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How reliable are PTH levels for the prediction of hypocalcaemia after thyroid surgery?
Hypoparathyroidism is one of the most common complications of thyroid surgery. There is significant controversy in calcium management practices post thyroid surgery. The drop in PTH levels has been used to predict the likelihood of hypocalcaemia after thyroid surgery. But...
Method of delivery: all topical nasal corticosteroids are not made equal
There is an increasing body of evidence that the role of surgery for chronic rhinosinusitis is to facilitate the delivery of topical medical treatment – most notably, topical corticosteroids. Two recent studies, one using flow dynamics and another one examining...Setting up a robotic surgical practice: view from India
Transoral robotic surgery has an established role in head and neck cancer surgery. But how easy is it to set up a service in a resource-constrained environment? Gouri Pantvaidya and Ameya Pai give us a view from the Indian subcontinent....Botulinum toxin injection in spasmodic dysphonia
Spasmodic dysphonia is a rare neurological voice disorder, which is often missed by the inexperienced ear. There is no laboratory test or investigation to diagnose this condition therefore, it is best diagnosed by listening to the patient’s voice. Laryngeal endoscopy...
When should that child’s wet ear be operated on?
The team from Birmingham have provided a meta-analysis to answer the question of when to perform a type 1 tympanoplasty on chronic paediatric perforations (under 18 year olds). Forty-five studies were included which resulted in 2609 cases. Closure rate at...
The snotty child?
This article is interesting for those of us who see children regularly in secondary care but rarely see them with chronic rhinosinusitis. The authors remind the reader of the EPOS guidelines for diagnosis of CRS in children: two or more...
Adenoidal hypertrophy in children with allergic rhinitis
Nasal congestion in children with allergic rhinitis can be confounded by adenoidal hypertrophy. This retrospective Turkish study examines this association in more detail. The sample studied was 566 children (age 2-18) that were diagnosed (based on ARIA guidelines) and treated...
Thyroid and Parathyroid Diseases: Medical and Surgical Management – 2nd Edition
Dr David Terris once again brings a well-written, concise textbook on thyroid and parathyroid diseases. Co-edited by Dr William Duke, the second edition of this book is an excellent reference resource for head and neck surgeons with great attention to...
Robotic Head and Neck Surgery: The Essential Guide
This is a very well-written textbook of robotic surgery in the field of head and neck, written by world-renowned specialists. The book covers the topics of training and education and application of robotic surgery in the management of both benign...Lessons learned from running a national thyroid surgery registry
The UK Registry of Endocrine and Thyroid Surgery is now yielding the rewards of meticulous data collection and years of hard work. David Scott-Coombes discusses the advantages and the unintended consequences of their success. The British Association of Endocrine and...
Thyroidectomy and hypnosis
This is a retrospective study comparing thyroidectomy under conventional general anaesthesia and surgery under hypnosis. Patients are interviewed and evaluated before the surgery and the process explained. During the surgery, they are induced into a hypnotic trance in a controlled...
