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Quo vadis FESS? Future directions in functional endoscopic sinus surgery

Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

From the editor NovDec 2019

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net Welcome There are many jokes told by anaesthetists about surgeons, and perhaps even more in the...

JLO surgical video: right selective neck dissection levels 2-5

Surgical training has become more challenging following the introduction of the European Working Time Directive. The consequences of reducing the amount of time we operate has driven us to look for other resources to fill this gap. These initially began...

Do we need to intervene after complications of acute sinusitis in children?

omplications of acute sinusitis in children are not uncommon and some are managed surgically. The authors of this paper reviewed their experience of subsequent chronic rhinosinusitis (CRS). Nine of 86 patients required surgery in the 12 months after their initial...

Are biofilms present in deep neck abscesses?

Why are some cervical abscesses resistant to antibiotic treatment? The authors postulate that a biofilm develops to allow the bacteria to overcome normal host defences. They investigated the micro-environment of deep neck abscesses in a largely paediatric cohort. Biopsies of...

Ray Clarke on ESPO 2023

Declan Costello talks to organising committee member Ray Clarke about the 16th Congress of the European Society of Paediatric Otorhinolaryngology, taking place 20–23 May 2023 in Liverpool, UK.

Hypopharyngeal Cancer

The 83rd book from the series by Advances in Oto-Rhino-Laryngology is another addition for the surgeon looking for an update in the management of hypopharyngeal carcinoma. The 180-page publication, divided into 16 chapters with 23 figures and 19 tables, has...

Laryngeal Physiology for the Surgeon and Clinician – Second Edition

This second edition is a short (110 pages), succinct and concise book. I don’t usually like reading physiology textbooks, but I found this one very interesting. It is written in a manner which is easy to read and digest. It’s...

Possibility of noise induced hearing loss during middle ear suction for secretory otitis media

Emission of high intensity sound is dangerous to the cochlea and can result in noise induced hearing loss (NIHL). Removal of middle ear fluid is common in everyday practice and the possibility of inducing NIHL is seldom considered and not...

The anatomy and actual number of branches of the sphenopalatine artery: surgical implications

Endoscopic sphenopalatine artery ligation or cauterisation is nowadays the main treatment for epistaxis unresponsive to medical therapy. However, on review of the literature, there appears to be confusion relating to the anatomical nomenclature of the sphenopalatine artery branches and more...

Factors affecting the occurrence of salivary fistula after total laryngectomy

It is generally believed that patients should be fed by nasogastric tube for 7-10 days after undergoing total laryngectomy or laryngopharyngectomy to avoid the occurrence of post-operative salivary fistula. This study challenges this belief and looks into various factors that...

Application of paper patching in patulous eustachian tube

The condition of patulous eustachian tube, as opposed to dysfunctional eustachian tube, is less frequently diagnosed. Symptoms related to this, such as autophony, aural fullness, ‘being under water’, ‘hearing their own breathing’, and hearing sensitivity (varying in either direction) can...