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Risks of tracheostomy in head and neck cancer
Tracheostomy is associated with several complications, with rates quoted as high as 8-45%, including: bleeding; displacement; obstruction; surgical emphysema; pneumothorax; fistulae and failure to decannulate. There are now many studies that confirm the increased length of stay and complications of...
Argon plasma coagulation for epistaxis in HHT
In this study from the Czech Republic, the authors looked at the effectiveness of argon plasma coagulation (a non-contact form of monopolar electrocoagulation) in treating recurrent epistaxis in patients with hereditary haemorrhagic telangiectasia (HHT). The advantage of argon plasma coagulation...Looking at musculoskeletal disorders in audiology
Musculoskeletal disorders are one of the leading cause of sickness absence from work, work disability and loss of productivity across all European Union member states. Isla Beausire is a working audiologist with a personal and professional interest in this subject...The importance of hearing aid validation in infants with hearing loss
Hearing aid validation requires that speech discrimination be measured, yet there are no validated methods of measuring speech discrimination in infants and toddlers. Prof Uhler describes two related approaches that are showing promise. Speech discrimination is the gold standard for...
Globus, reflux or perhaps both?
We rarely do an ENT clinic without encountering a patient with persistent or recurring feeling of a lump or foreign body in the throat. We are also familiar with patients dreading to hear the C word after the endoscopic examination...Selective upper airway stimulation
Obstructive sleep apnoea (OSA) is one of the most common diseases in industrialised countries and is characterised by an intermittent obstruction of the upper airway during sleep. The standard treatment for OSA is continuous positive airway pressure (CPAP) therapy, which...FESSing up
This story is dedicated to my dear friend and much-missed colleague, Heinz Stammberger, with whom some of these moments were shared (or endured). Having used a rigid endoscope in my postgrad thesis in the early 1980s to show that the...
Nasal disease and quality of life in athletes
Rhinitis is a nasal condition which is generally underappreciated in primary care and even less in athletes. In this study, the authors specify nasal symptoms constituting rhinitis as nasal blockage, sneezing bouts, rhinorrhoea and itching and compare their prevalence in...
Maxillomandibular advancement and airway morphology
This is a cadaveric study comparing alterations in airway volume. Seven advancements of the maxillomandibular complex were undertaken, each with a 2 mm incremental advancement being scanned with a total of eight scans per cadaver. They showed that comparisons between...
Diagnostic criteria for superior semicircular canal dehiscence syndrome
The latest Bárány Society’s consensus document on diagnostic criteria for vestibular disorders is one for superior semicircular canal dehiscence syndrome (SCDS). There are three major categories: (A) Symptoms consistent with a third mobile labyrinthine window; (B) Physiologic tests – clinical...Across the pond: a tale of two fellowships
Where in the world is Halifax? Many outside of Canada have never heard of the Maritime Canadian town of Halifax. Before leaving to start a year-long fellowship there, we both had to answer many questions from family and friends about...
