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Outcomes following endoscopic vs. microscopic ossiculoplasty

Endoscopic ear surgery continues to increase in popularity with an expanding range of applications in otology. The variety of angled scopes allow for superior visualisation of the surgical field and difficult to reach areas. However, use of endoscopes reduce the...

Role of non-echo planar diffusion weighted magnetic resonance imaging in detection of cholesteatoma

Whilst the method of canal wall down and same-session reconstruction is emerging to be more popular, canal wall up procedures are still performed. In either, it is necessary to ensure eradication of cholesteatoma or detect its recurrence. The reliability of...

Total glossectomy and laryngectomy

This review paper analysed studies published between January 2000 and January 2024, assessing the functional outcomes of total glossectomy combined with laryngectomy. The primary outcomes included speech ability, swallowing function and gastrostomy tube dependence. Secondary outcomes considered were disease recurrence...

25 years of forearm free flaps – 1 vein or 2?

This is a prospective 25-year study from 1998 to 2023 of 368 forearm free flaps, 314 of which were radial and 54 ulnar in 364 patients. Of these, 68 had 1 venous anastomosis whilst 238 had 2. These were assessed...

Nodal metastasis from thin tongue tumours

This is a retrospective study over the course of 7 years, in which 240 patients were assessed. All had excision of a T1/T2 tongue primary tumour with an elective neck dissection of level I–IV with or without reconstruction. Radiotherapy was...

Do anticoagulanis and facial plastic surgery mix?

Some surgeons think that antiplatelet and anticoagulant therapies (aspirin, warfarin sodium and clopidogrel bisulphate) increase perioperative bleeding and infections. However, the current evidence base provides conflicting data with respect to the risk of true complications. In this case-control study a...

Coupler microvascular anastomoses: how good?

This paper is written by a group of reconstructive surgeons and a school of computing. The study used computational fluid dynamics to model blood flow through idealised sutured and coupled vessels, to investigate if differing anastomotic techniques affect intravascular blood...

3D ultrasonography for evaluation of muscles following facial palsy

Reconstructive surgery for facial nerve palsies is not recommended beyond two to three years after a degenerative facial nerve lesion. Since the time course of muscle atrophy is variable, this timeline is a rough guideline. The only assessment method currently...

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...

Vicarious (nasal) menstruation

Hippocrates himself is known to have said that when a woman’s menses are due, but instead of the usual vaginal menstrual flow, she has a haemorrhage from the nose, then this is a sure sign of pregnancy [1]. Artist’s impression...

60th ENT Congress for the South African Society of ORL-OHNS

Dr Greta Niemann, ENT surgeon, Pretoria The 60th Annual ENT Conference held in Pretoria in November was a remarkable event, skilfully organised and offering an exceptional line-up of international and local speakers. This year’s gathering provided a unique opportunity for...

Women in Surgery photography exhibition

Three ENT consultants feature in an exhibition that shines a spotlight on women in surgery. ‘Insight: Portraits of Women in Surgery’ runs until mid-April at the Hunterian Museum within the Royal College of Surgeons in London. It brings together women surgeons from different surgical specialities, career stages and regions across the UK.