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Predicting life-threatening complications in deep neck space infections
Deep neck space infections, arising usually from tonsils and lymph nodes in children and dental source and salivary glands in adults can be life threatening. It is therefore important to recognise the variables which indicate immediate intervention to prevent fatalities....
Close monitoring of patients for delayed hyponatremia post-transsphenoidal surgery
he incidence of delayed hyponatremia is 16-28% and usually accounts for unplanned readmission of the patient within 30 days after transsphenoidal surgery. One of the surrogate measures of quality of care adopted by the government and regulatory agencies is 30-day...
An algorithm to distinguish between distant metastases and metachronous lung primary in patients with HPV-related oropharyngeal cancer
Distinguishing between distant metastases of HPV-related oropharyngeal squamous cell carcinoma (OPSCC) and metachronous primary lung squamous cell carcinoma (SCC) is important as it has implications for treatment, prognosis counselling, and registry data. Although p16 immunohistochemistry (p16 IHC) is widely accepted...
Subannular T-tubes for adhesive otitis
This Italian study looked at the success rates of a novel method to manage adhesive otitis media (chronic otitis media with adhesion of the tympanic membrane to the promontory). The authors looked at 22 patients with unilateral chronic adhesive otitis...
Role of the insula and orbitofrontal cortex in tinnitus related distress
It is estimated that 5% of the population suffer from chronic tinnitus with 17% of those suffering emotional distress. The authors attempted to study the neural correlates of tinnitus-related distress using functional magnetic resonance imaging (fMRI) during an Emotional Stroop...
A review of endoscopic sinus surgery outcomes
This review discusses the outcome measures that may be considered in the assessment of patients with chronic rhinosinusitis (CRS) as well as the outcomes of endoscopic sinus surgery (ESS) published so far. The authors also discuss the role of peri-operative...
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....
Titanium bobbins are prone to water penetration
There is limited evidence that swimming with grommets increases ear infections and most clinicians advise swimming with ventilation tubes is acceptable. Concerns may persist especially among parents. This paper evaluates the amount of different liquids (soapy water, sea water, chlorinated...
A novel use for coblation in the nose
Having recently become a coblation convert for multiple applications in ENT (including tonsillectomy, inferior turbinate reduction and radiofrequency ablation of the tongue base), it was interesting to read about another novel use in the nose. This preliminary report evaluates the...
All about velopharyngeal dysfunction
The velopharynx functionally separates the oral from the nasal cavities. Inadequate or abnormal function of this muscular valve affects speech and swallow. Velopharyngeal dysfunction can be subdivided into insufficiency, incompetence and mislearning. This is a review paper and indeed a...
