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A lateralised middle turbinate post pituitary surgery and incidence of sinusitis
A common belief amongst pituitary surgeons is that lateralising the middle turbinate to access the sphenoid can result in an iatrogenic sinusitis. This paper attempts to find out whether this is in fact true. Thirty-eight patients fitted the inclusion criteria...
Surgery for snoring
The prevalence of sleep-disordered breathing is rapidly increasing. There is variable evidence for surgical treatments for snoring currently. This Belgian study was a retrospective review of 84 patients who underwent surgery for snoring between May 2011 and December 2015. A...
Comparison of outcomes after septoplasty
For this prospective study, the authors assessed the quality of life (QoL) with the rhinosinusitis SNOT-20 (Sino-Nasal Outcome Test-20) questionnaire and the symptoms on a visual analogue scale (VAS) in all patients undergoing nasal septal surgery. The patients reported 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...
Vitamin C analgesia for UPPP
Postoperative pain management after uvulopharyngopalatoplasty is a common clinical problem. This well-designed study from Iran describes the novel use of vitamin C as an analgesic. The precise mechanism of action is not clearly defined, but appears to be related to...
Epley Manoeuvre: number of times it is required and its diagnostic value
Benign paroxysmal positional vertigo is a common condition but if inadequately treated or wrongly diagnosed, can prolong the distressing symptoms of momentary dizziness, nausea and visual disturbances which can be due to other causes and deteriorate quality of life. Studies...
A novel use for coblation in the nose
Having recently become a coblation convert for multiple applications in ENT (including tonsillectomy, inferior turbinate reduction and radiofrequency ablation of the tongue base), it was interesting to read about another novel use in the nose. This preliminary report evaluates the...
Septal surgery made easy?
The injecting of the greater palatine canal has been documented for some time. The authors in this paper expand this to the more common procedure of the septoplasty. They summarise the pros and cons published regarding the technique in sinus...
Parkinson’s humour: recognising social communication difficulties
Parkinson’s results in a progressive motor disease with symptoms including tremor, rigidity and bradykinesia. However, people with Parkinson’s also experience non-motor symptoms such as cognitive difficulties that can impact social communication, often due to their co-existing speech difficulties, auditory and...
Postoperative pain in septoplasty
This is a prospective Turkish study that looked at factors affecting the postoperative pain response after septoplasty, a common ENT surgical procedure. Sixty patients were included in the study who underwent septoplasty. The authors looked at the influence of demographics...
