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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...

How does temporomandibular dysfunction affect voice-related quality of life?

Temporomandibular dysfunction (TMD) is a group of neuromuscular or musculoskeletal problems that affect the muscles and fascia related to chewing and jaw opening. Patients are often seen in ENT clinics because of symptoms such as trismus, pain and muscle tension,...

Can obstructive snoring affect the snorer’s ears as well?

Patients with obstructive sleep apnoea (OSA) often show severe nasal obstruction, chronic sinusitis and/or a deficit of nasal mucociliary clearance with nasopharyngeal stagnation of secretions possibly predisposing to eustachian tube dysfunction (ETD). This clinical prospective study investigates ETD, nasal resistance...

Is combined two wall decompression approach a better surgical outcome for Grave’s orbitopathy?

This retrospective study looked at the outcome of endoscopic medial wall combined with transcutaneous lateral orbital wall decompression in Graves’ orbitopathy. The following parameters were studied: reduction in proptosis; change in visual acuity and diplopia. A total of 36 orbits...

Graft material success for tympanoplasty

This retrospective Belgian study looked at the success rates of xenograft and human allograft materials as alternatives to more common autograft materials like fascia, fat or cartilage. A total of 71 consecutive patients who underwent type 1 tympanoplasty were included,...

McIsaac scores in tonsillitis

Acute tonsillitis is usually caused by a viral infection, however often antibiotics are prescribed without a confirmed diagnosis of a bacterial infection. The Modified Centor (McIsaac) criteria, which include fever (>38°c), tonsillar exudate, no cough, anterior cervical lymphadenitis and age,...

The effect of adenotonsillectomy on the immune system

Parents often ask about the effect of adenotonsillectomy on the immune system, with concerns that the child may be prone to more infections postoperatively due to the absence of immune tissue. This Belgian literature review looked at the local and...

Management of oral white patches with malignant potential

This paper focuses on a rare but aggressive form of leukoplakia with malignant potential and is an important reminder of the need for specialist management to those in allied specialties such as ENT that may initially be referred these oral...

What causes delays in head and neck cancer treatment?

This article identifies which factors are responsible for delays in cancer management by a retrospective case-control series study, statistically comparing two groups, each of 50 patients, one receiving timely treatment and the other breaching set targets. It was observed that...

Surgery for snoring

The prevalence of sleep-disordered breathing is rapidly increasing. There is variable evidence for surgical treatments for snoring currently. This Belgian study was a retrospective review of 84 patients who underwent surgery for snoring between May 2011 and December 2015. A...

Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas

This book is a well-designed colour atlas of sinus surgery which is up to date with all the modern techniques used in endoscopic sinus surgery. The multiple authors include well-established and renowned surgeons. It is divided into distinct chapters, with...

Drug-Induced Sleep Endoscopy

Throughout our ENT careers, we will always be referred patients with sleep-disordered breathing - both adults and children. Sleep studies are key for this condition. I remember as a trainee in the early aspect of my career seeing the sleep...