B-ENT
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Leksel Gamma Knife (LGK) radiosurgery is a safe and efficient therapeutic approach for vestibular schwannoma (VS) with low side effects. The goal of radiosurgery is not necessarily to cause significant tumour necrosis or to obtain a complete radiographic response, but to halt the tumour's growth permanently through its biological elimination. The 2 major aims of radiosurgery for VS are long-term tumour control and functional hearing preservation. The purpose of this study is to report our experience with LGK radiosurgery in the management of VS and to evaluate the hearing preservation rate after a minimum one-year follow-up. ⋯ LGK radiosurgery provides excellent tumour control in vestibular schwannomas and has low toxicity even after long-term follow-up.
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Randomized Controlled Trial Comparative Study
Comparative study of complete nasal packing with and without airways.
To study and compare the effects of complete nasal packing and nasal packing with airways (uni/bilateral) on blood pressure, arterial oxygen saturation, middle ear pressure, and post-operative subjective complaints. ⋯ Nasal packing with an airway may help to reduce post operative morbidity and reduce the risk of hypoxemia.
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Case Reports
Laryngeal foreign body aspiration misdiagnosed as asthma: two case reports and a review of the literature.
Children who aspirate a foreign body initially present with choking and subsequently present with respiratory syndrome symptoms. However, foreign body aspiration can mimic other illnesses, causing some difficulties in diagnosis. ⋯ Foreign body aspiration should be considered a differential diagnosis for asthma. The delay in diagnosis could have been avoided by paying more attention to the medical history and by performing a more through initial examination.
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Recent advances in technology and techniques in neurosurgery and otolaryngology have revolutionised skull base surgery with the introduction of endoscopic endonasal approaches. One of the greatest limitations of endoscopic endonasal skull base surgery is the repair of osteodural defects. Numerous reconstructive techniques have been developed that maximise endoscopic endonasal approach efficacy and minimise complications. ⋯ Free tissue transfer remains the mainstay for the reconstruction of smaller defects. However, local vascularised flaps and the nasoseptal flap in particular now play a pivotal role in the reconstruction of larger defects. These flaps have significantly reduced the morbidity and risk of post-operative CSF leaks after endoscopic endonasal approaches.