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Chronic cough hypersensitivity syndrome

1 May 2015 | | ENT, Laryngology / Swallowing / Voice
We all have patients who give us a ‘heartsink’ feeling; for many of us, the coughing patient is exactly such a situation. In this overview, Bhaskar Ram and Sangeeta Maini outline their approach to diagnosis. Declan Costello, Editor. Introduction Chronic...

How to train adults with single-sided deafness and cochlear implants

1 November 2019 | | Speech and Language Therapy | Auditory training, Cochlear implant, Rehabilitation, Single-sided Deafness, Unilateral deafness
Cochlear implantation (CI) in patients with single-sided deafness (SSD) has been carried out in Perth, Australia from 2008. It poses challenges to clinicians and patients who are trying to tune in the poorer ear while still having a normally hearing...

Incidental findings in paranasal sinus Magnetic Resonance Imaging (MRI) studies

1 March 2015 | | ENT | Fluid, Incidental findings, MRI, Mucosal thickening, Opacification, Paranasal sinuses, Polyps, Population-based study, Retention cysts
Incidental findings in the paranasal sinuses of mucosal thickening and polyps in MRI studies may cause concerns for clinicians and patients. The authors studied MRIs of 982 participants with a mean age of 58.5 years who randomly and independent of...

Childhood bony facial tumours

1 March 2015 | | Paediatric ENT
This review article covering maxillary and mandibular tumours is from an edition of the Clinics covering paediatric head and neck masses from frequently encountered congenital malformations to the rarities. There is a wide differential diagnosis for childhood mandibular or maxillary...

Thyroid nodules in children

1 March 2015 | | Paediatric ENT | Neck mass, Pediatric thyroid, Pediatric thyroidectomy, Thyroid cancer, Thyroid nodule
Whilst 5% of nodules in adults may harbour malignancy it is reported in this review that about a quarter of nodules may do so in children. Malignancies in this group are almost always well-differentiated subtypes of papillary, follicular and medullary...

Malignant craniopharyngiomas

1 November 2014 | | Skull Base Surgery, Head and Neck
Craniopharyngiomas are successfully managed with surgery and / or adjuvant chemoradiotherapy. The transnasal endoscopic route has become increasingly utilised in the management of these challenging tumours. This paper reviews 23 cases from the literature of the rarely reported malignant transformation....
Otolaryngology Clinics journal cover image.

Is there a limitation for excising parapharyngeal tumours transorally?

5 November 2021 | | Head and Neck | Endoscope-assisted surgery, Minimally invasive, Parapharyngeal space tumors, Salivary neoplasm, Salivary tumors, TORS, Transoral robotic surgery, Transoral surgery
The parapharyngeal space is a complex anatomical space bounded medially by the oropharynx and laterally by the mandible. It is conceptualised as an inverted pyramid extending from base of skull above to the hyoid bone below. The space is divided...

Blindness after orthognathic surgery

1 May 2018 | | anaesthesia and controlled hypotensive complications, orthognathism surgery complications, orthognatic surgery ophthalmic complications, perioperative visual loss
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...

Managing the thyroglossal duct cyst

1 November 2017 | | Thyroglossal duct cyst, Congenital neck mass, Midline neck mass
Although the operation to remove thyroglossal cysts and their tracts is commonly performed, a full understanding of the possible anatomical locations of the tracts may be less appreciated. This article helps the reader understand the possible variations available which should...

Long-term outcomes after (adeno) tonsillectomy

1 November 2015 | | Tonsillectomy, Adenotonsillectomy, T-14, Outcome, Paediatric, Throat
Patient-reported outcome measures (PROMs) are used increasingly to fill an ‘evidence gap’ where healthcare rationing threatens particular treatments. Tonsillectomy is a long-established and effective treatment for recurrent tonsillitis and obstructive sleep apnoea (OSA) in children. The T-14 outcome measure examines...

Which technique is better for cholesteatoma surgery?

1 January 2017 |
There continues to be debate over the benefits and limitations of different techniques for cholesteatoma surgery. This retrospective review of 132 cases over a 10 year period with primary cholesteatoma from Turkey tried to establish which technique [canal wall up...

Evidence based practice in paediatric audiology

1 January 2015 | | Audiology - Paediatric
Audiology, like most of the health sciences professions, has been working on integrating evidence-based practice principles since the mid-1990s [1]. Professional organisations and regulatory colleges have produced evidence-based clinical practice guidelines, disseminated them to audiologists and collaborated with practitioners to...