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Rhinology and 3D printing

3D printing has increasing applications in rhinology, for instance to create patient-specific preoperative models for procedure planning, including designing a template for reconstruction planning following tumour resection, patient consultation and customised prostheses. The authors focused their review on the role...

Cochlear implantation in children with cognitive disabilities

Additional disabilities are frequently encountered in children born with hearing loss or deafness. A study from Denmark attempted to systematically review to what extent hearing-impaired children with cognitive disabilities benefit from cochlear implantation. The authors conducted an extensive search in...

Investigations in the management of OSA in children

The purpose of this study was to pick up variation of practice across the UK in the assessment and management of children with suspected OSA, particularly with reference to pulse oximetry and polysomnography. A questionnaire-based survey revealed that preoperative pulse...

Do spreader grafts improve nasal airflow?

This Portuguese study looks at pre- and postoperative peak nasal inspiratory flow (PNIF) in 72 consecutive patients undergoing septorhinoplasty surgery. The aim was to demonstrate the functional value of spreader graft insertion, the aesthetic value having already been confirmed. In...

Carotid artery involvement with head and neck metastases

This is a retrospective review of 27 patients radiologically diagnosed as having metastases involving the common or internal carotid arteries. All patients underwent a salvage neck dissection with surgical carotid peeling. Thirteen of the 27 achieved loco-regional control, five developed...

Does a labyrinthine fistula in cholesteatoma surgery lead to hearing loss?

Thirty-five patients with labyrinthine fistula related to cholesteatoma were studied retrospectively. All patients underwent CT scans and preoperative hearing tests 1-2 weeks prior to surgery (averaged at 0.5, 1, 2, 3, 4, 8 kHz). All 35 patients underwent mastoid surgery,...

Risk factors for post laryngectomy fistula

This is a meta-analysis looking at the postoperative pharyngocutaneous fistula rates following total laryngectomy. The authors ended up with 34 studies with about 2500 patients. The most striking finding was that preoperative radiotherapy was a significant risk factor as well...

Anatomy for extended sinus surgery

In the world of image guidance and pushing the boundaries of what can be achieved endoscopically the assessment and understanding of preoperative imaging is critical for success. This paper highlights the anatomical variations in the pterygopalatine and sellar regions. The...

Velopharyngeal insufficiency after adenotonsillectomy

The authors retrospectively reviewed the clinical records of 320 paediatric patients who underwent either tonsillectomy, adenoidectomy or adenotonsillectomy, under a single paediatric ENT surgeon. Patients with pre-existing velopharyngeal insufficiency (VPI) were excluded, as assessed by preoperative testing for nasal air...

Two for the price of one - multiple parotid neoplasms

With advancing years come many benefits, but one drawback is the acquisition of parotid (or thyroid) neoplasms. Conventional teaching is that most are benign and slowly enlarge, and not infrequently are found bilaterally as in Warthin’s. Pleomorphic adenomas are also...

The effect on taste buds due to severing of the chorda tympani nerve

The long-term histological effect on taste buds following cutting of the chorda tympani in humans is not clear. Confocal laser scanning allows in-vivo examination of the same group of taste buds and is aiding our understanding of why patients recover...

Surgical Paediatric Otolaryngology, Second Edition

This is a well-written and illustrated surgical atlas of paediatric otolaryngology by authors who are senior and experienced paediatric otolaryngology head and neck surgeons working at The Children’s Hospital of Philadelphia and Cincinnati Children’s Hospital. This text is a comprehensive...