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Acute dacryocystic retention
This is a retrospective study of patients with acute dacryocystic retention (ADR). The condition is distinct from infectious dacryocystitis, and is chararcterised by an acute onset of pain and epiphora associated with a tender but not inflamed lacrimal sac thought...
Maxillomandibular advancement for sleep apnoea
This is a meta-analysis compiled from India. Of the initial 103 publications 20 were analysed. Surgical cure was defined as postsurgical AHI of fewer than five events per hour. Of the 251 patients assessed for AHI, 12 where considered normal,...Perceptions and deceptions: a personal blog by the editor 8 December 2016
A Death in Hong Kong An evolving essay and insight into medicine and the law in contemporary Hong Kong (part two). The death of a young person. A fit and healthy person. A person for whom adult life has only...UK allergy crisis: deploy the ‘LIMED’ mnemonic
In response to the revelation that allergies now cost the NHS approximately £900 million pounds per year, Professor Frame and colleagues in Chelmsford explain why the mnemonic ‘LIED’ needs to be updated.
Transnasal endoscopic choanal atresia surgery
Surgery is currently the only definitive treatment for congenital choanal atresia (CCA). There are various surgical approaches including transnasal, transeptal or transpalatal. The authors propose that the preferred option is transnasal endoscopic choanal atresia surgery (TECAS) and set out to...
Better outcomes from early repair of type B blow-out fractures
This paper examines whether early, rather than late, surgical repair results in better motility outcomes for a particular subgroup of orbital floor blowout fractures. The authors divide floor fractures into types A and B, depending on whether or not the...
Avoiding pre-placed recti sutures in enucleation
This is a retrospective review of 40 patients who underwent enucleation using a non-conventional technique in which the recti muscles were detached from the sclera without pre-placing any sutures to secure the cut muscle ends. The surgery was only performed...
