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Facial reconstruction with polyethylene implants

1 January 2016 | | Complication, Craniofacial reconstruction, Medpor(®), Porous polyethylene
Planning reconstructive surgery for complex craniofacial defects challenges even the most experienced of surgeons. In most cases surgery is undertaken to improve anatomical functioning. However the anatomical structure of these regions is also critical to facial aesthetics and patient satisfaction...

CSF leak – endoscopic or open repair?

1 January 2016 | | Cerebrospinal fluid, Endoscopic endonasal approach, Paranasal sinuses, Rhinorrhea
Cerebrospinal fluid (CSF) rhinorrhoea is well known to the ENT surgeon. It commonly occurs secondary to a predisposing event such as accidental or iatrogenic trauma. When it occurs spontaneously, it can be associated with benign intracranial hypertension. The commonest CSF...

Smaller gauge voice prosthesis is effective in secondary trans-oesophageal puncture

1 November 2015 |
Placement of voice prosthesis at the time of trachea-oesophageal puncture is well described using 20-French prostheses. There is debate about the optimal size of the prosthesis with work in the 1980s and 1990s supporting larger prostheses. The rationale was that...
JPRAS journal cover image.

Can a serpent-shaped graft enhance your nose?

4 July 2024 | | ENTA-Rhinoplasty
The success of rhinoplasty is highly variable and the technique employed by the operating surgeon must be tailored for different patient demographics. This group from China describes the structural differences in nasal configuration within the Asian population, notably an under-projected...

Stimulation for tinnitus

1 July 2015 |
Tinnitus is known to be inhibited by stimulation of the auditory system by stimuli such as acoustical, electrical and magnetic. Residual inhibition (RI) is when tinnitus is temporarily eliminated for a period of time lasting seconds, minutes, up to hours...

Local dexamethasone infiltration in tonsillectomy

1 May 2015 | | dexamethasone, pain, tonsillectomy
Intravenous dexamethasone is routinely given during tonsillectomy for its effects on postoperative pain and nausea. This Chinese randomised study divided 240 children undergoing tonsillectomy into three groups, receiving either no steroid, intravenous dexamethasone, or the same amount of dexamethasone infiltrated...

Canal wall down with obliteration of cavity for paediatric cholesteatoma

1 March 2015 |
The authors present evidence that canal wall down (CWD) surgery with primary obliteration is an effective way to treat paediatric cholesteatoma. Fifty-eight ears were operated on and follow-up was for five years on average. Residual cholesteatoma rate was 9.9% with...

Superior semicircular canal dehiscence: transmastoid obliteration

1 September 2017 | | ENTA-Audiology - Diagnostic, ENTA-ENT, ENTA-Head & Neck, ENTA-Vestibular Disorders, ENTA-Otology
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...

Elasticated retraction in head and neck surgery – a trainee’s perspective

1 May 2017 | | ENTA-ENT, ENTA-Head & Neck
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

Training in the use of medical devices
– how should it be done?

1 March 2015 | | ENTA-ENT
Adequate training in novel medical devices is imperative, not only to ensure patient safety, but also to give clinicians the confidence to use the device in question. In this article, Andrea Gillies explains the philosophy of one of the equipment...

Shifting paradigms – how a visionary can change a specialty

1 May 2019 | | ENTA-ENT, ENTA-Otology, ENTA-Rhinology / Sinus
The Tarabichi-Stammberger Ear and Sinus Institute came about because of a close working relationship and friendship between two senior figures in the specialty. Professor Muaaz Tarabichi tells us the story. My first meeting with Heinz Stammberger was in 1988 in...

Preservation rhinoplasty

1 July 2019 | | ENTA-ENT, ENTA-Maxillofacial Surgery, ENTA-Rhinology / Sinus, ENTA-Rhinoplasty
Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...