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  1. Article ; Online: Management of recurrent pinna haematoma following rugby injury: a surgical approach.

    Hu, Haiyang / Hulse, Kate / Iyer, Arunachalam

    BMJ case reports

    2024  Volume 17, Issue 3

    Abstract: A young adult male developed a left-sided pinna haematoma after a rugby injury. The haematoma reaccumulated after multiple attempts at drainage under local anaesthetic in emergency rooms and required incision and drainage in the theatre under general ... ...

    Abstract A young adult male developed a left-sided pinna haematoma after a rugby injury. The haematoma reaccumulated after multiple attempts at drainage under local anaesthetic in emergency rooms and required incision and drainage in the theatre under general anaesthetic. Intraoperatively, multiple venous bleeding points were identified and these were controlled with bipolar diathermy. The wound was closed and dressed with bolster and crepe bandage. On day 7 postoperatively, the sutures and dressings were removed and the haematoma had not recurred. He returned to playing rugby on day 21 postoperatively and sustained another blunt impact to his left ear. He noticed new swelling over the posterior aspect of the same ear. This was drained via needle aspiration and there was no further reaccumulation of the pinna haematoma.
    MeSH term(s) Young Adult ; Humans ; Male ; Rugby ; Ear, External/injuries ; Ear Auricle ; Anesthetics, Local ; Hematoma/etiology ; Hematoma/surgery
    Chemical Substances Anesthetics, Local
    Language English
    Publishing date 2024-03-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2023-256375
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comparison of the ear packing with Spongostan and Silastic on a cohort of 153 cases undergoing endoscopic ear surgery.

    Angelou, Dimitrios / Slim, Mohd Afiq Mohd / Iyer, Arunachalam

    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

    2024  

    Language English
    Publishing date 2024-04-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2205891-6
    ISSN 1749-4486 ; 1749-4478 ; 0307-7772 ; 1365-2273
    ISSN (online) 1749-4486
    ISSN 1749-4478 ; 0307-7772 ; 1365-2273
    DOI 10.1111/coa.14154
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    Zs.A 1309: Show issues Location:
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  3. Article ; Online: Comparison of endoscopic vs microscopic ossiculoplasty: a study of 157 consecutive cases.

    Coleman, Holli / Tikka, Theofano / Curran, John / Iyer, Arunachalam

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2022  

    Language English
    Publishing date 2022-05-22
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-022-07451-2
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  4. Article ; Online: Cavity obliteration in revision mastoidectomy leads to dry ear and improved quality of life: Our experience in 29 patients.

    Hurley, Rhona / Iyer, Arunachalam

    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

    2020  Volume 45, Issue 4, Page(s) 604–607

    MeSH term(s) Adolescent ; Adult ; Aged ; Chronic Disease ; Female ; Humans ; Male ; Mastoidectomy/methods ; Middle Aged ; Otitis Media/surgery ; Quality of Life ; Reoperation ; Surveys and Questionnaires
    Language English
    Publishing date 2020-04-07
    Publishing country England
    Document type Letter
    ZDB-ID 2205891-6
    ISSN 1749-4486 ; 1749-4478 ; 0307-7772 ; 1365-2273
    ISSN (online) 1749-4486
    ISSN 1749-4478 ; 0307-7772 ; 1365-2273
    DOI 10.1111/coa.13532
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  5. Article ; Online: Spontaneous pneumomediastinum: an uncommon clinical problem with a potential for missed or delayed diagnosis.

    Treharne, Clare / Coleman, Holli / Iyer, Arunachalam

    BMJ case reports

    2021  Volume 14, Issue 2

    Abstract: A 15-year-old man presented with an acute history of facial swelling following a bout of forceful eructation after eating. Subcutaneous emphysema was noted on examination of his left face and neck. He was initially managed with intravenous antibiotics ... ...

    Abstract A 15-year-old man presented with an acute history of facial swelling following a bout of forceful eructation after eating. Subcutaneous emphysema was noted on examination of his left face and neck. He was initially managed with intravenous antibiotics for suspected facial infection. A chest radiograph performed on day 3 of admission identified subcutaneous emphysema of the upper thorax and neck. CT with oral contrast confirmed extensive subcutaneous emphysema of neck, thorax and upper abdomen, with associated pneumomediastinum. The site of air leak was not identified. He subsequently underwent upper gastrointestinal endoscopy and this was normal. Despite the delay in diagnosis, he remained haemodynamically stable, and repeated radiography showed improvement reflecting the benign course of this condition as described in existing literature. There are no previous published reports of spontaneous pneumomediastinum following eructation; therefore, high clinical suspicion should be maintained in this presentation.
    MeSH term(s) Adolescent ; Delayed Diagnosis ; Edema ; Eructation/complications ; Face ; Humans ; Male ; Mediastinal Emphysema/diagnostic imaging ; Mediastinal Emphysema/etiology ; Radiography, Thoracic ; Subcutaneous Emphysema/diagnostic imaging ; Subcutaneous Emphysema/etiology ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-02-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2020-238700
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Validation of the novel Deep Reality Viewer (DRV) 3D digital stereo viewer in otology surgery.

