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Transmastoid facial nerve decompression for persistent traumatic facial nerve paralysis

Facial nerve paralysis (FNP) can occur following trauma, with a small number of these patients requiring facial nerve decompression (FND) to aid recovery. The authors shared their experience in decompressing the facial nerve for persistent severe FNP via a transmastoid...

How to improve olfaction and enhance quality of life after laryngectomy

Total laryngectomy diverts airflow away from the nose and, hence, olfaction is greatly impaired. Undoubtedly, this affects quality of life in terms of loss of taste and flavour. Surgery and devices to re-establish airflow into the nose can be difficult...

Postoperative ultrasound surveillance in patients undergoing hemithyroidectomy

Hemithyroidectomy, as opposed to total thyroidectomy with radioiodine remnant ablation, is now increasingly undertaken for low-risk, differentiated thyroid cancer. If on histology, this proves ‘high risk’, completion thyroidectomy is done fairly soon. In this retrospective study, a total of 105...

How would you like your cartilage served – diced, crushed or shaved?

Harvested cartilage can be used to enhance the structural, functional and aesthetic properties of the nose in rhinoplasty. The practice of mechanical fragmentation of harvested cartilage in rhinoplasty is varied with no clear consensus with respect to its indication. This...

The ACS-NSQIP study – predictive risk factors and outcomes in primary malignant parotid tumour surgery

Malignant parotid gland tumours occupy a good proportion of the ENT surgeon’s operative caseload. Large standardised datasets for malignant parotid tumour surgery are limited. This international multi-institutional study is based on the pooled American College of Surgeons National Surgical Quality...

Imaging in hyperparathyroidism

Following their caudal migration at eight weeks of development, the parathyroid glands normally locate posterolaterally to the upper pole of the thyroid gland at the level of the cricoid cartilage (superior parathyroid glands arising from the fourth branchial pouch and...

Temporal bone trauma

Introduction Temporal bone injuries represent one of the more complex management problems presenting to the otolaryngologist. This is largely due to difficulties in assessment and the frequent delays in referral, often as a result of other injuries demanding more immediate...

ENT Wallabies

Juggling the demands of elite sport, a boisterous social life on tour and medical academia would seem too much for mere mortals. All in a day’s work for your average Wallaby. Currently I am a Senior Visiting Medical officer at...

Virtual educational outreach in the COVID-19 era

Existing surgical outreach programmes to developing countries have been severely curtailed by the COVID-19 pandemic. This has impacted on opportunities for otolaryngologists from the USA and from other developed countries to contribute to education and training of otolaryngologists in developing...

Developing ENT services in Zambia

Lufunda Lukama and Matthew Clark. Lufunda Lukama is an ENT surgeon in Zambia. In a country of 19.6 million, he is one of five such specialists. It is not difficult to see the problem that he, and the country as...

Migration and training: a British-Nigerian surgeon’s perspective

Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

Lights, camera, hearing: cinema as a catalyst for cochlear implant awareness

Cinema is reshaping how we see cochlear implants – raising awareness, sparking conversation and showing the power of representation. Cinema wields immense power in shaping societal perceptions and sparking dialogue around medical and social issues. In the realm of hearing...