You searched for "simulation"
Salivary gland blues…
Intravenous methylene blue is a well-described method to assist in intraoperative localisation of parathyroid glands. The technique does come with challenges as anybody will know who has had to run adjacent to a theatre-bound trolley to ensure that the infusion...
Risks of tracheostomy in head and neck cancer
Tracheostomy is associated with several complications, with rates quoted as high as 8-45%, including: bleeding; displacement; obstruction; surgical emphysema; pneumothorax; fistulae and failure to decannulate. There are now many studies that confirm the increased length of stay and complications of...
Role of high-resolution CT scans in the management of cholesteatoma
This review article has looked at 15 publications, comparing features noted in high-resolution CT (HRCT) scans of patients having cholesteatoma with actual intraoperative findings. This comparison was used to assess sensitivity and specificity of various abnormalities picked up by HRCT...
Global incidence of sporadic vestibular schwannoma
The incidence rate of sporadic vestibular schwannoma (VS) has commonly been quoted as one in 100,000. However, since the advent of screening for asymmetrical hearing loss and increased availability of modern MRI scanning, more recent studies have shown the incidence...Audiological evaluation and management of teenagers with tinnitus
There is a growing interest in investigating, understanding and managing tinnitus in children and adolescents, with several articles on the subject published in journals over the last year. Brian Fligor describes the approaches to consider when discussing tinnitus with teenagers....Addressing ear and hearing care through task sharing: the Malawian experience
How can ear and hearing care be addressed in a setting with limited resources? Wakisa Mulwafu, Chris Prescott and Johan Fagan present an innovative model for training ear surgery technicians to perform endoscopic myringoplasty under local anaesthesia on a large...
No increase in papillary thyroid cancer during pregnancy
This small study of 19 pregnant patients, who were diagnosed with papillary thyroid cancer before or during the early stages of pregnancy (up to 20 weeks), assessed the changes of thyroid tumours during pregnancy. Conducted at a single centre over...
Speech audiometry tests in elderly patients with mild cognitive impairment
This paper caught my eye because, with our ageing population, mild cognitive impairment and dementia are a major, growing problem. We know that ageing causes a multitude of medical and social issues. So it seems wise to investigate the effects...
Does the season affect the diagnosis of vestibular disorders?
There are mixed results in the literature regarding seasonal variation in the presentation of various peripheral vestibular disorders. In this large population study involving over 20,000 patients recruited from 116 ENT practices across Germany, the authors analysed the demographic characteristics...
Association between dysphagia and sarcopenia: implications for assessment of older people
The onset of swallowing difficulties with progressive age is reported to occur in 13-35% of the elderly population. Sarcopenia is characterised by a decrease in muscle mass, strength and function. Sarcopenic dysphagia is a relatively new term. Its prevalence is...
Association of diabetes mellitus type 2 with age-related changes in the larynx
Diabetes affects the body with changes in the neurological, muscular and vascular systems. It is therefore conceivable that the larynx, which is a musculoskeletal organ, can be adversely affected by type 2 diabetes mellitus. To explore this possibility, 174 Caucasian...
