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Do in-office steroid injections help for idiopathic subglottic stenosis?

Idiopathic subglottic stenosis (iSGS) is a narrowing of the trachea of unknown cause, usually affecting middle-aged Caucasian women. In-office intralesional steroid injection (SILSI) is a recent advance in minimally invasive treatment aiming to reduce inflammation and scarring. The authors of...

Pharyngocutaneous fistula after total laryngectomy

Pharyngocutaneous fistula (PCF) after total laryngectomy is a serious complication post-surgery, and can lead to prolonged hospitalisation, adding delays in postoperative chemoradiotherapy. This Turkish retrospective study looked at 166 patients who underwent total laryngectomy for laryngeal cancer, although it is...

Above and beyond interprofessional learning

There has been a significant focus on interprofessional education for all health professionals over recent years. The American Speech-Language-Hearing Association became a member of the Interprofessional Education Collaborative (IPEC) competencies (in America) in 2016. These competencies provide four core competencies...

Preoperative CT checklist (using the ‘CLOSE’ mnemonic) improves identification of anatomical variants for endoscopic sinus surgery

Computed tomography (CT) scans of the paranasal sinuses act as roadmaps for endoscopic sinus surgery (ESS) and careful inspection preoperatively warns the operating surgeon of critical anatomical variants. This study aimed to investigate if implementation of a pre-ESS CT checklist...

Nasal deformity following CPAP injury

Nasal continuous positive airway pressure (nCPAP) is commonly used as a non-invasive alternative to endotracheal intubation and tracheotomy to provide respiratory support to very low birth weight (VLBW) (<1500 g) neonates. Nasal injury is a well recognised complication and figures...

Extranodal natural killer / T-cell lymphoma in the head and neck

The authors present a retrospective single institution review of patients with a very rare variant of non-Hodgkin lymphomas (NHL). They report on the occurrence, clinical course and outcomes of their patients with natural killer / T-cell lymphoma (NKTCL) nasal type....

Are elective neck dissections needed during salvage laryngectomy?

There has recently been a move away from elective neck dissections in the setting of salvage laryngectomy. This has mainly resulted from an appreciation of the increase in morbidity, in particular pharyngocutaneous fistula formation, and an improvement in cross-sectional imaging...

Revision stapes surgery

Few centres have much experience of revision stapes surgery, so it was interesting to read about the findings of this Turkish centre with regards to the causes and outcomes for revision otosclerosis surgery over a 16-year period. A total of...

Hearing outcomes after mastoid obliteration tympanoplasty

In this study, the authors retrospectively compare hearing outcomes after mastoid obliteration to non-obliterative techniques in cholesteatoma surgery. They have performed canal wall up with mastoid obliteration (bony obliteration tympanoplasty or BOT) since 2013. The procedure has replaced canal wall...

Non-surgical and surgical management of arytenoids granuloma

Arytenoid granulomas are often a sequelae of laryngopharyngeal reflux (LPR). Unless there is suspicion of malignancy, they require a very balanced approach between conservative management and surgical intervention. The authors present a series of 62 patients with whom the primary...

Technique for benign tumours in the tail of the parotid gland

This is a retrospective study of 89 patients from China, 49 of whom were treated surgically by a partial superficial parotidectomy through retrograde approach, and 40 treated as an extracapsular dissection for benign tumours of the tail of the parotid...