No abstract

This study shows that 87.0% of children have VTs inserted in accordance with NICE guidelines providing exceptional cases are included, but only 32.2% comply with the core criteria. A significant number have surgery due to the invoking of exceptional criteria, suggesting that clinicians are personalising the treatment to each individual child.

Both patients underwent successful removal of their migrated dental implants with no complications, and neither required any follow-up intervention.

Caucasian people form an unexpectedly large, and Asians a smaller proportion of emergency epistaxis admissions. The possibility of an ethnic risk factor for epistaxis warrants further investigation.

Cholesterol granulomas are the most common lesion of the petrous apex. Traditionally, lesions of the petrous apex have been accessible via open, infracochlear, and transtemporal approaches. We describe two cases in which the endoscopic transsphenoidal approach was used to manage this lesion. The design of this study is as a review of new endoscopic approaches. The setting of the study is a tertiary referral unit in a London teaching hospital. Case 1: A 53-year-old man diagnosed with bilateral cholesterol granulomas of the petrous apices. Case 2: A 32-year-old woman diagnosed with a rightsided cholesterol granuloma of the petrous apex. The main outcome measures were symptom resolution and postoperative complications. An endoscopic transsphenoidal approach was used in the first case. In the second case, the lesion was approached through the nasopharynx, an approach that has not been described previously. Both patients' symptoms resolved and no complications occurred. Transsphenoidal endoscopic removal of cholesterol granulomas is a recent advance in the extended applications of sinus surgery. It allows for a less invasive procedure with markedly less associated morbidity.