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Elevated intracranial pressure versus migraines versus sinusitis?

This narrative review discusses the challenges faced by an otolaryngologist to differentiate elevated intracranial pressure (eICP), migraines and chronic rhinosinusitis (CRS). Facial pain, pressure, aural fullness, muffled hearing and tinnitus are often common symptoms described by patients with all three...

Management of traumatic facial palsy

Most traumatic facial palsies resolve with conservative management. Early facial nerve decompression is indicated in acute complete traumatic facial palsies. House–Brackmann (HB) classification is used universally to classify the severity of the facial nerve injury, but few centres have availability...

A comparison between artificial and cadaveric temporal bones in terms of providing realistic setting and structural details

Increasing difficulties, costs and risks of infection have led to the use of artificial temporal bones for training in mastoid and middle ear surgery. Whether these provide a realistic learning environment (face value) and offer structural details to learn from...

Does frailty lead to changes on quantitative measures of videofluoroscopic swallowing assessment?

In recent years, studies have considered the relationship between frailty and swallowing and demonstrated that decreased skeletal muscle mass correlates with decreased swallowing function. This study investigated this relationship by using quantitative measurement of three individual components of swallowing assessed...

Which patients are suitable for surgery in recurrent head and neck cancer?

Currently, radiotherapy and chemotherapy is the most common modality used in the management of primary head and neck squamous cell carcinomas (HNSCC). Unfortunately, around 50% of patients experience disease recurrence (rHNSCC). Surgery is therefore often used as a salvage treatment....

Keep on moving

This study compared the differences in localisation of sound between those with symmetrical hearing within normal limits (NH) and those with single-sided deafness (SSD). Unsurprisingly, those with SSD took longer to localise sounds and had a higher error rate. Although...

A study defining septal areas and turbinates that are relevant in assessing patients with nasal obstruction

The symptom of nasal obstruction is subjective when patients present in clinics. The decision to intervene surgically is often made on clinical appearance of the nasal septum and turbinates which, unless extreme, cannot always be judged as different from patients...

Is there any point giving postoperative oral steroids after a FESS?

It is well accepted that when medical treatment fails for chronic rhinosinusitis (CRS), endoscopic sinus surgery (ESS) is more effective than continuing with medical therapy alone. A variety of postoperative care options are available, including saline irrigation, in office debridement,...

Is pan-endoscopy necessary to detect synchronous primary in upper aerodigestive tract cancer?

Diagnosis of head and neck cancer requires speed. It has also to be comprehensive in view of the possibility of synchronous primary cancer (SPC) associated with upper aerodigestive tract cancer (UADTC). Some centres still consider pan-endoscopy essential in the diagnostic...