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Journal 2010 ENT Cover 2010_vol3_no1_v3:ENT 23/10/10 14:41 Page 1 Welcome to a world of fluticasone furoate Journal of allergic rhinitis relief... Nasal and ocular ® symptom relief ENT MASTERCLASS Journal of Avamys is an intranasal steroid ENT MASTERCLASS providing relief from both nasal and ocular allergic rhinitis symptoms.1-4 It’s a once daily therapy5 available ® in an advanced device.6-8 VOL: 3 No: 1 VOL: 3 No: " 2 ' # 1 ) 3 D 0"+"E > ! - ' , ( * 2 7$$A@0-4#447# ! , * % , & 5 7$$C "# $ * $ # < ."/ >" 5; ( - # ! " 3&$ 453 " * 6 ##$ % " ( ) # 5 1 -#7$ -8 33 ! ! " 7$$:@1-ACF:$# "&& ' *+ , # .92#2$:23432$$4' # %0 ' , # / ,/ : < "/ >"/ 5 # ! !! F % " && ; "/ "0 ,"9<$11"9 = ' # > 7$#$ , F $%%&@//0#- ( ) " ##$ 74# Year Book 2010 " * && 5 ' A / >"/ 5" 5; ! !! F % # + , & # * 5 , 7$$:@//0#-74$ " / , =$A$$77#33# Volume 3 Number 1 - , . , " G/ , = 7$#$ * - 5 ? * / , = - ," " " # -9=2!!2$$742#$E -! 7$#$ - # # !**>">'"' 6 % / 7$$:@.-#$:A#$A3 7 = +<"1 '0"/> ! - 0 0 7$$:@//0-#34$#34: " , * 4 > '"0 <"+ ! . ##$B 1 2 6 7$$C@-#4C4#3$# ENT Cover 2010_vol3_no1_v3:ENT 23/10/10 14:41 Page 2 JOURNAL OF ENT MASTERCLASS® * )" +-,*$ # )" +-,*$ ENT MASTERCLASS® COURSES )" +-,*$ CALENDER 2011-12 ! %& ' ® ( 7TH ANNUAL NATIONAL ENT MASTERCLASS đƫ* 28th-30th Jan 2011 Doncaster Royal Infirmary ! 7 4TH NATIONAL THYROID AND SALIVARY đƫ * ® 6 4 GLAND MASTERCLASS 25th June 2011 Doncaster Royal Infirmary đƫ* 5 ! ! ® 2ND NATIONAL ENT RADIOLOGY MASTERCLASS -7 0/ 7. 26th June 2011 Doncaster Royal Infirmary .% 8 & & 5 . 9*6 33' $' % . 4 ® ( 8 4TH NATIONAL TRACHEOSTOMY MASTERCLASS 4 55 .3 5 .!//#2 #1///0. 24th September 2011 Doncaster Royal Infirmary For further information please email [email protected] 5TH NATIONAL ENT NURSING MASTERCLASS® 25th September 2011 Doncaster Royal Infirmary 8TH ANNUAL NATIONAL ENT MASTERCLASS® 27th-29th Jan 2012 Doncaster Royal Infirmary FOR COURSE DETAILS, REGISTRATION FORMS AND AUTHOR GUIDELINES VISIT WWW.ENTMASTERCLASS.COM 1 "1.0. &()$,+&+%,'&& '(* * ( %!!"#+ 8/&.&22 3 YEAR BOOK 2010 VOLUME 3 NUMBER 1 JOURNAL OF ENT MASTERCLASS® Volume 3 Issue 1 December 2010 Contents Chairman’s Comment and Editorial Board: 3 Editorial 4 Branchial Anomalies 6 Emma Stapleton, Neil Bateman, Sheffield Down’s syndrome – ORL H & N manifestations 11 D. Crampsey, H. Kubba. Assessment and surgical intervention of the paediatric laryngeal airway 16 Micheal Kuo, Channa Panagamuwa Aetiology and treatment of ranula 22 J. D Harrison. Complications of Sinus Surgery – Prevention and Management 26 Ajith P George, Derek W Skinner. Recurrent nasal polyposis 32 John M. Wood, Jonathan C. Hobson, Simon Carney. Sinonasal Inverted Papilloma 38 E J Chisholm, Valerie Lund Management of Snoring 43 Amr Salem, Anshul Sama. Principles of Augmentation Rhinoplasty 50 Simon Watts. Endoscopic middle ear surgery 56 N Gibbins, D A Bowdler, Update on management of Cholesteatoma 60 Esmond Carr, Professor Henry Pau ORL manifestations of Neurofibromatosis: Investigation and Management 63 Anooj Majithia, Professor Shak Saeed The discharging ear 68 A Amin, Alec Blayney. A review of Tinnitus treatments. Part 1 73 Tomisina Mehan, Mr Neil Fergie, Miss Claudia Nogueira. Why do we follow up Head and Neck cancer patients? 83 Professor Pat Bradley. 1 JOURNAL OF ENT MASTERCLASS® The Effects of Stored blood transfusion components in Head & Neck Squamous Cell Cancer 89 Upile T, Jerjes W , Mahil J, Harris A T, Sudhoff H, Hopper C Nerve monitoring in Otolaryngology 99 James Bowman, Professor Mike Gleeson. Paragangliomas of the Head and Neck 103 T P C Martin, Richard M Irving. The current use of PET-CT in Head and Neck cancer 108 Professor Remko De Bree, Surgical Management of Locally Invasive thyroid carcinoma 112 N G Iyer, Professor Ashok Shaha. Nutrition in Head and Neck Cancer 118 R Donnelly, L Freeman . Tuberculosis in the Head and Neck 121 S Shyam Kumar, Rohit Verma, Professor Alok Thakar. The role of Co-morbidity in Head and Neck Cancer 129 Susannah Penney, Vinidh Paleri. Evaluation and Decision making for continued curative treatment in patients who failed chemo-radiotherapy for Nasopharyngeal Carcinoma 135 Raymond K Tsang, Professor William I Wei Disclaimer: The individual authors have responsibility for the integrity of the content of the manuscripts. 