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The impact of vocal care and oral health on laryngeal function and voice

Maintenance of epithelial health relies on a number of measures. We hear about hydration, irritants and biofilms from a team in Helsinki. Oropharyngeal health Vocal hygiene is a commonly used term that refers to the personal daily habits contributing to...

Intraoperative nerve monitoring: 2017

Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Polydioxanone in septal reconstruction

Septal reconstruction is a challenging problem and is undertaken for functional or cosmetic reasons, or a combination of both. Either autologous cartilage, commonly auricular, or other alloplastic material can be used. The authors describe the use of a Polydioxanone (PDS)...

Retrograde cricopharyngeal dysfunction (RCPD) - inability to burp: treatment with Botox injection

As unusual as it may sound, some people have great difficulty burping. We hear of one approach to tackling this problem. Retrograde cricopharyngeal dysfunction (RCPD) is a condition presenting with inability to burp, resulting in gaseous distension of the digestive...

CO2 Laser Dohlmans: Does It Still Have A Role In Pharyngeal Pouch Management?

Background The commonest active management of a pharyngeal pouch is the division of the “interparty” wall using a stapling device [1, 2]. The technique is relatively straight forward to perform and theoretically should have less complications than other techniques such...

Laryngeal Electromyography, Third Edition

The third revised and updated edition of this concise and practical handbook on laryngeal electromyography should be a useful reference guide to all laryngologists: the beginner and the established professional. The initial chapters give an overview and deal with the...

Surgical management of permanent facial paralysis

This article explores the management of flaccid facial palsy focusing on weakness less than one to two years’ duration. As a general rule, primary nerve repair produces the best outcome and should be performed where possible. For long-standing paralysis of...

Cytomegalovirus (CMV) and the vestibular system: a case study

This team of audiologists from Cincinnati Children’s Hospital Medical Centre discuss an eight year old with congenital CMV, a neonatal infection which is usually asymptomatic, and provide guidance on how to recognise the signs in the paediatric population, and screen...

Endoscopic Transnasal Anatomy of the Skull Base and Adjacent Areas

This book is a well-designed colour atlas of sinus surgery which is up to date with all the modern techniques used in endoscopic sinus surgery. The multiple authors include well-established and renowned surgeons. It is divided into distinct chapters, with...

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...

The use of botulinum toxin A to reverse paralysis of the lower lip

The aim of this retrospective case series was to examine the role of botulinum toxin A in paediatric patients with paralysis of the lower lip. Depressor or elevator muscles of the lip (unaffected side) were injected with varying doses of...

Facial reanimation dynamic trends

Facial nerve paralysis leads to functional loss and aesthetic issues. Several techniques are used to restore function and to improve cosmesis. The gold standard is dynamic facial reanimation. Typically, the masseteric, hypoglossal, and contralateral facial nerve branches have been used...