You searched for "vestibular"
Managing the most common branchial arch anomaly
This article is a well written, helpful summary of the management of the most common branchial anomaly in children – the second. These are characterised as cysts, sinuses or tracts between the anterior border of sternocleidomastoid, coursing between the internal...
Drug-Induced Sleep Endoscopy
Throughout our ENT careers, we will always be referred patients with sleep-disordered breathing - both adults and children. Sleep studies are key for this condition. I remember as a trainee in the early aspect of my career seeing the sleep...
Describing the most useful OSA assessment?
This article sets out to comprehensibly describe drug induced sleep endoscopy and its role in determining the level of obstruction in patients with OSA. The advantages described include the fact that other techniques, including Muller’s manoeuvre, have significant variation in...
Concussion and isolated mandible fractures – are we asking the right questions?
Concussion and isolated mandible fractures – are we asking the right questions? The mandible is one of the most commonly fractured craniofacial bones. A significant force is required to bring this about. Hence the authors hypothesised that concussion after a...
Advancing the tongue in OSA surgery
This article further delineates the options for hypopharyngeal OSA and describes the technique of genioglossus advancement to improve the tension in the tongue base. The authors take the reader through the relevant anatomy appropriate to the procedure and describe the...
Effect of swallowing exercises following free flap for oral cancer reconstruction
This paper from Beijing looked at 68 patients, 34 in a control group and 34 in an intervention group. Oral exercise training was performed by a specialist swallowing nurse in the intervention group. They found that personalised oral exercises had...
Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment
This book offers a very comprehensive guide to sleep disorders in childhood. It is presented in six sections covering the normal upper airway, sleep during development, diagnostic assessment of sleep and breathing in children, sleep disordered breathing in children, the...
Harvesting the flexor hallucis longus: what is the increased morbidity?
The free fibula flap is now widely used in clinical applications for microvascular reconstruction and occasionally, to add bulk, the flexor hallucis longus (FHL) muscle is harvested along with the fibula. The post-operative morbidity is usually described as mild and...
European position paper on drug induced sedation endoscopy (DISE)
DISE is a controversial topic but a practice that is largely accepted in the UK. There has been much variation about the technique, and how to interpret the results. For this reason, a collection of European DISE bigwigs aimed for...Random-pattern skin flaps: part 2 - rhomboid and bilobed flaps
In the second of our series on local skin flaps (see Part 1 here, Part 3 here and Part 4 here), the authors describe more techniques and examples of various skin flaps that trainees should find very interesting. Rhomboid flap...Ossicular reconstruction
Ossicular reconstruction often yields disappointing results, even for the most experienced and skilled of otologists. John Dornhoffer and David Walker explain that the most important determinant of outcome is the patient’s middle ear environment, and offer some valuable words of...
