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Prediction of morbidity and mortality in patients undergoing thyroid or parathyroid surgery
Major postoperative adverse events in thyroid or parathyroid surgery are uncommon. Various authors have developed risk indices to identify physical deficits in patients undergoing elective surgery. The literature is less clear about patients undergoing thyroid or parathyroid surgery. In this...
A Treatise on Otosclerosis and its Treatment
Rinze Tange and I were co-authors for the otosclerosis chapters of both the seventh and eighth editions of Scott-Brown’s Otorhinolaryngology which he references in his book. It was particularly exciting therefore to receive this beautiful 363-page treatise on all that...
Otologic Surgery - 5th Edition
Otologic Surgery 5th Edition, edited by Derald Brackmann, Clough Shelton, Moises Arriaga and Richard Gurgel, is a textbook masterpiece. The book is written in tribute to the editors’ mentors: Drs Howard House, William House and James Sheehy, whose pioneering work...
Scott-Brown’s Essential Otorhinolaryngology, Head and Neck Surgery
The three-volume Scott-Brown’s Otorhinolaryngology Head and Neck Surgery is arguably the definitive encyclopaedia of ENT. Its comprehensive nature, however, limits its utility when preparing for examinations. The authors, in creating an “essential” version, have managed to produce an ideal textbook...
Rhinoplasty for the cleft lip and palate patient
The cleft nose is one of the most challenging pathologies for rhinologists and facial plastic surgeons to address. The combination of architectural deformity (related to the extent of lip deformity) and scarring from previous surgery combine to cause the surgical...
Prioritisation of surgery for pituitary tumours
This study is based on the findings of internationally renowned skull base surgeons who convened to recommend this stratification scheme. The study authors report that incidental diagnosis of pituitary tumours during routine imaging as well as early identification of visual...
How the world sees facial palsy patients
This paper from Australia gives an insightful perspective on the impact of facial paralysis on patients, and may explain the well-documented poor quality of life scores in this patient group, particularly those ‘successfully reconstructed’ with surgery. It explores how the...
Cosmesis of the nose in cleft lip and palate
The cleft nose is one of the most challenging pathologies for rhinologists and facial plastic surgeons to address. The combination of architectural deformity (related to the extent of lip deformity) and scarring from previous surgery combine to cause the surgical...
Budesonide irrigation in polyposis
It is very well known through many RCTs and now meta-analyses that saline-based irrigation is beneficial in patients after sinus surgery. It is also demonstrated that intranasal steroids are beneficial postoperatively but there is also a trend for steroid based...
A new free flap for the head and neck?
Reconstruction of major defects in the head and neck is usually an area where maxillofacial or plastic surgery colleagues come to assist, with consideration of the size and function any repair has to fulfil. Whilst the radial forearm free flap...
Assessment in ENT: Intra-operative videos
An article examining the reliability and validity of remote scoring; a video assessment of myringotomy and grommet insertion. The primary outcome measures were to determine construct validity (differentiating between different grades of surgeons) and reliability of video scoring. Unfortunately, the...
