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Gamma Knife surgery for persistent or recurrent trigeminal neuralgia
Treatment of trigeminal neuralgia continues to be challenging. The treatment options include pharmacotherapy, or failing this, surgical options like microvascular decompression (MVD), radiofrequency ablation, pencil beam convolution and Gamma Knife surgery. The authors of this article have presented a series...
Active intervention in small schwannomas associated with higher incidence of long-term hearing loss
This article represents collaborative data of hearing outcomes from tertiary centres in Norway and the United States. They studied data of patients with less than or equal to 3cm vestibular schwannoma who underwent observation, primary microsurgery and Gamma Knife surgery...
Surgery of vestibular schwannomas with peritumoral oedema
This is an interesting retrospective study evaluating peritumoral oedema on magnetic resonance images and correlating it with the intra-operative tumour characteristics and outcome. The study results found that vestibular schwannomas with peritumoral oedema were associated with greater incidence of hypervascularity...
Describing the most useful OSA assessment?
This article sets out to comprehensibly describe drug induced sleep endoscopy and its role in determining the level of obstruction in patients with OSA. The advantages described include the fact that other techniques, including Muller’s manoeuvre, have significant variation in...
Surgical options for children with OSA
This paper looks at the surgical management of OSA in children and approaches the method of patient selection initially. They discuss the role of polysomnography in that it is part of the AAOHNS criteria in those patients with OSA symptoms...
Subannular T-tubes for adhesive otitis
This Italian study looked at the success rates of a novel method to manage adhesive otitis media (chronic otitis media with adhesion of the tympanic membrane to the promontory). The authors looked at 22 patients with unilateral chronic adhesive otitis...
Role of the insula and orbitofrontal cortex in tinnitus related distress
It is estimated that 5% of the population suffer from chronic tinnitus with 17% of those suffering emotional distress. The authors attempted to study the neural correlates of tinnitus-related distress using functional magnetic resonance imaging (fMRI) during an Emotional Stroop...
A review of endoscopic sinus surgery outcomes
This review discusses the outcome measures that may be considered in the assessment of patients with chronic rhinosinusitis (CRS) as well as the outcomes of endoscopic sinus surgery (ESS) published so far. The authors also discuss the role of peri-operative...
CT chest surveillance for oral cancer patients
Computed tomography (CT) imaging of the chest is performed as part of the assessment of patients with oral cancer to exclude pulmonary metastasis or synchronous cancer. This process is integral to staging of the disease. In some cases, non-specific pulmonary...
Transoral surgery for submandibular stones
The authors assessed the factors that influence the outcome of transoral excision of submandibular duct stones. This was a retrospective case-note review and prospective telephone survey of 125 patients, who had surgery over an eight-year period by a single surgeon....
Titanium bobbins are prone to water penetration
There is limited evidence that swimming with grommets increases ear infections and most clinicians advise swimming with ventilation tubes is acceptable. Concerns may persist especially among parents. This paper evaluates the amount of different liquids (soapy water, sea water, chlorinated...
