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Postauricular advancement flap for partial helix defect repair

1 March 2015 | | Head and Neck, Skull Base Surgery | Conchal cartilage graft, Ear reconstruction, Helix defect, Postauricular advancement flap
Ear defects can be the result of trauma, burns or ablative surgery. The three dimensional structure of the pinna presents a difficult reconstructive challenge as successful ear reconstruction requires both similar tissue cover and a supporting framework. Partial ear reconstruction...

Polydioxanone in septal reconstruction

1 September 2014 |
Septal reconstruction is a challenging problem and is undertaken for functional or cosmetic reasons, or a combination of both. Either autologous cartilage, commonly auricular, or other alloplastic material can be used. The authors describe the use of a Polydioxanone (PDS)...

Percutaneous tracheostomy in anticoagulated patients

27 February 2020 | | Laryngology / Swallowing / Voice, Head and Neck | Dilatation percutaneous tracheotomy, anticoagulant therapy, bleeding complications, intensive care unit
This Belgian study looked at the risks and complications of bedside percutaneous tracheostomy in patients who received anticoagulant therapy. The 231 tracheostomies included in the study were performed over an eight-year period by two otolaryngologists using bronchoscopic guidance. The mean...

Widen the ostium or keep it: that is the question

1 May 2019 | | Rhinology / Sinus | Nasal polyposis, ethmoidectomy, Paranasal sinuses, Sinus ostium, olfaction
The original concept of wide endoscopic sphenoethmoidectomy for sinonasal polyposis has been a well-established principle since 1995. However, with the evolution of the understanding of sinonasal physiology, this might change. The authors present arguments based on the evolutionary and developmental...
American Journal of Rhinology & Allergy cover image.

More aggressive FESS for recalcitrant CRS is the key

3 November 2023 | | Maxillofacial Surgery, Rhinology / Sinus | modified medial maxillectomy
This is an interesting paper assessing the effectiveness of endoscopic modified medial maxillectomy (MMM) in cases of recalcitrant chronic rhinosinusitis (CRS), (the technique was also used for tumours, cystic fibrosis, FB, odontogenic disease and AFS) in 551 patients. The technique...

Minimal or not so minimal?

1 March 2017 | | parathyroidectomy, Parathyroid adenoma, Primary hyperparathyroidism, Minimally invasive surgery, Video-assisted, cervicotomy
Parathyroidectomy is usually a straightforward technique when the target gland has been accurately determined. Surgical excision is usually through a small midline incision. With the advent of video assisted surgery, trials have been made to use this technique in parathyroidectomy....

ENT in this issue...Rhinoplasty

1 July 2019 |
Joanne Rimmer, MBBS, MA(Hons)Cantab, FRCS(ORL‑HNS), Consultant Otolaryngologist / Rhinologist, Monash Health, Melbourne, Australia. E: rimmer.joanne@gmail.com Rhinoplasty may be done purely for aesthetic reasons, as an essential part of a functional septorhinoplasty, or for a combination of both cosmetic and functional...

CO2 Laser Dohlmans: Does It Still Have A Role In Pharyngeal Pouch Management?

1 March 2015 | | Head and Neck, Laryngology / Swallowing / Voice
Background The commonest active management of a pharyngeal pouch is the division of the “interparty” wall using a stapling device [1, 2]. The technique is relatively straight forward to perform and theoretically should have less complications than other techniques such...

Endoscopic middle ear surgery for cholesteatoma treatment

1 May 2016 | | ENT, Otology
A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...

Bipolar microdebrider turbinoplasty

1 September 2019 | | ENT, Rhinology / Sinus
There are a variety of ways to reduce the bulk of hypertrophied turbinates. Kimberley Lau and Showkat Mirza describe their technique which can be used in difficult cases and with minimal morbidity. As ever, one aim should be to avoid...

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...

The making of a paediatric airway surgeon: In conversation with David Albert

31 October 2018 | | Paediatric ENT, ENT, Audiology - Paediatric
Michael Kuo interviews David Albert to find out what drew him to paediatric airway surgery, the mentors who shaped his surgical approach, and to ask his advice for budding young paediatric airway surgeons. David Albert. When did you first get...