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Risk factors for postop ventilation following free flap reconstruction

This study, conducted in the United States, analysed 144 patients undergoing free flap surgery. Of these, 51 patients were extubated within 48 hours postoperatively, while 93 remained intubated for more than 48 hours. The mean duration of ventilation was 36...

Endolymphatic sac surgery (ESS) revisited

Ever since the destructive articles by Toss and coworkers, ESS was considered a taboo. However more and more centres are reviving it and report favourable results in properly selected patients. In this article the authors conducted a retrospective, single-centre observational...

Sinusitis

This beautiful little book is produced by IAPO (Inter-American Association of Pediatric Otorhinolaryngology) and comes at a time when there is growing recognition of the role of nasal and sinus pathology in airway disease. Both adult and paediatic conditions are...

Conductive hearing loss – when and why to scan

Ossicular fixation or discontinuity can occur at any point along the ossicular chain and is estimated to cause conductive hearing loss (CHL) in approximately 55% of patients. Computed tomography (CT) imaging of the temporal bone identifies bony pathologies that contribute...

Platelet-rich plasma-cartilage tympanoplasty

This systematic review and meta-analysis of five studies (n=234 patients) reports the effectiveness of type I tympanoplasty with cartilage and platelet-rich plasma (PRP) compared with type I cartilage tympanoplasty alone for closure of dry tympanic membrane perforations. This is an...

Is tonsillectomy performed any better by trained surgeons compared with trainees?

Tonsillectomy is one of the most common operations performed in otolaryngology. Training in this procedure therefore needs to begin early in the formative years, while also complying with patient safety and cost-effectiveness requirements. This randomised prospective study compares tonsillectomy with...