You searched for "flaps"

1762 results found

Identifying CN IX and X using endotracheal tube electrodes

This clinical study describes the possible usefulness of endotracheal tube electrodes in monitoring vocal cord function during cerebellopontine angle surgery in 20 patients. Lower cranial nerves, especially IX and X are at risk of injury during skull base surgery although...

Pyriform turbinoplasty

This article describes a new operative technique to improve nasal airflow, the pyriform turbinoplasty. This specifically addresses the lateral part of the nasal valve where there may be impingement into the airway in select patients. This corresponds to the area...

Programming Cochlear Implants - Second Edition

Wolfe and Schafer open their second edition with up-to-date images of brand-specific devices and show various configurations and customisations available to the recipient. For the audiologist, they introduce highly relevant topics such as polar plots for microphones, array types and...

A quick and simple approach to correcting the deviated nasal septum

Nasal septal surgery is a very common procedure that we tend to learn as junior trainees. Most of us still find that we have a lot to learn with every deviated septum that we encounter. There is a range of...

What is the evidence for duration of antibiotic prophylaxis in head and neck free-flap cases?

The topic of this systematic review is one which is commonly heard in discussions between microbiologists and head and neck surgeons – what is the evidence for antibiotic prophylaxis in clean-contaminated free-flap cases, and crucially, how long should antibiotics be...

Free flap reconstruction in stage three bisphosphonate-related osteonecrosis

There is no widely accepted gold standard for the treatment of bisphosphonate-related osteonecrosis of the jaw (BRONJ). Early BRONJ is managed conservatively but there is controversy regarding the treatment of the later stages. Stage three is defined as exposed bone...

Delirium post-op

This is a retrospective study from Japan analysing 102 patients who underwent oral cancer resection and free flap reconstruction. Postoperative delirium occurred in a third of these patients. An increased risk was identified in those with high preoperative albumin, postoperative...

Octreotide in the medical management of chyle fistula post neck dissection

Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...

Hearing test apps: how reliable are they?

There are seemingly hundreds of hearing test apps available, designed to be a screening tool for those interested in learning more about their hearing while doing so in the comfort of their home and without needing to wait for an...

Anaesthesia for free-flap surgery

Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

Global health missions – not just for consultants. A guide for trainees.

Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...

Reduction thyroplasty

Introduction Male to female transgendered patients are referred to ENT for reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’,...