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Which factors affect the postoperative CSF leak following endoscopic skull base surgery?
Endoscopic skull base surgery is being increasingly performed worldwide for skull base tumours. Common indications include pituitary tumours, rathke cleft cysts, chordomas, craniopharyngiomas and olfactory neuroblastomas. The most common and important complication following endoscopic skull base surgery is postoperative CSF...
Balloon Eustachian tuboplasty – is it time to start doing it in children?
Given the potential applications for balloon Eustachian tuboplasty (BET) in children, its uptake in most centres has been slow. The reasons for this are multifactorial. There are technical issues – the feasibility of obtaining the correct size balloon and manoeuvring...
Can a serpent-shaped graft enhance your nose?
The success of rhinoplasty is highly variable and the technique employed by the operating surgeon must be tailored for different patient demographics. This group from China describes the structural differences in nasal configuration within the Asian population, notably an under-projected...The emergence of in-office ventilation tubes for the treatment of otitis media in children
In-office tympanostomy tube systems offer a quicker, anaesthesia-free alternative to traditional surgery for children, with promising outcomes and reduced costs. Tympanostomy tube or grommet insertion is the most common surgery performed on children worldwide. Whilst a relatively short and straightforward...EVOTION: Big data supporting public health policies for hearing loss
Big Data? Biosensors, smart hearing aids and smartphones? The EVOTION Project has it all and more! What will this project tell us about the future of hearing management? Doris-Eva Bamiou, Giorgos Dritsakis and Louisa Murdin, members of the EVOTION team,...The future of rhinology: What will come first, a radical change in rhinological management or the decimation of the world?
In this article, Simon Gane looks forward to what the future holds, on the presumption he survives. Setting aside the questions of the UK even existing, the NHS still working, or the fact we’ll be commuting to our jobs in...Greener pastures? Reflections from UK ENT surgeons now practising abroad
Ever considered practising ENT abroad? Here are some experiences of previously UK-based ENT surgeons who took the plunge and are now plying their trade in distant lands. Andrew McCombe ENT ConsultantDate of migration: December 2015Place of work: Mediclinic City Hospital,...Audiology in this issue...The Weird World of Science
Gareth Smith, Consultant Clinical Scientist (Audiology), Southend University Hospital, UK. E: Gareth.Smith@southend.nhs.uk Twitter: @garethlsmith In this edition, I’ve taken rather an editor’s privilege in exploring outside of our mainstays in audiology and widened the field to consider acoustics more widely...
Basic Concepts of Clinical Electrophysiology in Audiology
Signal averaging principles have been around since 1875, but their application in medicine to enhance biologic signals was first made in 1947 for improved detection of electroencephalographic signals. It took a few more years until the first electrophysiological studies were...
A diagnosis-based scoring system to predict outcomes in necrotising otitis externa
Patients admitted with necrotising otitis externa have increased six-fold in the last 10 years. The prognosis is variable and dependent on co-existing morbidities. Charlston Comorbidity Index (CCI) is a weighted comorbidity scoring method, based on the presence or absence of...
