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An office procedure to close small tympanic membrane perforations
Various methods have been described for closure of small tympanic membrane perforations, ranging from paper patching to use of fibrin glue. The procedure needs to be non-invasive and cost effective. Use of Terdermis to close perforations of all sizes has...
CT chest surveillance for oral cancer patients
Computed tomography (CT) imaging of the chest is performed as part of the assessment of patients with oral cancer to exclude pulmonary metastasis or synchronous cancer. This process is integral to staging of the disease. In some cases, non-specific pulmonary...
Transoral surgery for submandibular stones
The authors assessed the factors that influence the outcome of transoral excision of submandibular duct stones. This was a retrospective case-note review and prospective telephone survey of 125 patients, who had surgery over an eight-year period by a single surgeon....
Do implants assist rehabilitation following mandibular reconstruction?
When undertaking mandibular reconstruction, optimal function and aesthetic rehabilitation is the goal. There is no doubt that patients consider chewing, swallowing and speech to be of paramount importance. Following surgery, suboptimal rehabilitation leads to a fall in quality of life...
Transverse venous sinus stenosis – a risk factor for CSF leak in patients with idiopathic intracranial hypertension
This was a multicentre (six French tertiary hospitals) retrospective case-controlled study aiming to investigate the rate of transverse venous sinus stenosis (TVSS) in patients with idiopathic intracranial hypertension (IIH) with nasal cerebrospinal fluid (CSF) leaks. They compared the preoperative MRI...
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...
Can junior doctors provide immediate help in airway and other ENT emergencies?
In the present trends for centralisation of ENT emergency services, availability of immediate middle grade or senior help in acute ENT emergencies does not always exist on site and hence the role of junior doctors in handling this is enhanced...
Safety of outpatient thyroid and parathyroid surgery
This study examined the safety and outcomes of matched groups of patients, undergoing either inpatient thyroid / parathyroid surgery or being discharged within eight hours of surgery. There were 2,362 patients in each group who were matched by a ‘propensity...
Classification and assessment of midfacial fractures; no more Le Fort facial fractures
There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...
Radiosurgery for large vestibular schwannomas
The authors conducted a retrospective study of patients with large Koos grade 4 vestibular schwannomas undergoing gamma knife radiosurgery. A total of 68 patients with tumour size greater than 4 cm3 with baseline serviceable 60% hearing who received 12 Gray...
Implantable devices and large magnets – do they mix well?
Although all brands are MRI safe at 1.5 T, the active middle ear implant system Vibrant Soundbridge (VSB), is special since it houses two magnets. These include a magnetic floating mass transducer (FMT) and an audioprocessor fixing receiver magnet which...
