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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...BSFPS Annual Meeting 2024
Robert Maweni, Rhinology and Facial Plastic Surgery Fellow, HEE Thames Valley, Oxford, UKThe British Society of Facial Plastic Surgery (BSFPS) Annual Meeting 2024 convened on 18th October at the historic Albert Hall Conference Centre in Nottingham. The event gathered leading...Health related quality of life measures as outcome parameters in middle ear diseases
Surely the only outcome needed for post-surgical ears is a better PTA? Marcus Neudert argues there should be more to it than that. To draw a comprehensive picture of the disease-associated restrictions in patients with chronic otitis media, audiometric outcome...
What’s the risk of regrowth with partial (intracapsular) tonsillectomy
Partial (intracapsular) tonsillectomy is enjoying somewhat of a revival offering the potential for less postoperative pain and bleeding whilst relieving the obstructive element. The authors look at 303 patients, 82 of whom had partial tonsillectomy using coblation. They measured pre...
Sarcoidosis and the nose
This retrospective case note review from Mount Sinai in New York looked at just 14 patients with sarcoidosis. Individual ENT units in the UK are likely to see relatively few of these patients, unless there is a major tertiary referral...
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...
Single surgery for repair of tegmen defects and superior semicircular canal dehiscence
This retrospective review of 34 patients undergoing repair of the temporal bone defect via the middle cranial fossa approach provides the author’s management strategy for two problems: superior semicircular canal dehiscence and tegmen defects. The incidence of both these pathologies...Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging
Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....Cocaine-induced ENT pseudo-GPA (CIEpGPA): an underdiagnosed entity
Cocaine-induced ENT pseudo-GPA is increasingly seen in our ENT clinics. The authors of a new ENT UK guideline offer a concise overview for day-to-day recognition and management. Use of cocaine has steadily increased in Europe since 2010 and now represents...EAFPS 2023: 46th Annual Meeting
Dario Bertossi presenting the conference bell to Alwyn D’Souza, starting a new tradition. Riccardo Nocini, EAFPS Fellow. The 46th annual meeting of the European Academy of Facial Plastic Surgery (EAFPS) was held at the iconic Palazzo della Gran Guardia in...
The need for pre-operative overnight pulse oximetry in children undergoing surgery for obstructive sleep apnoea syndrome
Snoring is a common occurrence in children listed for adenotonsillectomy. This may be associated with obstructive sleep apnoea syndrome, in which case the post-operative recovery of these children needs to be closely monitored. This study undertakes to assess whether an...
