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A quick and simple approach to correcting the deviated nasal septum
Nasal septal surgery is a very common procedure that we tend to learn as junior trainees. Most of us still find that we have a lot to learn with every deviated septum that we encounter. There is a range of...The future role of technology in rhinology
Technology is moving our speciality forward very rapidly in all domains, but none more so than in rhinology. David Whitehead looks at current and future trends. How will a surgeon justify their position in a team where artificial intelligence (AI)...Scarless thyroidectomy: the RABIT journey in robotic innovation
Surgeons in Bangalore share how a novel robotic approach enables scar-sparing thyroid surgery for large nodules and cancer, while reshaping global training. Can an 8 cm benign thyroid cystic nodule be removed without a big scar in the neck? Can...
Asymmetrical hearing loss following prolonged occupational noise exposure
Noise-induced hearing loss (NIHL) is one of the commonest occupational conditions and has been linked with increased risk of work-related injuries. Noise-induced hearing loss is traditionally associated with bilateral symmetrical sensorineural hearing loss unless they are exposed to unilateral noises,...
Pharmacological treatment of glue ear in children
Otitis media with effusion (OME), also known as glue ear, is a common cause of hearing loss in children. Most cases resolve spontaneously within three months. Early and proper management of OME can help avoid hearing and speech impairment that...
Prevention is Better than Cure: Learning from Adverse Events in Healthcare
Ian Leistikow has an impressive CV; as Senior Inspector at the Dutch Healthcare Inspectorate and a member of the Strategic Advisory Board of the International Forum on Quality and Safety in Healthcare, it is clear he is passionate about advancing...
Preoperative prediction of pain outcomes in patients with trigeminal neuralgia
The authors of this retrospective study have developed a preoperative trigeminal neuralgia (TN) grading system for the preoperative prediction of long-term pain relief after microvascular decompression (MVD). Patients who had become refractory to or developed toxicity to carbamazepine or oxycarbamazepine...
Global incidence of sporadic vestibular schwannoma
The incidence rate of sporadic vestibular schwannoma (VS) has commonly been quoted as one in 100,000. However, since the advent of screening for asymmetrical hearing loss and increased availability of modern MRI scanning, more recent studies have shown the incidence...
How reliable are PTH levels for the prediction of hypocalcaemia after thyroid surgery?
Hypoparathyroidism is one of the most common complications of thyroid surgery. There is significant controversy in calcium management practices post thyroid surgery. The drop in PTH levels has been used to predict the likelihood of hypocalcaemia after thyroid surgery. But...
Transtympanic plugging for chronic patulous eustachian tube
The authors developed a silicone plug (Kobayashi plug) to manage severe intractable patulous eustachian tube dysfunction (PET). This retrospective study investigates ET function after Kobayashi plug surgery, based on postoperative tympanic membrane (TM) findings and active opening (AO) of the...
