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Taking life by the throat

Patients suffering with problems with their voice, airway and/or swallowing can find their symptoms immensely distressing, and their care places a huge burden on healthcare systems. We hear from a world-leading laryngologist on current and future directions. Field of interest...

Risks of tracheostomy in head and neck cancer

Tracheostomy is associated with several complications, with rates quoted as high as 8-45%, including: bleeding; displacement; obstruction; surgical emphysema; pneumothorax; fistulae and failure to decannulate. There are now many studies that confirm the increased length of stay and complications of...

The curse of Sports Illustrated

“Not a supernatural curse, but a basic statistical concept of blinding simplicity.” What is ‘regression to the mean’? I am reliably informed that our former North American colonies publish a periodical known as Sports Illustrated (note, incidentally, the characteristically incorrect...

Middle ear reconstruction in children: why, when and how

Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...

Imaging and management of head and neck vascular anomalies

Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...

Tumours of the Nose, Sinuses and Nasopharynx

Tumours of the nose, sinuses and nasopharyx is a comprehensive, clear and beautifully illustrated text describing the wide range of benign and malignant tumours of the upper jaw and their management. In such a specialist field, the editors have unparalleled...

Reconstruction after parotid surgery

This is a retrospective study from Naples, Italy. The authors compare patients with benign parotid disease that were reconstructed with three different techniques. In total 224 patients between February 2002 and March 2009 were included; these patients had either formal...

Promising surgical technique for pulsatile tinnitus caused by sigmoid sinus dehiscence?

Pulsatile tinnitus (PT) can be caused by sigmoid sinus dehiscence (SSD). The authors report the results of 17 patients who underwent sandwich surgical technique for sigmoid sinus (SS) wall reconstruction for the treatment of pulsatile tinnitus caused by sigmoid sinus...

Cervical tracheal reconstruction

This Chinese animal study looked at the use of a xenogenic acellular dermal matrix for tracheal reconstruction. The authors took a total of 22 rabbits and divided them into an experimental (repair with xenogenic acellular dermal matrix) and control group...

How does temporomandibular dysfunction affect voice-related quality of life?

Temporomandibular dysfunction (TMD) is a group of neuromuscular or musculoskeletal problems that affect the muscles and fascia related to chewing and jaw opening. Patients are often seen in ENT clinics because of symptoms such as trismus, pain and muscle tension,...

Does a labyrinthine fistula in cholesteatoma surgery lead to hearing loss?

Thirty-five patients with labyrinthine fistula related to cholesteatoma were studied retrospectively. All patients underwent CT scans and preoperative hearing tests 1-2 weeks prior to surgery (averaged at 0.5, 1, 2, 3, 4, 8 kHz). All 35 patients underwent mastoid surgery,...

Anxiety and acronyms – musings of an otolaryngologist

Personal protective equipment (PPE) has been a focus of attention and concern for healthcare workers around the globe during the COVID-19 pandemic. Neil Tolley discusses some of the issues. I write this article in mid-May when, were it not for...