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IL-25 and nasal polyps, another target
Immune response in chronic rhinosinusitis with nasal polyps (CRSwNP) is mainly via type 2 T-helper (Th2) cells while Th1 cells characterise chronic rhinosinusitis without nasal polyps (CRSsNP) immune response. CRSwNP is heterogeneous on a cytological level causing a varied response...
Above and beyond interprofessional learning
There has been a significant focus on interprofessional education for all health professionals over recent years. The American Speech-Language-Hearing Association became a member of the Interprofessional Education Collaborative (IPEC) competencies (in America) in 2016. These competencies provide four core competencies...
Managing the thyroglossal duct cyst
Although the operation to remove thyroglossal cysts and their tracts is commonly performed, a full understanding of the possible anatomical locations of the tracts may be less appreciated. This article helps the reader understand the possible variations available which should...
Comprehensive Management of Vestibular Schwannoma
This is the Holy Grail of texts for anyone involved in the management of vestibular schwannoma. Edited by Matthew Carlson from the Mayo Clinic in Rochester, Minnesota, the Associate Editors are from the same department, but the 156 contributors to...
Does pregabalin help with post-tonsillectomy pain?
This is a small double-blind randomised controlled trial conducted on tonsillectomy and lateral pharyngoplasty operations. Both of these operations are terrifically painful, and I am sure most of us are looking for a way of reducing the suffering for our...
3D is the future?
This is an interesting take on yet another way to incorporate modern technology into medical practice, and the novel use of a 3D printer to create a custom-made prosthesis for large and irregular nasal septal perforations. These prostheses have the...
Paediatric pituitary surgery - is it lagging behind?
Endoscopic sellar surgery, especially for adenomas, is a relatively safe, straightforward surgery with (mostly) reproducible results and few complications. However, the evolution of pituitary surgery was a long process, starting from open/transfrontal approaches all the way to transsphenoid to the...
Sellar surgery – when to prepare for repair
Endoscopic sellar surgery, especially for adenomas, is a relatively safe, straightforward surgery with (mostly) reproducible results and few complications. One of the commonest complications is the creation of a CSF leak with the subsequent need for repair (there is usually...
An easy way to take intraoperative videos and pictures using a smart phone
Intraoperative visual documentation is a useful addition for personal archiving and for research purposes. Many commercially available systems are available for video and or photo documentations but these often require costly equipment. Smart phones would make ideal recording devices. However,...
REARRANGED: An Opera Singer’s Facial Cancer And Life Transposed
Rearranged is a wonderfully positive memoir telling of Kathleen Watt’s ordeal through maxillary osteosarcoma. As an early career opera singer in the New York Metropolitan Opera’s chorus, her dreams are derailed and life transformed when this most rare diagnosis hits....
Airway first in patients with facial trauma
Anyone that has ever been on an ATLS or indeed any other trauma course will be well indoctrinated with the principles of ABC. Securing the airway is of paramount importance; but what to do if the anatomy is altered or...
