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Corticosteroid prescribing in ENT - are we at risk of being sued?

Of medications leading to malpractice claims, corticosteroids comprise the third most common. They are used widely and have a significant side-effect profile: hypertension, lipodystrophy, diabetes, avascular necrosis of the femoral head, peptic ulceration and psychiatric reactions to name but a...

Argon plasma coagulation for epistaxis in HHT

In this study from the Czech Republic, the authors looked at the effectiveness of argon plasma coagulation (a non-contact form of monopolar electrocoagulation) in treating recurrent epistaxis in patients with hereditary haemorrhagic telangiectasia (HHT). The advantage of argon plasma coagulation...

Reducing the risk of Frey’s syndrome after parotidectomy – which methods are best?

Gustatory sweating or Frey’s syndrome is a well-recognised complication of parotid surgery. The reported incidence is highly variable, from 4% to 96%, with around 30% of patients reporting symptoms. A number of intraoperative techniques can be used to reduce the...

Auditory Brainstem Implants

This is a hardcover volume printed on a high-quality paper. The book is broken into 20 short chapters over 145 pages. It is illustrated with 149 figures. Edited by Eric P Wilkinson and Marc S Schwartz, both based in the...

Sinonasal Complications of Dental Disease and Treatment: Prevention - Diagnosis - Management

As otorhinolaryngologists, we are trained to examine the computed tomography (CT) scans of all patients with maxillary chronic rhinosinusitis (CRS) for potential dental disease. The mainstay of managing this is generally limited to referring the patient to their dentist or...

Endoscopic Sinus Surgery: Anatomy, Three-Dimensional Reconstruction and Surgical Technique - Fourth Edition

Although nothing can substitute for hands-on training and time in theatre, this book is about as close as any trainee wanting to make up for training time lost to the COVID-19 pandemic, will get. Whether bought as reading for a...

Associated findings in MRI used for detecting acoustic neuroma

Presently, gadolinium enhanced magnetic resonance imaging is the ‘gold standard’ for investigating acoustic neuroma. There are often ‘incidental’ findings that may or may not be significant. In this study of 109 scans, the authors noted an uptake of 0.9% for...

KTP laser ablation for early glottic cancer

TLM for glottic carcinoma has historically been performed with a carbon dioxide (CO2) laser. A much smaller literature base has examined the use of potassium titanyl phosphate (KTP) laser in this context. This retrospective chart review aims to fill that...

Cochlear Implants: What Parents Should Know

This book was written by members of the Dallas Cochlear Implant Program, to serve the needs of parents considering cochlear implantation for their children. It provides a balanced introduction to the topic, offering comprehensive, accessible information and interesting case studies....

Middle Ear and Mastoid Surgery

I enjoyed reading Middle Ear and Mastoid Surgery by Sanna et al. The authors are to be commended on the excellence of the illustrations within this text, both in schematic line drawings and operative images. I found both to be...

Comparing surgical freedom of four transsphenoidal approaches to the sella

Four transspenoidal approaches to the sella were performed and studied by the authors on eight silicon-injected cadaveric heads. Surgical freedom, that is, the ability of the surgeon to move his or her hands in a fixed space, was determined with...