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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...
Which da Vinci surgical system? Novel flexible, single-port versus current multiport, rigid-arm robotic surgical system
The da Vinci robotic surgical system has transformed how oropharyngeal head and neck surgery can be delivered. The existing da Vinci Si model has challenges: the dimensions of this are larger than would be ideal for head and neck surgery...
Cuff up or cuff down; to occlude or not to occlude? What effect does tracheostomy tube modification have on swallowing outcomes?
Dysphagia is commonly seen in patients with tracheostomy. The current global pandemic has increased interest in the impact of a tracheostomy on swallowing outcomes. This systematic review is therefore a timely addition to the literature and a useful read for...
Effects on the nasal cavity and maxillary sinus after a Le Fort I osteotomy
This paper from Turkey divided 28 patients into three groups: those having a maxillary advancement osteotomy, those with a maxillary advancement and impaction, and those that underwent advancement with a yaw rotation. They found that pure advancement movement of the...Rhinoplasty for cleft nose deformity
Modern cleft lip and palate repairs produce excellent functional and aesthetic results at an early age. Tony Holmes, a craniofacial surgeon with over 40 years’ experience, shares his wisdom on the best timing and techniques for addressing the associated complex...Planes, trams, and auditoriums: Beware predatory conferencing
Predatory conferences are a growing concern. First highlighted in our sister magazine, Eye News*, the issue affects all areas of medicine – including ENT and audiology. With inboxes filling up with flattering invitations to ‘global’ meetings in glamorous destinations, it’s...Planes, trams, and auditoriums: Beware predatory conferencing
Predatory conferences are a growing concern. First highlighted in our sister magazine, Eye News*, the issue affects all areas of medicine – including ENT and audiology. With inboxes filling up with flattering invitations to ‘global’ meetings in glamorous destinations, it’s...A quick and simple approach to correcting the deviated nasal septum
Nasal septal surgery is a very common procedure that we tend to learn as junior trainees. Most of us still find that we have a lot to learn with every deviated septum that we encounter. There is a range of...The challenge of disrupting the hearing care market in the USA
Barry Freeman, an Audiology Consultant of extensive global experience, examines the business model of hearing care service delivery in America. He discusses the challenges the profession has faced, and proposes some food for thought on learning from other health care...
Quality in Audiology: Design and Implementation of the Patient Experience
In Quality in Audiology, Dr Brian Taylor has grappled with an aspect of audiology about which I am passionate, and in doing this he has covered a lot of ground. He starts by trying to define quality – which in...
Big Data In Otolaryngology
The future is now and, in my opinion, this consists of artificial intelligence, robotics, and data. Why is data important? This is a rhetorical question as you will have guessed; however, it can help improve individual and collective care, speeding...
