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Blindness after orthognathic surgery

This is a case report and review of the literature of this rare, but well recognised alarming complication. The authors discuss the possible mechanisms, suggesting that it does not arise from a direct injury to the optic nerve and is...

Perioperative management of the head and neck cancer patient

The perioperative care of patients with head and neck cancer is complex and requires significant preoperative planning and patient education. The issues include analgesia, antibiotics, stoma and wound care, general and chest physiotherapy, thromboprophylaxis and nutrition. This article provides a...

Planning for the long term when working with young people with TBI

Traumatic brain injuries are most common amongst young people and can have long term consequences. The authors of this article provide an approach to management of cognitive and communication difficulties which starts with a detailed assessment using the model of...

Two reliable endoscopic myringoplasty techniques for anterior tympanic membrane perforations

Difficulties that arise in closing anterior perforations in the tympanic membrane are due to a narrow isthmus of the external auditory canal and an anterior wall bulge which obscures the most anterior part of the tympanic membrane. The conventional microscopic...

The right to choose: stories from the rare dementias

People with primary progressive aphasia (PPA) experience an insidious onset and gradual decline in language on a background of lesser or no cognitive impairment, hence a language-led dementia. There are three different PPA variants that correspond with three different clinical...

Let the maths do the talking for word-finding difficulties

Anomia (word-finding difficulties) can arise when a person has a stroke, dementia or other neurological disorder affecting the left (typically) hemisphere of the brain. There are lots of theories underlying the process of word retrieval, many of which have not...

Endolymphatic sac tumours

The authors performed a systematic review of literature and describe the clinical signs and symptoms of endolymphatic sac tumours (ELST) in this article. A total of 113 patients and 118 cases from 26 studies were included in the study. The...

Decreased paediatric myringotomy and insertion of ventilation tube rates during Covid 2019 pandemic

This study involves a province in Canada and claims that the need for paediatric myringotomy and insertion of grommets reduced to a third with public health measures aimed at reducing transmission of respiratory viruses, including SARS-CoV-2, in the Covid-19 pandemic....

ENT and evidence-based medicine: How do they benefit each other?

How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...

Cochlear implant referral: how can we do better?

Considerable progress has been made over the last few years in improving access to cochlear implantation (CI) in the UK for children and adults with severe to profound deafness. But we are still not treating children early enough, and we...

The curse of Sports Illustrated

“Not a supernatural curse, but a basic statistical concept of blinding simplicity.” What is ‘regression to the mean’? I am reliably informed that our former North American colonies publish a periodical known as Sports Illustrated (note, incidentally, the characteristically incorrect...

Face to Face – facial reconstructive surgery mission in Ukraine

Face to Face is a humanitarian project to help those who have suffered facial trauma as a result of Russia's war against Ukraine.