The Otorhinolaryngologist has been accredited by ENT-UK for the purposes of providing ENT specialists with online eLearning Continuing Professional development.The content of the publication covers a range of CPD related topics including "Clinical reviews", "Operative techniques", "Case reports" and a "Trainees section". The articles are all peer-reviewed.
APPROVED CPD CENTRE.
Satisfactory completion of the CPD assessment related to any SINGLE article, that is attaining a minimum threshold of 70% correct responses, will permit the participant to download a certificate of CPD completion, with an indication of 1 hour CPD activity. Clinicians should only claim credit commensurate with the extent of their participation in the activity.
Cerebrospinal fluid (CSF) rhinorrhea occurs when a breakdown in the integrity of the anterior skull base is associated with communication between the subarachnoid space and the nasal cavity. The aim of surgical repair is to re-establish the barrier between the nasal cavity and intracranial cavity, restoring anatomy, preserving physiological function and reducing the likelihood of ascending infection. The endoscopic repair of anterior skull base defects is now common practice ever since it was first described by Wigand et al in 1981, albeit, using evolved techniques and graft materials.1 It is associated with high success rates and low complication rates.
This is a coronal view of a Computerised Tomography (CT) scan of the paranasal sinuses. It shows complete opacification of the left frontal sinus with areas of calcification within. The sinus appears to be expanded and exhibits features of thinning of the surrounding bone. From this particular image, it does not appear that there is extension into the orbit.
These are a series of T2 weighted MRI images, in axial, coronal and sagittal planes. There is no information regarding the patient’s demographics or preceding history. The most obvious abnormality appears to be a well circumscribed lesion in the left parapharyngeal space. It appears to carry a uniform high intensity signal on T2 imaging but I cannot comment on T1 imaging as this is not shown. It does not demonstrate any signs suggestive of local infiltration and instead the great vessels have been displaced posteriorly. There are no other lesions of note.
Prevertebral abscesses are an uncommon but serious and potentially life threatening form of deep neck space infection (DNSI). DNSI can occur in any of the potential spaces within the neck and are often secondary to odontogenic or upper respiratory tract infections. We present the rare case of an extensive Tuberculosis (TB) prevertebral abscess with associated cervical spine involvement in a 32 year old immunocompetent male patient. This was definitively managed with insertion of a radiologically guided trans-cervical drain and anti-tubercular chemotherapy. The aim of this case report is to highlight an unusual case of extrapulmonary TB that was successfully treated without surgical incision and drainage. We also present an overview of the current literature.
Choanal atresia is a malformation in which the nasal passages do not open onto the pharynx . It is relatively uncommon but important cause of nasal obstruction in children. This review provides an overview of the aetiology, diagnosis and management of choanal atresia. It includes a review of the available literature on the subject, particularly the surgical management and adjunct treatments such as nasal stents. We have also included a section on assessment questions with answers provided, to highlight certain key learning points.