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To pack or not to pack!
Ear packing is thought to support grafts, control bleeding and facilitate healing. However, it is not without complications such as fibrosis and infection. The authors aimed at investigating the effect of middle ear packing on graft success rate in myringoplasty...
Even titanium is not that inert
Titanium is part of most implantable metals in the human body including cochlear implants (CIs). Allergy to titanium is rare. The authors hypothesised that such an allergy could be a cause of pain in CI patients. They present a case...Acupuncture for tonsillectomy pain in children
The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....
A lateralised middle turbinate post pituitary surgery and incidence of sinusitis
A common belief amongst pituitary surgeons is that lateralising the middle turbinate to access the sphenoid can result in an iatrogenic sinusitis. This paper attempts to find out whether this is in fact true. Thirty-eight patients fitted the inclusion criteria...
Postoperative recovery in children after ENT surgery
This Belgian prospective study reported on the postoperative recovery time after routine ENT surgery (grommets, adenotonsillectomy), and compared parental estimations of postoperative pain with those of the child themselves (however, the authors do admit that many of the children included...
Subannular T-tubes for adhesive otitis
This Italian study looked at the success rates of a novel method to manage adhesive otitis media (chronic otitis media with adhesion of the tympanic membrane to the promontory). The authors looked at 22 patients with unilateral chronic adhesive otitis...
Do spreader grafts improve nasal airflow?
This Portuguese study looks at pre- and postoperative peak nasal inspiratory flow (PNIF) in 72 consecutive patients undergoing septorhinoplasty surgery. The aim was to demonstrate the functional value of spreader graft insertion, the aesthetic value having already been confirmed. In...
Neurosarcoidosis: another aetiologic factor for deafness and labyrinthitis ossificans
Very few studies describe deafness secondary to neurosarcoidosis as the latter is a rare inflammatory disorder of the nervous system usually associated with facial nerve and optic nerve disorders. This interesting case report describes a rare case of cochlear ossification...
Assessment in ENT: Intra-operative videos
An article examining the reliability and validity of remote scoring; a video assessment of myringotomy and grommet insertion. The primary outcome measures were to determine construct validity (differentiating between different grades of surgeons) and reliability of video scoring. Unfortunately, the...
Virtual reality simulation training for cochlear implant surgery
Temporal bone virtual reality (VR) simulation training has been shown to be a useful tool for learning mastoidectomy. The authors aimed to evaluate the role of VR in cochlear implant (CI) surgery. The study was performed as part of a...
