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Which factors affect the postoperative CSF leak following endoscopic skull base surgery?

Endoscopic skull base surgery is being increasingly performed worldwide for skull base tumours. Common indications include pituitary tumours, rathke cleft cysts, chordomas, craniopharyngiomas and olfactory neuroblastomas. The most common and important complication following endoscopic skull base surgery is postoperative CSF...

What characterises dysphagia in unilateral vocal fold impairment?

The closure of the vocal folds during swallowing is known to contribute to airway protection along with epiglottic inversion and closure of the false vocal folds. It is therefore plausible to expect that unilateral vocal fold impairment without complete closure...

Can tympanometry be used to diagnose Ménière’s disease?

The authors proposed multifrequency tympanometry (MFT) as an in-office test which may be able to diagnose Ménière’s disease (MD) that is quicker and more cost-effective than other methods. MFT measures the acoustic admittance of the middle ear and external ear...

In conversation with Professor Shakeel R Saeed

The European Academy of Otology and Neuro-otology (EAONO) will hold its 2020 meeting in London, UK. Haroon Saeed, Specialist Trainee in ENT, asked Professor Shakeel Saeed, EAONO President, about the upcoming event. Professor Shakeel Saeed In a nutshell, what is...

ENT Medicine and Surgery: Illustrated Clinical Cases

“My mom always said life was like a box of chocolates. You never know what you’re gonna get.” Forrest Gump may not have been an otolaryngologist, but he certainly nailed the day-to-day experiences of doctors, as does this textbook of...

RadCases Head and Neck Imaging

This is one of a series of books published by Thieme which are written for trainees in radiology. The depth and breadth would suit a higher-level trainee with an interest in head and neck imaging coming up to exit examinations...

Role of imaging in unilateral sensorineural hearing loss

Recent understanding of the significance of unilateral hearing loss in children for language development calls for extensive investigations and early rehabilitation. This retrospective study of 90 children with unilateral hearing loss with high resolution CT scans and MRI revealed that...

Diagnosis of obstructive sleep apnoea hypopneoa syndrome (OSAHS) without sleep studies

Polysomnography is considered the ‘gold standard’ in the diagnosis of sleep apnoea but it is expensive and difficult to perform in children. Diagnosis based on subjective judgement is often inaccurate. An accurate diagnostic scale based on clinical parameters could obviate...

Clonidine based vs Remifentanil based hypotensive anaesthesia in FESS

A study investigating the use of clonidine preoperatively in FESS surgery. A double blinded trial of 47 patients in Barcelona randomised into receiving clonidine (20 minutes preoperatively) versus Remifentanil (continuous infusion). Propofol and fentanyl were used for induction and then...

Minimum stimulus strategy for the diagnosis of BPPV

Explore the innovative minimum stimulus strategy (MSS) for diagnosing benign paroxysmal positional vertigo (BPPV), enhancing accuracy while minimising patient discomfort. Benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder where canalolithiasis or cupulolithiasis causes sudden episodes of vertigo, triggered...

Textbook of Nasal Tip Rhinoplasty: Open Surgical Techniques

Anyone interested in nasal aesthetic, reconstruction and function will find this an essential read, but also an excellent surgical manual. As the title states, it is dedicated to unravelling the complexity of tip surgery, one of the challenging aspects of...

Management of patulous eustachian tube dysfunction

Idiopathic sudden sensorineural hearing loss (iSSNHL) is defined as a hearing loss of 30 dB or more at three contiguous frequencies within 72 hours, with acute low-tone hearing loss (ALHL) excluded from this category. Despite standard treatment, outcomes vary: one-third...