2 YEAR BOOK 2010 VOLUME 3 NUMBER 1 JOURNAL OF ENT MASTERCLASS® Welcome to Volume 3 Issue 1 of Journal of ENT Masterclass® 2010 The ENT Masterclass is now “of age” and is firmly established itself into the annual calendar of post-graduate education for all medical residents, nurses and many related to the practice of Oto-Rhino-Laryngology, Head and Neck Surgery (ORL-HNS) in the United Kingdom. Editor: This year 2010 has been another very successful period for ENT Mr. M S Quraishi Masterclass, continuing with the 6th Annual ENT, 3rd Tracheostomy and 3rd FRCS (Eng) FRCS (ORL, H&N) Thyroid and Salivary Masterclass’s. In true “Q” style, during previous Consultant ENT Surgeon Masterclass sessions he became aware for the additional needs of the Hon Senior Lecturer in Surgical medical residents the need for a National ENT Radiology Masterclass which Oncology was held in June 2010. Also the 6th Annual ENT Masterclass, January 2010, Doncaster Royal Infirmary the proceedings was transmitted Free Live International Webcast to the Doncaster, UK World of ENT audience on http://www.dbh.nhs.uk/entmasterclass receiving E-mail: over 2000 hits from 31 countries. It was supported by the Doncaster Royal [email protected] Infirmary and their IT staff and can still be viewed as a recording. A similar programme for next year has been planned and will be repeated. The Journal of ENT Masterclass, now in its third year, continues to be a success. On this occasion the Editorial Board has contributed and with 24 articles from National and International experts across the breadth and depth of ORL-HNS. Five International ORL-HNS have provided us with their views on important topics on which they are truly “experts”, and also included is a Chairman Editorial Board: comprehensive review by a London based consultant in OMFS on the Prof. P J Bradley MBA FRCS aetiology and surgical treatment of ranulae, which has been a “life’s -work”. Consultant ENT Surgeon To all we must be ever grateful. Head & Neck Oncologist University Hospital This year we are adding Professor Alok Thakar, India to our Editorial Board. Nottingham, UK The Board will remain stable otherwise this year and will help to formulate E-mail: [email protected] and commission articles for future issues of the Journal. Sadly during this year Doncaster Royal Infirmary lost Mr Nigel Clifton OBE, Editorial Board: who was their Chief Executive for many years and a great supporter to ENT Masterclass. He will be sadly missed for his encouragement and provision of Mr A Blayney (Eire) the hospital facilities whenever desired or required. Luckily, the present and Mr K MacKenzie (UK) current management of Doncaster Royal Infirmary continues to give their Prof A Narula (UK) support for ENT Masterclass, during the current financial constraints and Prof S R Saeed (UK) NHS “trying times”. Mr A Sama (UK) Mr R Simo (UK) As usual, The Journal welcomes suggestions and comments on how to Mr D W Skinner(UK) better the Masterclass concept! The web site www.entmasterclass.com Prof G S Weinstein (USA) remains open and available to all! If direct contact is more desirable then Prof S Carney (Australia) please make contact directly with either the Editor or Chairman. Prof Alok Thakar (India) The Journal of ENT Masterclass, and the many Annual Masterclasses, thanks each and everybody who have helped organise and supported these ENT Masterclass®, projects over the past few years, and we hope that with your continued 106 Nottingham Road, Ravenshead, support that the venture will continue to thrive and attract large audiences Nottingham for future years! NG15 9HL England Professor Patrick J Bradley, MBA, FRCS Chairman of the Editorial Board, Journal of ENT Masterclass, www.entmasterclass.com Nottingham. E-mail: [email protected] November 2010. 3 JOURNAL OF ENT MASTERCLASS® Editorial: Case Reports, Clinical and Personal Audit and Evidence Based Medicine – Is it all necessary? Introduction: described as a most misunderstood tool. Today, In the modern world of post-graduate medical MEDLINE lists more than one million case reports, education and training, writing has become a and this number increases at a rate of 40,000 per compulsory, as a “rite of passage” to being year2. In January, 2007 the first peer-reviewed
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