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Random-pattern skin flaps: part 2 - rhomboid and bilobed flaps

In the second of our series on local skin flaps (see Part 1 here, Part 3 here and Part 4 here), the authors describe more techniques and examples of various skin flaps that trainees should find very interesting. Rhomboid flap...

Non-absorbable synthetic material for middle fossa repair using a combined transmastoid/middle fossa approach

Repair of CSF leaks can be a challenging technical undertaking. In this article, the authors describe their use of a synthetic material to help with the successful repair of these leaks from the middle cranial fossa. Erosion of the middle...

Retrograde cricopharyngeal dysfunction (RCPD) - inability to burp: treatment with Botox injection

As unusual as it may sound, some people have great difficulty burping. We hear of one approach to tackling this problem. Retrograde cricopharyngeal dysfunction (RCPD) is a condition presenting with inability to burp, resulting in gaseous distension of the digestive...

Temporoparietal fascia flap for blind sac closure

Chronic ear disease can be challenging to manage and difficult for patients to live with. In this article, the authors describe their technique for otomastoid obliteration and blind sac closure of the external canal allowing for a more tolerable situation...

Endoscopic ‘syringe and cutdown’ technique for nasolacrimal duct obstruction in children

This article presents a novel yet simple technique to help in the management of congenital NLDO. The authors propose it as a valuable addition to existing standard procedures. Congenital nasolacrimal duct obstruction (NLDO) is a condition encountered within the first...

Mastoid fistula closure

This article describes a clear and useful technique for the repair of a troublesome mastoid fistula. The clear instructions make this easy to apply in daily practice. Mastoid fistula is a rare condition whereby an abnormal connection develops between a...

Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia

Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...

Ultrasonic bone aspirators for internal auditory meatus ‘drilling’ in retrosigmoid vestibular schwannoma resection

In this article, the authors describe the retrosigmoid approach to a vestibular schwannoma, using an ultrasonic bone aspirator as an alternative to the standard drill. Vestibular schwannomas (VS) are benign, usually slow-growing tumours of the vestibular nerve. Management of VS...

Subjective tinnitus – adding mutebutton™ to your tinnitus toolbox

Neurophysiologic tinnitus or subjective tinnitus is typically a sound or a number of sounds that originate from the auditory nervous system. They are unwanted sounds that do not exist in the external environment. They can be heard in one or...

The hearScope

A revolutionary new otoscope is using artificial intelligence to dramatically improve access to ear and hearing care in South African outreach communities. Carolina Leal, spoke to Professor De Wet Swanepoel of the University of Pretoria about how his team developed...

Hyposalivation: a review of current and future treatments

Hyposalivation remains a stubbornly difficult condition to treat, but novel therapies may not be far away. Saliva has many essential functions, including aiding digestion and swallowing, lubrication, maintaining tooth integrity and antibacterial activity. When patients experience reduced saliva production (hyposalivation),...

In conversation with De Wet Swanepoel

A revolutionary new otoscope is using artificial intelligence to dramatically improve access to ear and hearing care in South African outreach communities. Carolina Leal, spoke to Professor De Wet Swanepoel of the University of Pretoria about how his team developed...