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Use of topical steroids and antibiotics, compared to systemic antibiotics in the treatment of acute rhinusinusitis
Acute rhinusinusitis is mainly initiated by viral infections. Bacterial infection is usually superadded. The inflammatory cascade upregulates the pro-inflammatory mediators resulting in pain, nasal obstruction and nasal discharge. Local application of steroids and antibiotics could provide a higher concentration of...Liquid gold – platelet-rich plasma glottic injections in vocal pathology
Platelet-rich plasma (PRP) is being used in an increasing number of ENT conditions, with particular promise in the larynx. Voice is a defining human characteristic. The ability to communicate with one another and to use the vocal folds (VFs) for...
A voice as smooth as silk?
A number of materials currently exist for vocal fold injection medialisation. Popular options include calcium hydroxylapatite (CaHA), hyaluronic acid (HA) and polydimethylsiloxane (PDMS). The authors of this paper state that there is an unmet need for an injectable material that...
Valsalva manoeuvre treatment of otitis media with effusion in adults
Otitis media with effusion (OME) is common in children but has a low prevalence in adults. There is some evidence to advocate middle ear inflation as a successful treatment for children with OME. This form of treatment is also recommended...
A new modified double-flap technique for cochlear implant surgery
The authors retrospectively assessed 342 implantees with a minimum of five years’ follow-up who had been implanted using a lazy S-shaped post auricular incision with a modified double-flap technique. From the notes, postoperative wound complications and any other adverse events...
Should we leave a reconstructed auricle exposed?
Microtia results in psychological and functional morbidity and total auricle reconstruction offers the affected individual a more cosmetically pleasing ear. The art of dressing postoperatively can be heterogenous between surgeons. This single-centre retrospective study based in China compared complication rate...
Another use for Tisseel – plugging of the round window
After insertion of a cochlear implant electrode through the round window, there are several methods of sealing the perilymph leak and in my experience fascia (with varying amounts of attached muscle) seems to be most commonly used. Stephen O’Leary’s group...
Complications in Otolaryngology – Head and Neck Surgery, First Edition
This is a volume compiled into a ‘handy reading’ format on Complications in Otolaryngology – Head and Neck Surgery, which cites as its special features: 1) the first complete, one-volume source on risks and complications in otology, rhinology, and head...
Septal surgery made easy?
The injecting of the greater palatine canal has been documented for some time. The authors in this paper expand this to the more common procedure of the septoplasty. They summarise the pros and cons published regarding the technique in sinus...
