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What can the anterior cranial fossa fracture pattern tell us?
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...
Prognostic factors for myringoplasty
This retrospective study looked at the factors that were associated with a higher success rate for tympanic membrane perforation closure. The authors looked at 247 procedures. They compared the results of temporalis fascia versus tragal cartilage. The cartilage grafts had...
Development of an ENT undergraduate curriculum
With over a third of medical schools not including any clinical attachment in the subject, this is a laudable attempt to confront the deficiencies in undergraduate ENT teaching within the UK. The Delphi process is an established method of developing...
Update on orbital complication of acute sinusitus
This study aims to illustrate the Graz experience. The study is retrospective, 53 patients with orbital complication of sinusitis were examined / confirmed by a University Hospital from 2000 to 2011. Thirty-seven underwent surgery, seven of which experienced a recurrence....
Tranexamic acid and blood loss in bimaxillary surgery
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...
Quality of life outcomes in paediatric endoscopic sinus surgery
This prospective cohort study evaluated chronic rhinosinusitis patients aged 5-18 years undergoing endoscopic sinus surgery in terms of quality of life. General and chronic rhinosinusitis surveys were completed by the parents and the child pre-ESS and at 30-90 days post-operatively....
Inpatients versus Outpatient: septoplasty cost analysis in Germany
Although the vast majority of septoplasties in the UK are performed as day surgery procedures, the authors of this article highlight the differences in healthcare in Germany. The authors calculated a yearly cost reduction of 180 million euros if the...
Outcomes in rhinosinusitis
This review goes through the various different ways of assessing outcomes and describes the pros, cons and limitations of each. The different methods are described in the context of guidelines in diagnosis and management and compared with other conditions such...
Sarcoidosis and the nose
This retrospective case note review from Mount Sinai in New York looked at just 14 patients with sarcoidosis. Individual ENT units in the UK are likely to see relatively few of these patients, unless there is a major tertiary referral...
The septum, outside!
Extracorporeal sculpturing of the septum during septorhinoplasty (SRP) is a well-established technique. However, the extent of manipulations of the septum varies amongst authors. In a series of 630 patients undergoing SRP, the authors used a complex extracorporeal septal three dimensional...
The effect of cocaine or adrenaline dressing during endoscopic sinus surgery
A randomised controlled study of 37 patients took place that underwent endoscopic sinus surgery for chronic rhinosinusitis and received adrenaline or cocaine-soaked patties. The study showed no difference in the mean surgical field scores between adrenaline and cocaine sides. Adequate...
