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Comparing patient and surgeon concerns in sinus surgery

This prospective observational study had a total of 180 patients undergoing endoscopic sinus surgery for chronic rhinosinusitis with or without polyposis. Data was analysed using descriptive statistics and analysis of variance. Subjects felt the greatest level of concern regarding potential...

Not as rare as we think? Silent sinus syndrome incidence on CT heads

It is relatively uncommon to come across a case of silent sinus syndrome (SSS), but not as rare as the prevalence in the literature might suggest – the authors of this study note that only 100 cases are reported in...

An eye-opening resection technique

It is widely accepted that the gold standard treatment of inverted papilloma of the maxillary sinus (IPMS) is endoscopic excision via medical maxillectomy or mega antrostomy, and these approaches can be augmented by a Caldwell-Luc or canine fossa trephination if...

More aggressive FESS for recalcitrant CRS is the key

This is an interesting paper assessing the effectiveness of endoscopic modified medial maxillectomy (MMM) in cases of recalcitrant chronic rhinosinusitis (CRS), (the technique was also used for tumours, cystic fibrosis, FB, odontogenic disease and AFS) in 551 patients. The technique...

Endoscopic Sinus Surgery: Anatomy, Three-Dimensional Reconstruction and Surgical Technique - Fourth Edition

Although nothing can substitute for hands-on training and time in theatre, this book is about as close as any trainee wanting to make up for training time lost to the COVID-19 pandemic, will get. Whether bought as reading for a...

Nature or nurture in surgical training

It’s Thursday in the UK, so that means time for another root and branch reform of medical training. If you’re not keen on the Greenaway Report (Shape of Training review) [1], don’t fret there’ll be another one along well before...

Sinonasal inverting papilloma: who is at risk of recurrence?

This study from a tertiary sinus surgery unit, describes some useful information in the follow-up of sinonasal inverted papilloma patients - in particular those likely to recur - and discusses the optimal staging systems to use to attempt to predict...

Sinonasal Complications of Dental Disease and Treatment: Prevention - Diagnosis - Management

As otorhinolaryngologists, we are trained to examine the computed tomography (CT) scans of all patients with maxillary chronic rhinosinusitis (CRS) for potential dental disease. The mainstay of managing this is generally limited to referring the patient to their dentist or...

Should all patients with BPPV have an MRI?

This paper describes an interesting series of 500 patients over a 10-year period with posterior canal BPPV, who had been investigated with MRI. The female to male ratio was 1.6:1 with a mean age of 56. There was a right...

ENT & Audiology in this issue...Music

Music is a central part of many people’s lives, and ENT surgeons and audiologists frequently treat patients whose musical experience is affected by pathology. For September/October 2021, we explore a number of areas in which patients need the support of otologists, laryngologists, audiologists, and others.

Voices: In conversation with Nick Coleman

Nick Coleman is an author and journalist who has written for several national newspapers and music magazines. Following sudden unilateral deafness in 2007, he wrote The Train in the Night, which describes his experience of hearing loss, rehabilitation and what...

Endoscopic arytenoid abduction lateropexy for bilateral vocal cord paralysis in neonates

We are delighted to publish a further update on the use of the technique for vocal fold lateralisation in neonates from Laszlo Rovo and Shahram Madani, who have previously informed us of this new technique [1]. These cases are rare...