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What is the evidence for contralateral tonsillectomy in TORS for known unilateral tonsil malignancy?
The concept of field changes by carcinogens within the upper aerodigestive tract is well established with reported rates of synchronous tumours of 4% and second primaries of 36%. The tonsil in particular has the highest rate of synchronous tumours, postulated...
Sinonasal Complications of Dental Disease and Treatment: Prevention - Diagnosis - Management
As otorhinolaryngologists, we are trained to examine the computed tomography (CT) scans of all patients with maxillary chronic rhinosinusitis (CRS) for potential dental disease. The mainstay of managing this is generally limited to referring the patient to their dentist or...
Endonasal Endoscopic Surgery of Skull Base Tumors: An Interdisciplinary Approach
This book sets itself apart from its peers by providing a unique interdisciplinary approach to skull base surgery. As the title implies, there is naturally a huge focus on endoscopic endonasal skull base surgery (between chapters 8 and 15). The...
Transnasal endoscopic repair of CSF leaks
This Italian study was a retrospective review of 110 consecutive patients who underwent repair of their CSF leak via the transnasal endoscopic approach from 2003 to 2013. All surgery was performed by the same primary surgeon and patients with a...
A raised neutrophil / lymphocyte ratio predicts vestibular schwannoma growth
It has long been known that the neutrophil to lymphocyte count ratio (NLR) is a marker of inflammation and that a higher ratio relates to poorer outcomes in some malignant tumours including some head and neck cancers. Neutrophilia (and therefore...
The Atlas of Cavityless Cholesteatoma Surgery: Volume I and II
The Atlas of Cavityless Cholesteatoma Surgery draws upon four decades of the authors’ experiences, based in the Jindal Institute in North India. Their aim is to showcase the inside out technique with obliteration of created mastoid cavities; and for the...
Endoscopic Ear Surgery: Principles, Indications and Techniques
I was delighted to be asked to review this book. It’s big and shiny, and has 400 pages, many of which bear beautiful colour images including endoscopic photographs, radiological images and clear illustrations of middle ear anatomy. The preface to...
Intra orbital treatment to save the eye!
Invasive fungal sinusitis can be a devastating condition, and accepted management is surgical debridement of infected tissue, systemic antifungal treatment and reversal of immunosuppression. Orbital involvement is common, affecting up to 75% of cases, and in advanced disease orbital exenteration...Radiology and sinus disease: “the ever-evolving landscape”
Computed tomography (CT) remains the imaging modality of choice in assessment of patients with symptoms of chronic rhinosinusitis resistant to conservative treatment. In the last 10 years, CT technology has seen significant advances with the development and integration of multi-detector...In conversation with Professor Charles Liberman
Just before I left Cambridge to work with the Hearing Sciences group in Nottingham, I spent a very happy hour alone in the company of Professor Charles Liberman, the Director of the Eaton-Peabody Laboratories based at the Massachusetts Eye and...Imaging and management of head and neck vascular anomalies
Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...
