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What can the anterior cranial fossa fracture pattern tell us?

1 May 2016 | | anterior cranial fossa, applied anatomy, craniofacial trauma, fracture pattern, skull base fracture, skull base trauma
This assessment involves 81 patients treated between two regional major trauma centres in the UK. Fifty sustained a predominantly anterior directed force and 31 a lateral impact. They found that anterior impacts reduce the incidence of fracture propagated beyond the...

Tranexamic acid and blood loss in bimaxillary surgery

1 September 2018 | | blood loss in bimaxillary surgery, orthognathic surgery, tranexamic acid
This is a randomised double-blind placebo-controlled trial from Thailand to clarify the most effective dose of Tranexamic acid in reducing blood loss during a bimaxillary osteotomy. They confirmed that the dose of 10mg per kg is the most efficacious and...

Inpatients versus Outpatient: septoplasty cost analysis in Germany

1 May 2015 | | septumplasty, costs analysis, inpatient, outpatient
Although the vast majority of septoplasties in the UK are performed as day surgery procedures, the authors of this article highlight the differences in healthcare in Germany. The authors calculated a yearly cost reduction of 180 million euros if the...

The impact of rhino-sinusitis treatment on olfaction

1 November 2014 | | ENTA - Rhinology / Sinus | inflammation, olfaction disorders, quality-of-life, sinusitis, smell, therapeutics
This study included 28 adults prospectively enrolled between March 2011 and May 2013 into a non-randomised, multi-institutional cohort. Adults electing endoscopic sinus surgery experienced gains in olfaction comparable to adults electing continued medical management. The evidence in this study comparing...

Locked or unlocked?

1 November 2019 | | ENTA - Head & Neck | bone plates, conventional plate, locking plate, mandibular fractures, meta-analysis, postoperative complications
This systematic review and meta-analysis from the Netherlands evaluates postoperative complications of mandibular fractures using locking and non-locking systems. It is suggested that postoperative complications of surgical treatment of mandibular fractures occur in 20-26% of patients, and it is thought...

Piezoelectric saw reducing sensory disturbance in mandibular osteotomies

5 July 2022 | | ENTA - Head & Neck | inferior alveolar nerve, mandibular osteotomy, orthognathic surgery, piezosurgery, sagittal split ramus osteotomy
This paper from Seattle in the United States looked at 20 patients with a mean age of 19.9 +/- 3.2 years with a fairly standard surgical movement. They found that functional sensory recovery of the inferior alveolar nerve resulted in...

Young ESPO – looking back and looking ahead

3 June 2023
In 2018, after the virtual ESPO Marseille meeting, a new committee of ESPO Juniors was established. Last year, the name was changed to Young ESPO.

Industry interaction with the ENT speciality

1 March 2015 | | ENTA - ENT
I was enormously grateful for the chance to articulate my personal thoughts on ‘the industry interaction with the ENT clinical community’. To set a context, the term ‘industry’ refers to medical technology manufacturers and suppliers, in addition to pharmaceutical companies....

The role of the respiratory physician in sleep medicine

1 May 2015 | | ENTA - ENT, ENTA - Rhinology / Sinus
ENT surgeons may feel that they are the first point of referral for the majority of patients with snoring and possible obstructive sleep apnoea, but in reality a significant number of patients with sleep-disordered breathing (of any cause) are seen...

Congenital cytomegalovirus causing deafness in children: an update

31 October 2018 | | ENTA - Audiology - Paediatric, ENTA - ENT, ENTA - Paediatrics
Congenital CMV is the leading non-genetic cause of sensorineural hearing loss in children. Keith Trimble draws our attention to this and gives a comprehensive guide on diagnosis and treatment. Congenital cytomegalovirus (cCMV) infection is common, affecting 1% of all newborns,...

The otolaryngologist as hospital director: a view from Thailand

1 September 2019 | | ENTA - ENT
Nadtaya Mills is a female otolaryngologist and director of an entire hospital in Thailand. In this article, she offers a fascinating insight to the work she’s done so far to improve resources and services in a challenging environment. The main...

Multidisciplinary airway simulation workshops: ‘preparing your team for the difficult airway’

1 September 2019 |
Can human factor issues be better addressed within a multidisciplinary learning environment? Would this improve team working and patient outcomes? Are these important training considerations? Mona Thornton discusses the experience of a multidisciplinary simulation airway workshop in the unit she...