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Paediatric pituitary surgery - is it lagging behind?
Endoscopic sellar surgery, especially for adenomas, is a relatively safe, straightforward surgery with (mostly) reproducible results and few complications. However, the evolution of pituitary surgery was a long process, starting from open/transfrontal approaches all the way to transsphenoid to the...
SpeechEasy® for stuttering
In this article, the authors describe their experiences with an altered auditory feedback (AAF) device: SpeechEasy® during a random clinical trial. AAF has been reported in other laboratory studies to reduce stuttering events without influencing the rate, intensity or frequency...
Comparison of linguistic profiles in three groups of children with hearing loss and specific language impairment
Spoken language deficits in children with hearing loss early in life are attributed to auditory speech perception limitations. It is assumed that hearing following cochlear implants (CIs) will improve these language deficits. However, the studies have shown that although cochlear...
Sellar surgery – when to prepare for repair
Endoscopic sellar surgery, especially for adenomas, is a relatively safe, straightforward surgery with (mostly) reproducible results and few complications. One of the commonest complications is the creation of a CSF leak with the subsequent need for repair (there is usually...
Classification of maxillofacial pain
The patient that presents with oral and facial pain can prove a diagnostic conundrum. Whilst most often dental causes can explain the origin and help from our maxillofacial colleagues is warranted, it is useful to have a system for approaching...
Relationship between early language delays and long-term outcomes
This epidemiological study from Australia, spanning 16 years, explores the influence of early language delays over time on outcomes in affected adults. Based on vocabulary skills at age five, the study population was classified into four groups: persistently good, persistently...
Risk factors in free flap failure
This is a retrospective analysis from China of 881 free flaps over nearly four years, 49 of which were ‘taken back’, 26 of which were lost, giving a 97% success rate. The commonest cause of flap failure was venous thrombosis....
Obstructive sleep apnoea: Does maxillomandibular advancement work?
This is a paper from the Netherlands reviewing 62 patients who underwent maxillomandibular advancement for moderate to severe obstructive sleep apnoea. The authors observed a 71% success rate with mean apnoea hypopnea index (AHI) reduction of 69%. There was no...
Cinch suture: Does it work?
Flaring of the nostrils is a common side-effect of a maxillary osteotomy. At times flaring is minimal or of no significance. In some instances, it can be a significant postoperative concern to the patient, even to the extent of declining...
Supporting second language in bilingual children with cochlear implants
There have been mixed reports regarding the benefits of supporting two languages for bilingual children using cochlear implants. With an ever-increasing number of children with hearing loss undergoing cochlear implantation, this study provides timely clinical evidence. The authors studied the...
A rare superior tongue tie
The authors present a very rare case of ankyloglossia superior syndrome: first described in 1911 but with only 14 case reports in English literature it was of sufficient interest to discuss the aetiology, classification and management. As the palatal shelves...
