We report a rare case of a temporal bone encephalocele after a canal wall down mastoidectomy performed to treat chronic otitis media with cholesteatoma. The patient was treated successfully via an intracranial approach. An enhanced layer-by-layer repair of the encephalocele and skull base deficit was achieved from intradurally to extradurally, using temporalis fascia, nasal septum cartilage, an...

Methods Consenting standards were compiled from ENT UK / BAOHNS patient leaflets for tonsillectomy, grommet insertion, septoplasty, rigid oesophagoscopy, functional endoscopic sinus surgery (FESS) and mastoidectomy. Prospective analysis of complications documented on consent forms was performed (n = 56). Deficient areas were raised amongst the department and pre-prepared stickers were produced ...

Patients who have had middle-ear or mastoid surgery are at an increased risk of developing cerebrospinal fluid (CSF) otorrhoea. The CSF leak is usually from defects in the tegmen or posterior cranial fossa. We present a patient with CSF otorrhoea following a modified radical mastoidectomy seven years ago. There was an unusual communication between the internal auditory meatus (IAM) and the midd...

Acute otitis media complications are relative rare since the introduction of antibiotics. Still many controversies exist on the diagnosis and treatment of some of them. In this report we describe a pediatric case of upper cervical abscess (bezold abscess), sigmoid sinus thrombosis and occipital osteomyelitis following mastoiditis, presenting with persistent fever and otorrhea. The patient respo...

Malignant otitis externa is an inflammation of the external auditory canal with preceding osteomyelitis temporal bone and adjacent structures that could be potentially lethal. may present cranial nerve involvements massive spread disease mimicking nasopharyngeal carcinoma or any other malignancies on imaging. Two elderly patients who presented severe otalgia significant facial palsy lower palsi...

OBJECTIVE We aim to test the effectiveness, accuracy, and usefulness of an automated feedback system in facilitating skill acquisition in virtual reality surgery. STUDY DESIGN We evaluate the performance of the feedback system through a randomized controlled trial of 24 students allocated to feedback and nonfeedback groups. SETTING The feedback system was based on the Melbourne University t...

Gradenigo syndrome (GS) was described primarily in the paediatric population, especially pre-antibiotic era. GS is rarely reported elderly post-antibiotic We present rare case of a 67-year-old man who presented with an incomplete triad symptoms (without abducens nerve palsy) that failed medical therapy and successfully treated surgical intervention (mastoidectomy petrous apicectomy). Physicians...