You searched for "paramedic"
Inspiratory peak flow and tracheostomy
The evaluation of the degree of laryngeal obstruction to indicate a tracheostomy has always been a subjective decision. The authors correlated the visual laryngeal obstruction by flexible nasolaryngoscopy and the peak inspiratory flow using a pocket peak inspiratory flowmeter. Twenty-two...
Righting the paralysed lip
Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...
Benefits of combined antiviral and corticosteroid therapy in Bell’s palsy and the role of decompression surgery
Early use of steroids has been established as standard management in Bell’s palsy but simultaneous use of antiviral agents has variable acceptance. This review article analyses statistically based evidence to settle the issue. High quality evidence from a 2009 Cochrane...
3D ultrasonography for evaluation of muscles following facial palsy
Reconstructive surgery for facial nerve palsies is not recommended beyond two to three years after a degenerative facial nerve lesion. Since the time course of muscle atrophy is variable, this timeline is a rough guideline. The only assessment method currently...
Algorithm for malignant otitis externa
Timely detection and effective management of this potentially fatal condition cannot be overemphasised. This study presents 16 cases over 12 months in a tertiary referral centre. Most patients had diabetes and others were immunocompromised due to radiotherapy, immunosuppressive medication or...
Wearable sensors for assessment of vestibular disorders
This prospective preliminary study describes the use of commercially available wearable inertial sensors (Mobility LabTM) in assessing the functional ability of individuals with vestibular disorders. Traditionally the Romberg’s, Tandem Walking and Fukuda’s Stepping tests were used to clinically evaluate individuals...
Quality of life after FESS or balloon sinuplasty
This randomised control trial compared the SNOT-22 questionnaires both pre-operatively and three months post-operatively in patients with chronic rhinosinusitis undergoing either FESS or balloon sinuplasty to the maxillary sinus. Forty two patients participated in the study, 21 in each treatment...
Cuff up or cuff down; to occlude or not to occlude? What effect does tracheostomy tube modification have on swallowing outcomes?
Dysphagia is commonly seen in patients with tracheostomy. The current global pandemic has increased interest in the impact of a tracheostomy on swallowing outcomes. This systematic review is therefore a timely addition to the literature and a useful read for...
Transcutaneous vs. percutaneous bone conduction devices
Bone conduction devices (BCD) have proven to be effective options for hearing amplification in patients who are not candidates for conventional hearing aids. This study prospectively surveyed 70 patients with BCD using the COSI (Client Oriented Scale of Improvement) and...
Aids to Voice Diagnostics
Voice related complaints are common presentations in the ENT clinic and a thorough knowledge of anatomy, physiology and pathophysiology is paramount in dealing with the complexities of voice disorders. With the advent of digital technological advances, most ENT units will...
Pocket Atlas of Sectional Anatomy, Volume I: Head and Neck: Computed Tomography and Magnetic Resonance Imaging
Pocket Atlas of Sectional Anatomy, Volume I: Head and Neck, currently in its 4th edition, gives a thorough account of imaging of the head and neck in this single volume. Across its 792 illustrations, this edition has revised and expanded...
