There is a statistically significant increase in the number of otolaryngologists sending routine T&A specimens for "gross only" and "no pathology." There was no correlation between the type of practice and changes in pathologic analysis performed.

The ongoing COVID-19 outbreak has created obstacles to health care delivery on a global scale. Low- and middle-income countries (LMICs), many of which already suffered from unmet surgical and medical needs, are at great risk of suffering poor health outcomes due to health care access troubles brought on by the pandemic. Craniofacial outreach programs (CFOP)—a staple for craniofacial surgeons—have historically provided essential care to LMICs. To date, there has not been literature discussing the process of resuming CFOP mission trips. Herein, we propose a roadmap to help guide future journeys, as well as summarize practical considerations.

SUMMARY Patients in a randomised controlled trial were chosen either to have iris clip lens implantation after intracapsular cataract extraction or intracapsular extraction only. They were assessed in terms of corneal thickness, postoperative epithelial oedema, and endothelial cell counts. All patients had 1 eye submitted to operation, which was carried out by the same surgeon. There was significantly greater increase in corneal thickness (P <0-05) on the 5th postoperative day in eyes which had lens implants (23 patients with intracapsular extraction and 19 with implant), but the difference between the 2 groups became insignificant at 1 month (17 patients in each group).Daily corneal thickness measurements and observations of epithelial oedema in a subgroup (20 patients divided equally into 2 groups) showed that postoperatively there was greater and more widespread corneal oedema after implant surgery. When the operated eye was compared with the unoperated eye, endothelial cell loss was significantly greater in those with implants (P<0-01) than in those with simple intracapsular extraction.Intraocular lens implantation after cataract exti-action has regained general acceptance and is now widely practised. The reported incidence of various complications differs considerably, but the incidence of intractable corneal oedema would seem to be greater than expected from simple cataract extraction. This is also a complication which may be related to the trauma of additional steps entailed in implant surgery. Binkhorst and Leonard (1967) reported initial results in 124 eyes, treated over a period of 7 years and did not observe a single case of intractable corneal oedema. Jardine and Sandforth-Smith (1974) had reported an incidence of 10 % in 70 cases. Pearce (1972, 1975), Jaffe and Duffner (1976), and Duffner et al. (1976) have reported an incidence of between 1P5 and 36y% of serious corneal oedema. Pearce (1975) also reported an incidence of 13 2y% of minor oedema which had not interfered with vision in the eyes studied.

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The data suggest that there is no increased prevalence of structural renal or cervical vertebral anomalies in patients with isolated microtia and/or aural atresia. Therefore, these patients do not require routine screening renal ultrasound or cervical spine X-rays.