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Factor favouring the need for revision FESS in chronic sinusitis with polyps – a multivariate analysis including phenotypes

Chronic rhinosinusitis with polyposis is a type 2 inflammation with risks of recurrence and need for revision operations. This is known to depend on the endotype and phenotype factors. This is a retrospective study of 212 patients. Of these, 112...

Oxford Case Histories in Otolaryngology and Head and Neck Surgery

Mr Kristijonas Milinis and his co-editors have collected a broad range of cases from consultants across the UK and overseas in producing this latest case-based discussion series published by Oxford University Press. The book is divided into five chapters covering...

Elevated intracranial pressure versus migraines versus sinusitis?

This narrative review discusses the challenges faced by an otolaryngologist to differentiate elevated intracranial pressure (eICP), migraines and chronic rhinosinusitis (CRS). Facial pain, pressure, aural fullness, muffled hearing and tinnitus are often common symptoms described by patients with all three...

A comparison between artificial and cadaveric temporal bones in terms of providing realistic setting and structural details

Increasing difficulties, costs and risks of infection have led to the use of artificial temporal bones for training in mastoid and middle ear surgery. Whether these provide a realistic learning environment (face value) and offer structural details to learn from...

Bell’s palsy outcomes

Bell’s palsy is a common, idiopathic, unilateral facial paresis or paralysis of sudden onset. This retrospective study reviewed the records of 193 patients diagnosed with Bell’s palsy. The patient’s clinical data, House-Brackman (h-B) grade, and data from five electrophysiological tests...

Challenging steps of virtual cortical mastoidectomy

This prospective study investigated which steps of cortical mastoidectomy were challenging for 10 medical students and 10 intermediate surgeons (surgical trainees) compared to 10 experienced expert surgeons. Each participant performed cortical mastoidectomy on eight different virtual temporal bone models. The...

Role of high-resolution CT scans in the management of cholesteatoma

This review article has looked at 15 publications, comparing features noted in high-resolution CT (HRCT) scans of patients having cholesteatoma with actual intraoperative findings. This comparison was used to assess sensitivity and specificity of various abnormalities picked up by HRCT...