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Approaching a ranula
The March issue of Operative Techniques in Otolaryngology is the first of two concentrating on oral surgery within the paediatric setting. It sets the scene with a paper on the anatomy of the paediatric oral cavity and the associated surgical...
Possibility of noise induced hearing loss during middle ear suction for secretory otitis media
Emission of high intensity sound is dangerous to the cochlea and can result in noise induced hearing loss (NIHL). Removal of middle ear fluid is common in everyday practice and the possibility of inducing NIHL is seldom considered and not...
Predicting the nature of swallowing deficits caused by surgical resection of the tongue?
Patients treated surgically for cancer of the tongue are expected to have difficulty in eating, drinking and swallowing. The authors of this paper report on a cohort of 106 patients in their practice who had surgical resection as primary treatment....
How should one care for the operated nose?
Although the past decade has brought advances in rhinoplasty techniques, postoperative care continues to be an area marked by notable variation among surgeons. The authors of this study sought to document contemporary postoperative practices for primary and revision rhinoplasty through...
Is it possible to fix condylar neck fractures with one plate?
Fractures of the condylar neck are fairly common and account for over 25% of all mandible fractures. Over the years a number of modalities have been used to fix these fractures. Direct reduction is complicated by the overlying proximity of...
Patient-led wax and aural foreign body removal technology – is it safe?
As ENT and audiology professionals, wax impaction and aural foreign bodies are common presentations to our clinic that can cause significant distress to patients and can preclude diagnostic testing such as pure tone audiograms and tympanometry. We often advise patients...Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...
Bilateral transposition lip flaps of central upper lip defects
This case series brilliantly explains a novel technique to repair central upper lip deformities at a Moh’s reconstruction referral practice. Most of the current treatment operations advocate a secondary surgery in order to fully restore the philtral columns and the...
Righting the paralysed lip
Many surgical procedures that otolaryngologists perform put the facial nerve at risk of injury, a complication that the surgeon and patient fear alike. Unfortunately, injuries to the nerve can and do happen despite adequate precautions, and facial paralysis may be...SmartVS™: revolutionising audiology education with virtual simulation
Professor Brown introduces the Smart VS™ simulation system developed during the 2020 pandemic to support students in gaining experience without direct patient interaction. Universities have been training audiologists essentially the same way for the past 40+ years. It’s time to...Nasal and aural foreign body removal: another technique for a common problem
Trying to remove foreign bodies from the ears and noses of children is something we have all struggled with at various times. Many people have their own top tips, and here Oliver McLaren and Alexander Walkden describe an ingenious way...
