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Role of intranasal steroids after radiotherapy for nasopharyngeal carcinoma
Rhinosinusitis often follows radiotherapy in the treatment of carcinoma of the nasopharynx. The interval and severity may vary with the dose of radiation and stage of the carcinoma. In this randomised, controlled study, patients who developed rhinosinusitis after radiotherapy treatment...
Rhinoplasty for the cleft lip and palate patient
The cleft nose is one of the most challenging pathologies for rhinologists and facial plastic surgeons to address. The combination of architectural deformity (related to the extent of lip deformity) and scarring from previous surgery combine to cause the surgical...
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...
Papillary thyroid cervical metastases usually remain stable for years
Most patients with papillary thyroid carcinoma (PTC) have excellent disease-specific survival (DSS). Even with lymph node metastatic recurrence, the 10-year survival is 85%, and 15-year survival 73%. There is a growing trend of minimising morbidity in differentiated thyroid carcinoma (DTC)...
Voice impairment following spinal cord injury
Patients with cervical spinal cord injury face several clinical problems. One of the problems is voice impairment secondary to poor respiratory support. Their syllables per breath, vocal intensity and vocal quality are impaired. This paper studied the impact of the...
Blood type and epistaxis
In this Turkish study, the authors attempted to determine if there was an association between ABO blood type and epistaxis. They looked at 359 epistaxis admissions at the same hospital over a three-year period. Only patients with idiopathic epistaxis were...
Improving the temporal contour in reconstruction
A feature of the temporalis flap is the sunken contour left behind. This group from Japan present a variation for filling defects for which we would traditionally use a temporalis muscle containing. The laterally based peri-cranial flap they present uses...
Another use for Tisseel – plugging of the round window
After insertion of a cochlear implant electrode through the round window, there are several methods of sealing the perilymph leak and in my experience fascia (with varying amounts of attached muscle) seems to be most commonly used. Stephen O’Leary’s group...
More is better
The authors reviewed 119 patients undergoing endoscopic sinus surgery for sinonasal polyposis. Of these, 45 patients were operated upon by a traditional functional technique preserving the middle turbinate and keeping its position. In addition, the second group underwent a partial...
Do tonsillotomies have a higher revision rate than tonsillectomies?
Tonsillotomies have gained popular acceptance in children with sleep-disordered breathing (SDB) in recent years. Short-term advantages that have been shown in the literature include lower haemorrhage rates, shorter operation times and less pain. Evidence for long-term effects are sparse due...
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,...
