You searched for "intraoperative"
Is there hope of hearing for postmeningitic patients deemed unsuitable for a cochlear implant?
Rehabilitation of patients with profound hearing loss deemed unsuitable for cochlear implants is challenging. An auditory brainstem implant (ABI) is a viable option for these patients. This paper evaluates auditory and speech perception outcome measures following ABI in 10 postmeningitic...
Do adhesions actually cause nasal blockage?
All of us who perform nasal surgery are familiar with the disappointing presence of nasal adhesions (NA) or synechiae in our postop patients. These can often lead to patients deriving less perceived benefit from their surgery than that which they...
A novel way to reduce postoperative nausea and vomiting
This is an interesting RCT which evaluates the prophylactic effect of bilateral endoscopic injection of local anaesthetic in the sphenopalatine ganglion (SPG) on postoperative nausea and vomiting (PONV). It has a robust design, and is sufficiently powered and blinded, with...
Successful laser treatment of a laryngeal cause of dizziness
Dizziness is often considered to be a condition that is best managed by physicians or otologists. This case report describes an unusual cause of presyncope successfully treated by a laryngologist. The patient in question was a 45-year-old member of the...
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...
Day case orthognathic surgery
This paper analyses whether patient safety is maintained when orthognathic surgery is performed as an outpatient. This Swedish paper reviewed 165 patients, 107 of whom were to have what was termed outpatient care, and of which 101 (94%) were able...
Blindness after orthognathic surgery
This is a case report and review of the literature of this rare, but well recognised alarming complication. The authors discuss the possible mechanisms, suggesting that it does not arise from a direct injury to the optic nerve and is...
Multi-layered repair of lateral sphenoid CSF rhinorrhoea
This case series describes the author’s results with repairing lateral sphenoid encephalocoeles in seven patients. Alloderm inlay with abdominal fat onlay and nasoseptal flap onlay repair resulted in a 100% success rate with no recurrence of cerebrospinal fluid (CSF) rhinorrhoea,...
Cinch suture: Does it work?
Flaring of the nostrils is a common side-effect of a maxillary osteotomy. At times flaring is minimal or of no significance. In some instances, it can be a significant postoperative concern to the patient, even to the extent of declining...
Dutch pharyngeal pouch surgery experience
A decade’s experience of pharyngeal pouch surgery was reported in this paper from Rotterdam. A total of 94 patients were analysed. The majority (80%) underwent an endoscopic approach, either with stapling or CO2 laser-assisted. Interestingly, 13 of 75 (14%) procedures...
Reconstructing post-resective auricular defects
The auricle is split into six specific anatomic subunits that vary in skin thickness, contour, structural integrity and the availability of healthy surrounding tissues. It is important to reconstruct an aesthetically pleasing auricle as slight deformities may be prominent. The...
