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Eagle syndrome and vascular complications
Eagle syndrome is characterised by an elongated styloid process, which is anatomically positioned between the external carotid artery laterally and the internal carotid artery and internal jugular vein medially. As a result, vessel impingement can be exacerbated by head movements,...
Saddle nose deformity repair – structured approach
We often come across saddle noses in our specialist rhinology clinics. The saddle nose deformity represents collapse of the cartilaginous and / or bony nasal support structures resulting in dorsal height loss. Acquired cases are due to trauma or surgery...
Say what you don’t mean: cognitive difficulties in Parkinson’s can worsen intelligibility
Hypokinetic dysarthria, seen in 70–90% of people with Parkinson’s, causes reduced range of movement during speech production, reduced volume, rate, pitch and intelligibility. This study aimed to explore the role of higher cognitive function in speech production by asking 20...
Talk your brain well: discourse training to fortify your cognitive functioning and protect against dementia
Mild cognitive impairment (MCI) can be described as a transitional stage prior to a diagnosis of dementia. Approximately 15% of people with amnestic MCI (where memory is the leading symptom) develop dementia. Nonpharmacological interventions, specifically cognitive training, has shown some...
Do intranasal corticosteroids resolve eustachian tube dysfunction?
Eustachian tube dysfunction is a widely prevalent problem, both in children and adults. In many ways, it affects the quality of life in terms of earaches, feeling of blockage and variable hearing. Use of intranasal corticosteroids is customary but whether...
Chin up, doc! A few simple manoeuvres could make all the difference in FNE
Flexible nasendoscopy (FNE) is an ENT surgeon’s bread and butter. It is integral and often considered superior to conventional radiography in the assessment of laryngeal and pharyngeal cancers. However, it is not as simple as sticking the camera in and...
IIb nodes in a node-negative neck
This is an 11-year retrospective study of 389 patients who underwent 527 supraomohyoid neck dissections in a clinically node-negative (cN0) neck between November 2012 and November 2023. Oropharyngeal, maxillary, gingival and maxillary sinus tumours, along with those with a location...
In the United States, do people with dysphagia have a higher chance of being dysphonic?
Dysphagia and dysphonia can co-occur due to their shared anatomy and physiology. Previous studies have considered this relationship and determined that certain conditions, such as cancer, laryngeal impairments or neurological disorders, may lead to problems with both swallowing and voice....
How safe is ESS really?
Endoscopic sinus surgery (ESS) is a very frequently performed operation, both in America and worldwide. This ambitious project looked at the health data of more than 105 million patients across 60 1US HCOS. The cohort of 116,669 patients who underwent...
Facial paralysis revisited
Facial paralysis grading is a confusing issue. Lots of classifications have been proposed but all are subjective. The authors attempted to automate the Sunnybrook Facial Grading System (SFGS) by training a convoluted neural network (CNN) deep learning system. They used...
The cocktail party conundrum
I feel, with slight sadness and disappointment, that a good cocktail party, dresses, punch bowls and all is not currently in its heyday and, therefore, opportunity of attending is slim. However, from what I remember, they tend to be a...
