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OPERATIVE TECHNIQUES IN OTOLARYNGOLOGY cover

Avoiding the sweaty cheek

1 July 2019 | | Head and Neck | Parotidectomy, Sweating, Frey syndrome, Flap, Gustatory, Auriculotemporal
Frey’s syndrome is a common (10-40%) and important complication following parotid surgery. Gustatory sweating during oral stimulation can be embarrassing as it is accompanied by flushing and a sensation of heat. This is as a direct result of regenerated parasympathetic...

Stuttering and bullying - everyone’s business

1 March 2019 | | Speech and Language Therapy
This article emphasises that bullying (distinct from teasing- the former being defined as repeated actions intended as harmful, compared to good-natured interactions enjoyed by everyone) is an issue that can impact significantly on a child or young person’s ability to...

Obstructive sleep apnoea: Does maxillomandibular advancement work?

1 March 2018 | | OSA, complication, maxillomandibular advancement, obstructive sleep apnoea
This is a paper from the Netherlands reviewing 62 patients who underwent maxillomandibular advancement for moderate to severe obstructive sleep apnoea. The authors observed a 71% success rate with mean apnoea hypopnea index (AHI) reduction of 69%. There was no...

Surgical options for children with OSA

1 January 2017 | | Sleep-disordered breathing, Sleep apnea, Obstructive sleep apnea, Pediatric, Adenotonsillectomy, Lingual tonsillectomy, Midline glossectomy, Supraglottoplasty, Turbinoplasty, Tracheostomy, Drug-induced sleep endoscopy, DISE, Distraction osteogenesis
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...

Helmets make a difference in bicycle injuries

4 March 2024 | | Head and Neck | Bicycling, Head protective devices, Helmets, Maxillofacial injuries, Traffic accidents
This is a meta-analysis of maxillofacial injuries arising from riding a bicycle. The incidence of maxillofacial fractures in cycling accidents varies from 3-20% and, whilst the effectiveness of helmets in preventing traumatic brain injuries is well known, their protective effect...

Medical trends in sleep disordered breathing

1 January 2016 |
This duo provide an eloquent outline of sleep disordered breathing in general, with particular emphasis on the medical impact and associations of the condition. The increasing prevalence of the condition is described, with increasing worldwide obesity, increased association of cardiac...

Physician illness

1 September 2018 | | ENT
Getting in the zone, recognising our personal stress limits and looking after ourselves are vital components in our efforts to stay healthy advises Abbie Lane, after almost a generation of de-stressing others. They say a rugby player like Brian O’Driscoll...

The Airway Intervention Registry: Recurrent Respiratory Papillomatosis (AIR: RRP) data collection

1 September 2018 | | ENT
Laryngeal papillomatosis remains a frustratingly difficult condition to treat. Adam Donne and Steven Powell tells us about a collaborative project aiming to enhance patient care. The first UK Recurrent Respiratory Papillomatosis registry opened in April 2018 through the AIR (Airway...

The process of medical innovation

2 November 2020 | | ENT
You’ve got an amazing idea for a new device. It is going to change how your speciality of surgery is practised. It will lead to better operative results and lower risks to patients – that’s amazing, can I see it?...

Loss of smell after COVID-19: a view from the patient forums

1 July 2021 | | ENT, Rhinology / Sinus, COVID-19
Patient advocate, Chrissi Kelly, founder of AbScent, talks about how the pandemic has changed the way we think about smell loss. The high prevalence of chemosensory impairment as a result of the SARS-CoV-2 virus has shone a much-needed spotlight on...

Trainee-led collaborative research and audit in ENT: where are we now?

1 November 2019 | | ENT
In late 2015 INTEGRATE, the UK ENT Trainee Research Network, was formed. Since then, two national projects have been completed and INTEGRATE has grown into a larger, more structured organisation, with otology, head and neck and rhinology subcommittees working alongside...

British Academy of Audiology Higher Training Scheme

4 November 2021 | | Audiology - Adult
After 15 years of running the Higher Training Scheme (HTS), the British Academy of Audiology (BAA) relaunched its postgraduate training scheme this year. We hear about the updated scheme and how it combines theoretical study and clinical training to provide...