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Hierarchy of orthognathic surgical stability
This study was designed as “an overview” of secondary studies and analysed 15 articles. Two procedures were considered highly unstable: a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...
Sinus implants to treat recalcitrant polyps
It is well established that the burden of chronic rhinosinusitis on healthcare costs and patients’ quality of life is high, and that current mainstream treatment options of oral or topical steroids are not without problems. This paper compares two RCTSs...
SNOT-25 to assess CRS - a new tool
The SNOT-22 is a well-established validated instrument, designed to evaluate the rhinosinusitis-specific health status and health-related QOL, however makes only one broad reference to productivity. The objective of this paper is to evaluate a modified SNOT-25 created to better assess...
Delays in oral cancer
This is a review from Canada where they attempt to relate delays in oral cancer presentation to treatment and the impact on stage, diagnosis and survival. They recognise that potentially the most significant delay is between the patient first noticing...
Daflon – a new way to treat idiopathic epistaxis
Epistaxis is a common ENT emergency and most cases are idiopathic. Flavonoids are natural substances with variable phenolic structures that are found in fruit and vegetables and take effect on blood vessels. Daflon is proposed to control epistaxis by “improving...
Is bone scanning still of value?
This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...
Bone grafting in orthognathic surgery
In this systematic review of 48 articles the authors reviewed the complication, stability, aesthetics and healing of Le Fort I, sagittal split, chin and zygomatic osteotomies. They concluded that there was strong evidence that bone grafting promotes healing of a...BACO Revisited - 1991
British Academic Conference (BACO) Revisited: Dublin, 1991 Report by: Musheer Hussain In anticipation of BACO 2020, Musheer Hussain takes a look back at some of the BACO conferences of past years, beginning with a memorable few days in Dublin in...
Long-term quality outcomes of bimaxillary surgery of obstructive sleep apnoea
This is a review of 12 patients at two years postoperatively and again at at least 17 years. Successful outcome of a decrease in apnoea-hypopnoea index (AHI) of greater than 50% was thought to be success. Eight of the initial...
An eye-opening resection technique
It is widely accepted that the gold standard treatment of inverted papilloma of the maxillary sinus (IPMS) is endoscopic excision via medical maxillectomy or mega antrostomy, and these approaches can be augmented by a Caldwell-Luc or canine fossa trephination if...
Soft tissue changes following maxillary osteotomy: comparison of three computer programmes
This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CT’s three months preoperatively and one-year postoperatively. A clinical comparison between the...
