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How good ideas become great products: in conversation with three medical innovators

2 November 2020 | | ENTA - ENT
Ever had a great idea for an innovation that would significantly improve your practice, but wondered how to go about developing it? Lucy Dalton interviewed three consultant ENT surgeons-come-successful innovators (one international, one novice and one experienced) who explain what...

The Graham Fraser Foundation

1 July 2016 | | ENTA - ENT
Graham Fraser (1936-94) was a pioneering otolaryngologist, in whose memory the Graham Fraser Foundation was set up, and an eponymous annual lecture and a travelling fellowship in otology were established. It’s an honour to profile the Foundation in this extended...

Power tools dance off

6 October 2017 | | Harmonic scalpel, Modified neck dissection, Oral squamous cell carcinoma, Intraoperative blood loss, Operative time, Postoperative hospital stay, Randomised clinical trial
The use of the harmonic scalpel is popular with some head and neck surgeons. This study looked at selective neck dissections for 40 patients with oral cavity carcinoma. They were randomised into harmonic scalpel (HS) use and monopolar electrocautery. The...

Safe distances in the infratemporal fossa

1 January 2017 | | infratemporal fossa, skull base surgery, three-dimensional reconstruction
This analysis from China involved 50 enhanced CT datasets to reconstruct the skull, internal carotid artery and the internal jugular vein. The anatomical routes of these vessels were related to the styloid process, height of the pterygoid plates, distance from...

Maxillary osteotomy stability

1 January 2017 | | Le Fort, orthognathic surgery, osteotomy, recurrence
This systematic review assesses inferior repositioning of the maxilla six months after surgery. Two articles were identified with a total of 22 patients. The repositioning was of a mean of 3.2 to 4.5mm anteriorly and 0.1 to 1.8mm posteriorly. Six...

Keep the condyle if you can

1 January 2018 | | condyle, mandible, therapeutic effects, tumour resection
This is a study of 41 patients who underwent benign tumour resection and reconstruction over a four year period. Patients fell into three groups; condyle preserved, condyle sacrificed, condyle frozen in combination with a DCIA free flap. Following this, they...

Tissue engineered flaps

1 May 2017 | | Bioreactors, Growth factors, Maxillofacial reconstruction, Microvascular surgery, Personalized medicine, Tissue engineering
This article provides a thorough summary of the current techniques available in head and neck reconstruction. It details the challenge of restoration of form and function posed by the shape of the craniofacial skeleton and soft tissue. The introduction on...

Bad splits

1 November 2016 | | age, bad split, bilateral sagittal split osteotomy, intraoperative complications, mandibular fracture, orthognathic surgery, risk factors, sagittal ramus osteotomy, surgical technique, third molar
This is a meta-analysis of reported risk factors of a ‘bad split’ in a sagittal split mandibular osteotomy. They identified 30 observational articles and therefore acknowledged it is based on low quality studies. It is compounded by the definition of...

Carnoy’s and the KOT

1 November 2016 | | Carnoy's solution, enucleation, keratocyst, keratocystic odontogenic tumour, odontogenic
This is a retrospective review of 105 patients with keratocystic odontogenic tumours treated over a 23-year period with a mean follow up of 86 months. The recurrence rate was 11.4%. Permanent neuro-sensory deficit of the inferior alveolar nerve 16%. Younger...

What can the anterior cranial fossa fracture pattern tell us?

1 May 2016 | | anterior cranial fossa, applied anatomy, craniofacial trauma, fracture pattern, skull base fracture, skull base trauma
This assessment involves 81 patients treated between two regional major trauma centres in the UK. Fifty sustained a predominantly anterior directed force and 31 a lateral impact. They found that anterior impacts reduce the incidence of fracture propagated beyond the...

Tranexamic acid and blood loss in bimaxillary surgery

1 September 2018 | | blood loss in bimaxillary surgery, orthognathic surgery, tranexamic acid
This is a randomised double-blind placebo-controlled trial from Thailand to clarify the most effective dose of Tranexamic acid in reducing blood loss during a bimaxillary osteotomy. They confirmed that the dose of 10mg per kg is the most efficacious and...

Lymph node ratio in tongue cancer

1 September 2019 | | ENTA - Head & Neck | head and neck cancer, neck dissection, survival rate, tongue cancer
This is an analysis of 88 patients treated in Switzerland between 2003 and 2012. All patients had a selective neck dissection and recurrence occurred in 25 patients. Overall and disease specific survival were 72% and 80%. They specifically looked at...