicentre, cross-sectional survey using a mailing list held...

Bilateral medialisation thyroplasty for presbylaryngis

This retrospective case series explores the voice outcomes for 21 patients diagnosed with presbylaryngis who underwent bilateral medialisation thyroplasty at a university medical centre in Portland, Oregon, USA. Silastic was implanted in 17 patients; hydroxyapatite in four. Significant improvements were...

How do we manage immune deficiency-related ENT disorders

It is not unusual to come across patients with recurrent sinonasal infections, lung infections and recurrent ear infections needing regular antibiotics in the outpatient setting. Physicians need to have a high index of suspicion that patients may have immune deficiency...

Going online with dysphagia practice: potential for innovation post pandemic

Telepractice is perhaps the most widespread service innovation to have received such rapid uptake across health systems globally. Disciplines that started to adopt telehealth prior to the pandemic found themselves at the forefront of a seismic shift to delivering healthcare...

Preoperative unaided maximum monosyllabic word recognition score as a predictor of CI outcomes

This retrospective study supports early intervention and hearing rehabilitation with hearing amplification for adults. The authors included 103 patients (128 ears), who had undergone cochlear implantation over a seven-year period, in this study. All patients had been assessed for their...

Superior semicircular canal volumetry

This study uses superior semicircular canal dehiscence (SSCD) volumetry to measure the size of SSCD. The authors imported high-resolution computed tomographic images of the temporal bone into segmentation software. They measured the dehiscence lengths and volumes on coronal images (instead...

Instrument assessment preferable over standard beside swallow to determine prevalence of aspiration

Aspiration does not trigger the protective cough response in some patients. The patient’s response may vary according to fluid viscosities and volume. The authors of this prospective study investigated the prevalence of aspiration and response to aspiration of different viscosities...

Laryngeal cleft in a 66-year-old man!

This is a fascinating case report of a 66-year-old man who presented with a carcinoma of the piriform sinus. During chemoradiotherapy, he developed dyspnoea, dysphagia and aspiration pneumonia. His chemoradiotherapy was stopped and he underwent a pharygnolaryngectomy. When the surgical...

Strategies to improve early development of vocabulary post-cochlear implantation

Cochlear Implantation (CI) is now the standard of care for rehabilitation of children with bilateral severe to profound sensorineural hearing loss. It improves the children’s linguistic input and helps them to develop language. The literature published so far has shown...

Are we all in the matrix?

In the entirety of training and in further practice, we are instilled with the premise of patient-centred care and individualised management plans based on informed consent. The question in the new age of telehealth/e-health is how to mimic that personalisation...

Day case orthognathic surgery

This paper analyses whether patient safety is maintained when orthognathic surgery is performed as an outpatient. This Swedish paper reviewed 165 patients, 107 of whom were to have what was termed outpatient care, and of which 101 (94%) were able...