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Total lower lip reconstruction: a review

Total or near total defects of the lower lip may result from trauma, cancer ablation or congenital causes. Defects usually involve the full thickness and include skin, muscle and mucosa. There are a number of techniques for the one stage...

SPECT scans not justified in growth of the mandibular condyle

This is a paper from Hong Kong of 200 patients between January 2011 and July 2013 who underwent SPECT bone scintigraphy for assessment of growth causing condylar hyperplasia and subsequent mandibular asymmetry. Thirty-four patients were found to have active growth...

A new bio-glue for neurosurgical wound closures

Dural closures need to be tight to prevent cerebrospinal fluid leaks. Traditional wound closure techniques involve sutures and DuraSeal which is the only FDA approved polyglycol hydrogel sealant with proven safety and efficacy profile. This article describes a new sealant,...

Endoscopic Approaches to the Parsanasal Sinuses and Skull Base

This is an excellent book to cover the endoscopic approaches to the paranasal sinuses and skull base with a step-by-step anatomic dissection guide. The editors are a group of eminent skull base otolaryngologists and neurosurgeons in Barcelona, Spain, and they...

Reconstruction with scapular tip following hemimaxillectomy and rehabilitation with dental implants

Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and may result in significant morbidity. Rehabilitation may be difficult with either an obturator or surgical reconstruction with a free fibula, Iliac crest or scapula. This...

Does ‘weekend effect’ alter post tonsillectomy haemorrhage rates?

Staffing levels are generally low over the weekends and senior physicians are less easily available. It is generally believed that this affects patients undergoing high-risk surgery. Whether doing tonsillectomy at weekends adds to the risks of post tonsillectomy haemorrhage is...

Multiple free flaps for head and neck cancer

Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However despite this,...

Management of metastatic neck disease

This article publishes the findings of a recent expert-led evidence based management symposium in the UK with recommendations according to the SIGN level of evidence and grading. The article neatly summarises the key points, and its clarity despite the complexity...

General Otolaryngologist to cover sabbatical leave

We are looking for general otolaryngologist to cover sabbatical leave 33 hours per week, from June 2025 – Sept 2025. The role is based at Wellington Regional Hospital, however the successful candidate will be expected to work across the greater...

BLA Presidency transfers from Mark Watson to Guri Sandhu

The BLA welcomed Guri Sandhu as incoming President from 1 May 2021. Guri Sandhu is a founding member of the BLA and current President of the Laryngology & Rhinology section at the RSM. He is a Consultant Otolaryngologist and Head...

Obituary: John Noel Gleave Evans (1934-2022)

John Noel Gleave Evans DLO FRCS, formerly consultant otolaryngologist to St Thomas’ Hospital and Great Ormond Street Hospital for Children, died peacefully at home on 27 March 2022 at the age of 87.

Remote consultations: bringing ENT in to the 21st century

The ongoing peaks and troughs of the COVID-19 pandemic have imposed unprecedented challenges on day-to-day healthcare provision that we all took as given across the globe prior to spring 2020! The pandemic has, in many ways, made us push boundaries...