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Reconstructive Plastic Surgery of the Head and Neck: Current Techniques and Flap Atlas

Head and neck reconstruction continues to provide a challenge to surgeons, driving innovative approaches in free-flap surgery and a need to embrace developing technologies. This excellent text, written primarily by authors from the renowned MD Anderson Cancer Center in Texas,...

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...

Small vestibular schwannomas (VS) – is waiting the right thing to do?

VS management can be surgical, by radiosurgery or watchful waiting. Middle fossa approach (MCF) can be implemented in small and some medium-size tumours, and has the potential to preserve hearing. The authors measured quality of life of VS patients who...

How satisfying can a rhinoplasty be?

Rhinoplasty has seen an exponential rise in its uptake over the last few decades globally, offering patients a way to surgically correct the external appearance of the nose with the aim to improve cosmesis. Whilst the success of the procedure...

What works better for type 3 tympanoplasty?

This is a systematic review comparing incus transposition (IT) and partial ossicular replacement prosthesis (PORP). There is a total of 14 articles, obtaining 1055 patients: 614 for the IT group and 441 for the PORP group. All included patients had...

Team based learning in speech language pathology graduate courses

According to the author of this article, the role of a speech language pathologist involves clinical problem solving in both diagnostic and treatment processes. Problem solving involves cooperative collaboration with clients and their parents. Therefore, in this pilot study, the...

Comparing patient and surgeon concerns in sinus surgery

This prospective observational study had a total of 180 patients undergoing endoscopic sinus surgery for chronic rhinosinusitis with or without polyposis. Data was analysed using descriptive statistics and analysis of variance. Subjects felt the greatest level of concern regarding potential...

Does Koos classification predict facial nerve dysfunction?

The Koos classification is a grading system used often for preoperative evaluation of acoustic tumours on imaging studies. It indirectly correlates to the size of the tumour. Size of the vestibular schwannoma is often considered the main determinant for hearing...

Success of butterfly myringoplasty in myringosclerosis

Butterfly inlay myringoplasty is a simple surgical technique used in the repair of tympanic membrane perforation. The authors evaluated the effects of myringosclerosis on the success of surgery by reviewing demographic data, perforation size and hearing outcomes of patients undergoing...

Prediction of morbidity and mortality in patients undergoing thyroid or parathyroid surgery

Major postoperative adverse events in thyroid or parathyroid surgery are uncommon. Various authors have developed risk indices to identify physical deficits in patients undergoing elective surgery. The literature is less clear about patients undergoing thyroid or parathyroid surgery. In this...

Balloon dilatation is an effective adjunct

This is a good study design, sufficiently powered, comparing medical management to balloon sinus dilatation. All patients had failed medical management and were thoroughly assessed preoperatively with Lund-Mackay score confirming abnormal CT findings, SNOT 20 index score, chronic sinusitis score...

What are the best minimal surgical techniques used for concha bullosa?

This prospective endoscopic and radiologic evaluation studied 42 patients who underwent concha bullosa surgery, amounting to a total of 55 conchae surgeries. The patients were allocated consecutively to either of the two groups. The presurgical and one year postsurgical endoscopic...