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Cinch suture: Does it work?

1 March 2018 | | Le Fort I osteotomy, alar base width, cinch suture, nasal width, stability
Flaring of the nostrils is a common side-effect of a maxillary osteotomy. At times flaring is minimal or of no significance. In some instances, it can be a significant postoperative concern to the patient, even to the extent of declining...

To use or not to use: absorbable sutures for facial wounds

1 May 2019 | | Speech and Language Therapy | Absorbable, Cosmetic outcomes, Facial wounds, Non-absorbable, Suture material
This systematic literature review looked at studies comparing facial skin closure with absorbable versus non-absorbable sutures. Studies not published in English or looking at areas other than the head and neck, and studies focused on suture technique rather than material...

Double suspension sutures for obstructive sleep apnoea

1 March 2019 | | Laryngology / Swallowing / Voice | Double suspension sutures, Modified anterior palatoplasty, Obstructive Sleep Apnea
This study examines the benefit of an operation that targets the lateral pharyngeal wall. The double suspension sutures are, in essence, a suture through the palatopharyngeus muscle which is then tied around the hamulus in the retro molar area. This...

Coupler microvascular anastomoses: how good?

1 November 2014 | | ENT, Maxillofacial Surgery, Skull Base Surgery | Anastomosis, Computational modelling, Coupled, Coupler, Microvascular, Sutured
This paper is written by a group of reconstructive surgeons and a school of computing. The study used computational fluid dynamics to model blood flow through idealised sutured and coupled vessels, to investigate if differing anastomotic techniques affect intravascular blood...

Plunging new depths for the treatment of ranulas

1 September 2015 | | Minimally-invasive, Mucous extravasation cyst, Ranula, Salivary gland surgery, Sublingual gland
Within our scope of practice, we encounter a number of salivary gland pathologies, including the sublingual gland. Clinical signs are often subtle, and even with meticulous surgical management, morbidity can easily occur. Textbooks advocate excision of the gland as the...

Gender-affirming voice surgery

4 September 2023 | | ENT, Laryngology / Swallowing / Voice
Professor Ahmed Geneid is a laryngologist and phoniatrician at Helsinki University Hospital and a founding member of the International Association of TransVoice Surgeons. Here, he presents the intricacies and nuances of gender-affirming voice surgery after own hospital’s 30 years of...

Cutting burr otoplasty and conchal setback to correct prominent pinna: a ‘step by step approach’

1 January 2015 | | Otology
Prominent ears can cause significant social and psychological effects on an individual. The two most common anatomical defects for a prominent pinna are an underdeveloped anti-helical fold and / or enlarged conchal bowl. In the senior author’s practice over the...

Rhinoplasty: state-of-the-art

1 May 2017 | | ENT, Rhinoplasty
Rhinoplasty surgery has evolved over the years, and Pietro Palma introduces a further new concept. When flicking through the topics of major rhinoplasty meetings, the astute observer will realise that, at present, there are two mainstream schools of rhinoplasty, which...

Endoscopic arytenoid abduction lateropexy for bilateral vocal cord paralysis in neonates

1 July 2018 | | Laryngology / Swallowing / Voice
We are delighted to publish a further update on the use of the technique for vocal fold lateralisation in neonates from Laszlo Rovo and Shahram Madani, who have previously informed us of this new technique [1]. These cases are rare...

Open septorhinoplasty approach for closure of medium sized septal perforations

1 May 2015 | | Rhinology / Sinus
Septal perforations are difficult problems to treat. There are various causes described in literature such as trauma, inflammatory, cocaine abuse but most often they are due to iatrogenic cause (such as septoplasty) or due to trauma. The symptoms due to...

Pinnaplasty for prominent ears

9 September 2020 | | ENT, Paediatric ENT
Pinnaplasty is a challenging yet rewarding procedure for which many different techniques have been described. In this article the authors describe their favoured technique, including the important postoperative care. Prominent ears can be a source of significant psychological distress in...

Random-pattern skin flaps: part 1 – advancement flaps

3 September 2021 | | ENT, Otology
In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...