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Transnasal oesophagoscopy: prospective cohort review

This paper looked at 257 patients undergoing the procedure in a tertiary otolaryngology department. In light of the morbidity of upper GI endoscopy associated with the sedation required, the safety profile of transnasal oesophagoscopy is a clear advantage. This cohort...

Perioperative management of the head and neck cancer patient

The perioperative care of patients with head and neck cancer is complex and requires significant preoperative planning and patient education. The issues include analgesia, antibiotics, stoma and wound care, general and chest physiotherapy, thromboprophylaxis and nutrition. This article provides a...

Cervical tracheal reconstruction

This Chinese animal study looked at the use of a xenogenic acellular dermal matrix for tracheal reconstruction. The authors took a total of 22 rabbits and divided them into an experimental (repair with xenogenic acellular dermal matrix) and control group...

Are we now safe at work?

Fifty years is a long time, yet the years pass in a blink of an eye. Where are we in comparison to where we were then, in terms of the occupational protection from noise exposure and ototoxicity, other than being...

Endoscopic approach to the internal auditory canal (IAC)

The otoendoscope, with its wide-angle visualisation, has made it an increasingly popular tool to perform outer, middle and even inner ear surgery. Approaches to the IAC with the endoscope have been described by several authors. In this paper, Valente et...

Swallow assessment: is clinical judgement or objective measurement more reliable?

Swallowing difficulties are life threatening and are the most common referral reason to speech and language therapists working with the adult population. Video fluoroscopic examination is a common instrumental tool used to assist in the assessment of the risk of...

Classification and assessment of midfacial fractures; no more Le Fort facial fractures

There is some evidence that severe or complex midfacial or orbital fractures have declined over the last decade. Interestingly there is also evidence of an increase in road traffic accidents but a decrease in facial injuries. This is possibly attributed...