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Inpatients versus Outpatient: septoplasty cost analysis in Germany

Although the vast majority of septoplasties in the UK are performed as day surgery procedures, the authors of this article highlight the differences in healthcare in Germany. The authors calculated a yearly cost reduction of 180 million euros if the...

Sarcoidosis and the nose

This retrospective case note review from Mount Sinai in New York looked at just 14 patients with sarcoidosis. Individual ENT units in the UK are likely to see relatively few of these patients, unless there is a major tertiary referral...

The impact of rhino-sinusitis treatment on olfaction

This study included 28 adults prospectively enrolled between March 2011 and May 2013 into a non-randomised, multi-institutional cohort. Adults electing endoscopic sinus surgery experienced gains in olfaction comparable to adults electing continued medical management. The evidence in this study comparing...

Do we need to intervene after complications of acute sinusitis in children?

omplications of acute sinusitis in children are not uncommon and some are managed surgically. The authors of this paper reviewed their experience of subsequent chronic rhinosinusitis (CRS). Nine of 86 patients required surgery in the 12 months after their initial...

Locked or unlocked?

This systematic review and meta-analysis from the Netherlands evaluates postoperative complications of mandibular fractures using locking and non-locking systems. It is suggested that postoperative complications of surgical treatment of mandibular fractures occur in 20-26% of patients, and it is thought...

Do bicycle helmets prevent facial injuries?

This is an analysis from Germany where they reviewed over 7000 bicycle accidents over a 16-year period that met their inclusion criteria. Over 1000 had a facial injury (bone or soft tissue) with helmets being worn in 11.8% of accidents....

Some guidelines for treating rhinological patients during the COVID-19 pandemic

This is a very interesting and informative multinational European guide to the treatment of rhinology patients during the current pandemic, describing the safe delivery of a rhinological service to patients. Much of this has become well understood and standard practice...

Sinus airflow after FESS using models and fluid dynamics

This is a very interesting study from Australia and New Zealand looking at flow of air into the nose and sinuses after FESS surgery. There is plenty of data regarding computational fluid dynamics for preoperative cases but not much for...

Piezoelectric saw reducing sensory disturbance in mandibular osteotomies

This paper from Seattle in the United States looked at 20 patients with a mean age of 19.9 +/- 3.2 years with a fairly standard surgical movement. They found that functional sensory recovery of the inferior alveolar nerve resulted in...

Microsurgical Management of Middle Ear and Petrous Bone Cholesteatoma

Several years ago, after being appointed as a consultant, my esteemed senior colleague entered my office and questioned why I was reading a textbook at that stage of my career, suggesting that I should be focusing solely on journals. Whilst...

Otolaryngology Head and Neck Surgery: Clinical Reference Guide – Sixth Edition

When I began my ENT training, the revered ‘Pasha’ textbook was one of the first recommendations given to me by senior colleagues who were in the throes of FRCS revision. This revamped edition serves to improve a book which was...