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Preoperative CT checklist (using the ‘CLOSE’ mnemonic) improves identification of anatomical variants for endoscopic sinus surgery

1 July 2018 | | CLOSE criteria, ESS, checklist, preoperative evaluation, resident training, sinus CT, sinus surger
Computed tomography (CT) scans of the paranasal sinuses act as roadmaps for endoscopic sinus surgery (ESS) and careful inspection preoperatively warns the operating surgeon of critical anatomical variants. This study aimed to investigate if implementation of a pre-ESS CT checklist...

What are the best minimal surgical techniques used for concha bullosa?

1 January 2015 | | ENTA - Rhinology / Sinus | concha bullosa, crushing, crushing with intrinsic stripping, endoscopic, resection, surgical, treatment
This prospective endoscopic and radiologic evaluation studied 42 patients who underwent concha bullosa surgery, amounting to a total of 55 conchae surgeries. The patients were allocated consecutively to either of the two groups. The presurgical and one year postsurgical endoscopic...

Comparing patient and surgeon concerns in sinus surgery

1 January 2015 | | ENTA - Rhinology / Sinus | chronic rhinosinusitis, computational fluid dynamics (CFD), computer modeling for nasal airflow
This prospective observational study had a total of 180 patients undergoing endoscopic sinus surgery for chronic rhinosinusitis with or without polyposis. Data was analysed using descriptive statistics and analysis of variance. Subjects felt the greatest level of concern regarding potential...

A novel way to reduce postoperative nausea and vomiting

1 January 2019 | | complications, functional endoscopic sinus surgery, incidence, lidocaine, nausea, sphenopalatine ganglion block, vomiting
This is an interesting RCT which evaluates the prophylactic effect of bilateral endoscopic injection of local anaesthetic in the sphenopalatine ganglion (SPG) on postoperative nausea and vomiting (PONV). It has a robust design, and is sufficiently powered and blinded, with...

Balloons – more complicated than first thought?

1 March 2019 | | ENTA - Rhinology / Sinus, ENTA - Skull Base Surgery | balloon sinuplasty, cerebrospinal fluid leak, chronic rhinosinusitis, endoscopic sinus surgery, functional endoscopic sinus surgery, pneumocephalus, sinus surgery, sinusitis
This study describes the complications seen after balloon sinuplasty (BSP) - a commonly performed procedure (particularly in the USA where it is often performed as an office procedure) versus traditional functional endoscopic sinus surgery (FESS). The data source was a...

Double layer graft in endoscopic tympanoplasty

7 January 2020 | | ENTA - Audiology - Adult, ENTA - Otology
This Turkish retrospective study looked at the success rates following endoscopic tympanoplasty using the double layer graft technique. This involves using a tragal cartilage and perichondrium composite graft and a separate perichondrial graft for closure of the perforation. The crescent...
B_ENT journal cover image

Endoscopic stapes surgery

30 April 2020 | | ENTA - Audiology - Adult, ENTA - Rhinology / Sinus, ENTA - Skull Base Surgery, ENTA - Otology
This retrospective Turkish study looked at the audiological and surgical outcomes of 40 patients who underwent endoscopic stapes surgery over a three-year period. To assess the learning curve, the patients were divided into two groups based on the date of...
Journal of Laryngology & Otology cover image.

Is endoscopic approach more precise in addressing failed ventilation system in chronic mucosal ear disease?

6 September 2021 | | ENTA - Otology
Chronic mucosal disease, as opposed to cholesteatoma, is more directly related to failure of the ventilation system involving three channels. Isthmus anticus and isthmus posticus are channels in front and behind the long process of the incus and there is...
Neurosurgery journal cover image.

QoL post-endoscopic hypophysectomy

2 March 2022 | | ENTA - Rhinology / Sinus, ENTA - Skull Base Surgery
This prospective study conducted over four years surveyed more than 300 patients after endoscopic pituitary adenoma resection. The authors used the Anterior Skull Base Questionnaire-35 and the Sinonasal Outcome Test-22, and the scores were analysed for quality of life (QoL)...
American Journal of Rhinology & Allergy cover image.

Should we be utilising the pre-lacrimal approach for maxillary sinus inverted papilloma?

2 September 2022 | | ENTA - Rhinology / Sinus | maxillary sinus, paranasal sinus neoplasms, papilloma, inverted, endoscopy, Caldwell–Luc, treatment outcome, prelacrimal recess, recurrence, systematic review, meta-analysis
For some time now, gold standard management of the maxillary sinus inverted papilloma has been endoscopic medial maxillectomy (EMM). Recently the endoscopic prelacrimal recess approach (EPLRA) has been reported to provide good access whilst preserving the nasolacrimal duct and inferior...

Focus on ENT trainees with additional qualifications

1 March 2016 | | ENTA - ENT
In this Trainee Matters, we focus on ENT trainees with additional qualifications. Eight accomplished trainees tell Emma Stapleton how their achievements have benefitted them both professionally and personally. Their professional achievements have included a National Training Number in ENT, presentations,...

Charles Skinner Hallpike and the Hallpike Prize

1 January 2017 | | ENTA - ENT
The British Association of Audiovestibular Physicians introduced the Hallpike Prize in 2009 as an award to stimulate the pursuit of knowledge in relation to the field of audiovestibular medicine. Julian Ahmed celebrates the history of the great man the award...