Reconstructive surgery: today and tomorrow

published_or_final_versio

Recent advances in the management of nasopharyngeal carcinoma

Developments in serology tests, imaging studies and endoscopic examinations contribute to early diagnosis of nasopharyngeal carcinoma. The primary treatment modality is radiotherapy. When tumour recurs after radiation, then surgical salvage contributes to a better prognosis.published_or_final_versio

Commentary: Head and neck carcinomas in the developing world

published_or_final_versio

Medialisation thyroplasty for unilateral vocal fold paralysis associated with chronic pulmonary tuberculosis

Improved hygiene and public awareness have led to a steady decline in the incidence of pulmonary tuberculosis in developed countries. Nonetheless, long-term sequelae like unilateral vocal fold paralysis should not be underestimated in a modern society. We report three patients with chronic lung fibrosis following pulmonary tuberculosis leading to unilateral vocal fold paralysis. All three patients had hoarseness and chronic aspiration on swallowing. Early diagnosis and prompt surgical intervention are essential if this potentially fatal complication is to be prevented.published_or_final_versio

Recurrence of carcinoma of tongue after irradiation-result of surgical salvage

Conference Theme: Challenges to specialists in the 21st centurypublished_or_final_versio

Reconstructive surgery for burn patients

Reconstructive surgery in burn patients is difficult because of the intense scarring and the necessity to carry out multiple operative procedures for different reconstructive needs in a single patient. The primary aim of the surgeon is to prevent hypertrophic scar by early wound closure, and proper postburn treatment using a combination of silicone gel, splinting, and pressure therapy. Reconstructive procedures should be deferred until the wounds have matured. Accurate preoperative assessment and appreciation of the true tissue deficiency, appropriate application of different reconstructive options, and the establishment of the priorities of reconstruction in relation to individual requirements are essential for a successful outcome. In general, functional needs have to be met before attending to aesthetic concerns and priority should be given to restore active before passive function. Different reconstructive options using direct closure, skin grafts, flaps, free tissue transfer, and tissue expansion are discussed.published_or_final_versio

Minimally invasive treatment of oligometastasis in the liver in recurrent nasopharyngeal carcinoma

published_or_final_versio

Family physician and the specialist in contemporary medical practice

published_or_final_versionlink_to_subscribed_fulltex

Implantable bone-anchored hearing aids to solve hearing problems

published_or_final_versio

The role of the fibreoptic bronchoscope in otorhinolaryngological practice

Flexible fibreoptic bronchoscope has been employed in the examination of the nasopharynx, pharynx, larynx, trachea, bronchus and intrathoracic oesophagus under local anaesthesia. It is used either for diagnostic or therapeutic purposes. A total of 1690 procedures have been performed with no complication. The indications and findings in these procedures are listed. The advantages and limitations of the use of flexible fibreoptic bronchoscope as a 'panendoscopic examination' instrument are discussed.published_or_final_versio