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Is there a need for magnetic resonance imaging six-month post-radiosurgery for vestibular schwannoma?

With advances in imaging and radiation technologies, small, slowly growing vestibular schwannomas (VS) are treated primarily with either observation or stereotactic radiosurgery (SRS). Routine magnetic resonance (MRI) scans with gadolinium are obtained six months and one year after SRS in...

Swallowing it whole: the physical and psychological consequences of dysphagia

Living with dysphagia in the real world can be extremely challenging, both practically and psychologically. Long-term changes in taste due to chemo-radiation treatment for head and neck cancer, fatigue due to Parkinson’s disease, and physically impaired structures due to stroke...

Effect of swallowing exercises following free flap for oral cancer reconstruction

This paper from Beijing looked at 68 patients, 34 in a control group and 34 in an intervention group. Oral exercise training was performed by a specialist swallowing nurse in the intervention group. They found that personalised oral exercises had...

A new biomarker for chronic rhinosinusitis

This Chinese study looked at the feasibility of periostin (usually found in bone and lung tissue) as a biomarker for chronic rhinosinusitis. They sampled ethmoid mucosa in 12 patients with chronic rhinosinusitis without nasal polyposis (CRSsNP) and 25 patients with...

The association of frontal recess anatomy and mucosal disease on the presence of chronic frontal sinusitis: a computed tomographic analysis

Ostial obstruction is a primary pathophysiological mechanism contributing to sinusitis, which can be caused by anatomical variations, mucosal inflammation or both. This retrospective case series aimed to identify anatomical factors and inflammatory areas relating to chronic frontal sinusitis on nasal...

Association of sinonasal symptoms with ear disease

The study explores the possible association of sinonasal symptoms with ear disease. The subjects were patients with ear problems which were categorised as group A – patients with external ear problems (15%), group B1 – patients with middle ear mucosal...

Effects on the nasal cavity and maxillary sinus after a Le Fort I osteotomy

This paper from Turkey divided 28 patients into three groups: those having a maxillary advancement osteotomy, those with a maxillary advancement and impaction, and those that underwent advancement with a yaw rotation. They found that pure advancement movement of the...

Global health missions – not just for consultants. A guide for trainees.

Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...

Effect of COVID-19 on hearing and balance

Rhinological symptoms are cardinal features of COVID-19. However there have only been anecdotal reports on the involvement of the ear, the closest neighbour to the nose and throat. The aim of this study was ‘to assess the presence of persistent...

Audiological Research Over Six Decades

This is Dr James Jerger’s - one of the greatest - legacy of the vast contributions to the field of diagnostic audiology assessment throughout his career in a historical overview format. This is a concise and one-of-a-kind book, written without...

Disorders of the Vestibular System: Diagnosis and Management

This book is aimed at specialist trainees and consultants with an interest in improving their knowledge and understanding of this traditionally obscure area of otolaryngology. There are very comprehensive chapters on anatomy and physiology of the vestibular system along with...

Freestyle facial artery perforator flaps for nasal reconstruction

This is an update from the authors that originally described the freestyle facial artery perforator flap for one stage nasal reconstruction in 2009. They now update with their 10-year experience of freestyle facial artery perforator flaps, accumulating a series of...