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Another paper advocating resection templates
Resection in the head and neck region leads to complex defects with significant impairment in function. Reconstruction is even more difficult and to improve the accuracy of both resection and reconstruction a number of aids are used. With the improved...
Reconstruction with scapular tip following hemimaxillectomy and rehabilitation with dental implants
Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and may result in significant morbidity. Rehabilitation may be difficult with either an obturator or surgical reconstruction with a free fibula, Iliac crest or scapula. This...
Rhinoplasty for the cleft lip and palate patient
The cleft nose is one of the most challenging pathologies for rhinologists and facial plastic surgeons to address. The combination of architectural deformity (related to the extent of lip deformity) and scarring from previous surgery combine to cause the surgical...
Investigations in the management of OSA in children
The purpose of this study was to pick up variation of practice across the UK in the assessment and management of children with suspected OSA, particularly with reference to pulse oximetry and polysomnography. A questionnaire-based survey revealed that preoperative pulse...
Cosmesis of the nose in cleft lip and palate
The cleft nose is one of the most challenging pathologies for rhinologists and facial plastic surgeons to address. The combination of architectural deformity (related to the extent of lip deformity) and scarring from previous surgery combine to cause the surgical...
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...
ChatGPT to select patients for biologic therapies in CRSwNP?
This short communication describes programming the artificial intelligence (AI) algorithm for systematic review of current literature about guidelines on the clinical efficacy and safety of biologics in the treatment of chronic rhinosinusitis with nasal polyps (CRSwNP). The authors first performed...
Surgical variations in maxillomandibular surgery treating sleep apnoea
This is a scoping review further highlighting the success in curing sleep apnoea with a maxillomandibular complex advancement. The variations outlined are on East and Southeast Asian patients to reduce the aesthetic concern of bi-maxillary protrusion when large advancements are...
Airway first in patients with facial trauma
Anyone that has ever been on an ATLS or indeed any other trauma course will be well indoctrinated with the principles of ABC. Securing the airway is of paramount importance; but what to do if the anatomy is altered or...
Diagnosis of osteonecrosis of the jaw
Although the management of osteonecrosis of the jaw is usually provided by colleagues in maxillofacial surgery, it is essential for ENT surgeons to effectively diagnose the various presentations of this condition. Affected bone that is exposed and necrotic may remain...
No soup for you…! Early identification of postoperative perforation increases the success of conservative management
Iatrogenic perforation of the hypopharynx or cervical oesophagus is a well-recognised life-threatening complication. Previous studies have demonstrated that conservative management with broad-spectrum antibiotics and withholding oral feeding may avoid morbidity associated with surgical repair. This study addresses when conservative management...
