You searched for "flaps"
Pyriform turbinoplasty
This article describes a new operative technique to improve nasal airflow, the pyriform turbinoplasty. This specifically addresses the lateral part of the nasal valve where there may be impingement into the airway in select patients. This corresponds to the area...
Free flap reconstruction in stage three bisphosphonate-related osteonecrosis
There is no widely accepted gold standard for the treatment of bisphosphonate-related osteonecrosis of the jaw (BRONJ). Early BRONJ is managed conservatively but there is controversy regarding the treatment of the later stages. Stage three is defined as exposed bone...
Delirium post-op
This is a retrospective study from Japan analysing 102 patients who underwent oral cancer resection and free flap reconstruction. Postoperative delirium occurred in a third of these patients. An increased risk was identified in those with high preoperative albumin, postoperative...
Programming Cochlear Implants - Second Edition
Wolfe and Schafer open their second edition with up-to-date images of brand-specific devices and show various configurations and customisations available to the recipient. For the audiologist, they introduce highly relevant topics such as polar plots for microphones, array types and...
Octreotide in the medical management of chyle fistula post neck dissection
Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...Anaesthesia for free-flap surgery
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...Global health missions – not just for consultants. A guide for trainees.
Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...Reduction thyroplasty
Introduction Male to female transgendered patients are referred to ENT for reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’,...
Hearing test apps: how reliable are they?
There are seemingly hundreds of hearing test apps available, designed to be a screening tool for those interested in learning more about their hearing while doing so in the comfort of their home and without needing to wait for an...How to identify and support adults with auditory processing disorder: a focus on low-gain devices and auditory training
Some adults struggle with hearing in noise despite normal audiograms. Tools like the HHIA, low-gain devices and auditory training can help identify and support these cases. In this article, Angela Alexander and Fatima Abbas use a case study to discuss...Have we reached our limits in endoscopic skull base surgery?
As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...
