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How common is dysphonia and dysphagia after cardiac surgery?

Patients undergoing cardiac surgeries, such as coronary artery bypass (CABG) and valve operations, are usually informed that there may be some risk of laryngeal complications that could result in a dysphonia or dysphagia. This may be due to factors including...

Is it necessary to put ventilation tubes at the time of surgery in children with cleft palate?

It is commonly understood that existence of a palatal cleft is associated with abnormal action of tensor veli palatini muscle. Frequent middle ear effusions therefore occur because this muscle obstructs rather than opens the Eustachian tube on yawning and swallowing,...

Clinical Esophagology and Transnasal Esophagoscopy

This textbook starts by giving a background to esophageal anatomy, physiology and non-invasive tests, an area that is often overlooked and not considered in detail in other texts read by ENT surgeons. Transnasal esophagoscopy is a comparatively new domain for...

Narrow band imaging improves diagnosis of malignant laryngeal lesions

The manufacturers of narrow band imaging (NBI) claim better visualisation of mucosal abnormalities when compared with simple white light. The primary aim of the study was to compare the diagnostic accuracy of NBI and white light to diagnose malignant laryngeal...

Surgical options for children with OSA

This paper looks at the surgical management of OSA in children and approaches the method of patient selection initially. They discuss the role of polysomnography in that it is part of the AAOHNS criteria in those patients with OSA symptoms...

Predicting life-threatening complications in deep neck space infections

Deep neck space infections, arising usually from tonsils and lymph nodes in children and dental source and salivary glands in adults can be life threatening. It is therefore important to recognise the variables which indicate immediate intervention to prevent fatalities....

Imaging and embolisation of paragangliomas

Paragangliomas are rare tumours within the head and neck and any article which succinctly jogs the memory with respect to their existence and subsequent accurate diagnosis is welcome. This article concisely explains the imaging techniques used to diagnose these tumours...

Peritonsillar abscess - an indication for tonsillectomy?

Extension of infection beyond the tonsil results in a peritonsillar abscess and is a frequent emergency presentation in otolaryngology. In many places one episode of peritonsillar abscess is not considered an indication for emergency or interval tonsillectomy and future episodes...

Are elective neck dissections needed during salvage laryngectomy?

There has recently been a move away from elective neck dissections in the setting of salvage laryngectomy. This has mainly resulted from an appreciation of the increase in morbidity, in particular pharyngocutaneous fistula formation, and an improvement in cross-sectional imaging...

Is posterior epistaxis really ‘posterior’?

In absence of any clear bleeding points seen on the septum, it is generally presumed that the epistaxis is posterior, especially when simple cauterisation of the septum does not help and may progress to sphenopalatine ligation. In this publication, the...