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Predictors of diabetes insipidus post-hypophysectomy

Transient diabetes insipidus (DI) after pituitary surgery is not uncommon and its diagnosis fairly obvious. Permanent DI is rare and often depends on the neurosurgeon’s experience. This retrospective study describes a large series of patients with majority undergoing endoscopic transsphenoidal...

Are there any benefits of postoperative antibiotics after endoscopic transsphenoidal surgery for pituitary tumours?

This prospective randomised double-blind multicentre study evaluated whether postoperative antibiotics resulted in improvement in sinonasal quality of life (QoL) compared to placebo in patients undergoing endoscopic endonasal transsphenoidal pituitary surgery. A total of 461 patients were screened for the study...

Does sleep quality improve when we adequately treat CRS?

In addition to the well-known symptoms associated with chronic rhinosinusitis (CRS), patients often suffer with poor sleep quality which is also detrimental to health and wellbeing. This meta-analysis looked at 35 papers reporting outcomes for CRS patients post surgery on...

A viable solution for isolated post-nasal drip?

This retrospective, single-centre case series looked at a cohort of patients with postnasal drip as their primary symptom. Exclusions were patients with chronic rhinosinusitis. The interventions offered were temperature-controlled radio frequency (TCRF) ablation of the posterior nasal nerve delivered by...

Posterior nasal neurectomy – long-term data shows tailing off of benefits but still improvement after three years

It is well understood that allergic rhinitis has a very detrimental effect on quality of life for afflicted patients. This study looks at patients with allergic rhinitis but no other associated sinonasal or respiratory diagnoses. Patients with a history of...

Eustachian tube dilatation can be done as an office procedure

Symptoms of eustachian tube dysfunction can often prove stressful and the treatment can be quite challenging in terms of sustained improvement. In this study, 31 patients underwent eustachian tube dilatation under local anaesthesia. The procedure is based on the concept...

Best options for management of unilateral vocal fold paralysis in children

This article covers common differential diagnosis of unilateral vocal fold paralysis in children and recommends a multidisciplinary systematic approach in the management of these children. It highlights the value of key appropriate investigations including stroboscopy, flexible naso-laryngoscopy, direct laryngoscopy, EMG...

Transoral surgery for submandibular stones

The authors assessed the factors that influence the outcome of transoral excision of submandibular duct stones. This was a retrospective case-note review and prospective telephone survey of 125 patients, who had surgery over an eight-year period by a single surgeon....

Bone bridge conduction device for patients with bilateral microtia-atresia

Management of microtia-atresia requires a multidisciplinary approach. Children normally require bone conduction hearing aid devices very early in life to improve and facilitate speech and language development. At a later stage, when the cranial bones have strengthened and become thicker,...