    Milner, Thomas D / Denton, Oliver / Moen, Christy M / Iyer, Arunachalam

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2022  Volume 279, Issue 10, Page(s) 4839–4845

    Abstract: Purpose: Magnification with accurate optic reproduction of the surgical field is essential in otology surgery, but current technologies are subject to specific disadvantages. This study aims to evaluate a novel 3D digital stereo viewer, the Deep Reality ...

    Abstract Purpose: Magnification with accurate optic reproduction of the surgical field is essential in otology surgery, but current technologies are subject to specific disadvantages. This study aims to evaluate a novel 3D digital stereo viewer, the Deep Reality Viewer (DRV), in otology surgery, in comparison to both a 2D monitor and the gold standard of microscopy.
    Methods: In this prospective clinical research study, ENT consultants and trainees evaluated visual and practical applications of the DRV. In visual assessment, participants (n = 11) viewed pre-recorded in vivo mastoid exploration displayed on a 2D monitor and the DRV screen. In practical assessment, participants (n = 9) performed otology surgical tasks on a cadaveric human head using both the microscope and DRV. Face, task-specific (TSV) and global content (GCV) outcomes were assessed using 5-point Likert scale questionnaires. Construct validity was assessed separately.
    Results: The DRV achieved the pre-determined validation threshold of 4 for all validation parameters in both visual and practical assessment. The DRV significantly outperformed the 2D monitor in fourteen of 16 parameters. In comparison to microscopy, there was no significant difference in 13 of 16 parameters, with the DRV significantly outperforming in the remaining 3: defining anatomy (GCV), assessing middle ear anatomy (TSV) and overall TSV. Construct validity was not demonstrated for either technology.
    Conclusion: The DRV achieved the validation threshold for all parameters, and outperformed the 2D monitor and microscopy in several parameters. This validates the DRV for performing otological procedures, and suggests that it would be a useful alternative to the gold standard of microscopy in otology surgery.
    Level of evidence: N/A.
    MeSH term(s) Ear, Middle ; Humans ; Mastoid ; Otolaryngology ; Otologic Surgical Procedures ; Prospective Studies
    Language English
    Publishing date 2022-02-22
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-022-07305-x
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  7. Article ; Online: Audit of post-operative pain scores after endoscopic and microscopic ear surgery.

    McCallum, Rhona / Mohd Slim, Mohd Afiq / Iyer, Arunachalam

    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

    2022  Volume 47, Issue 2, Page(s) 369–374

    MeSH term(s) Adult ; Ear Diseases/surgery ; Endoscopy/methods ; Female ; Humans ; Male ; Middle Aged ; Otologic Surgical Procedures/methods ; Pain Measurement ; Pain, Postoperative/classification ; Pain, Postoperative/drug therapy ; Prospective Studies
    Language English
    Publishing date 2022-01-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2205891-6
    ISSN 1749-4486 ; 1749-4478 ; 0307-7772 ; 1365-2273
    ISSN (online) 1749-4486
    ISSN 1749-4478 ; 0307-7772 ; 1365-2273
    DOI 10.1111/coa.13904
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  8. Article ; Online: Learning curve in endoscopic tympanoplasties: A prospective study based on outcomes of 141 cases.

    Fradeani, Dario / Milner, Thomas Daniel / Iyer, Arunachalam

    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

    2021  Volume 46, Issue 4, Page(s) 888–892

    MeSH term(s) Adult ; Endoscopy/education ; Female ; Humans ; Learning Curve ; Male ; Prospective Studies ; Tympanoplasty/education
    Language English
    Publishing date 2021-03-10
    Publishing country England
    Document type Letter
    ZDB-ID 2205891-6
    ISSN 1749-4486 ; 1749-4478 ; 0307-7772 ; 1365-2273
    ISSN (online) 1749-4486
    ISSN 1749-4478 ; 0307-7772 ; 1365-2273
    DOI 10.1111/coa.13746
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  9. Article ; Online: Comparison of outcomes of endoscopic ear surgery with microsurgery for cholesteatoma: A prospective study of 91 cases with three-year follow-up.

    Curran, John Frederick / Coleman, Holli / Tikka, Theofano / Iyer, Arunachalam

    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

    2021  Volume 47, Issue 1, Page(s) 197–202

    MeSH term(s) Cholesteatoma, Middle Ear/surgery ; Endoscopy/methods ; Follow-Up Studies ; Humans ; Microsurgery/methods ; Otologic Surgical Procedures/methods ; Prospective Studies
    Language English
    Publishing date 2021-09-20
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 2205891-6
    ISSN 1749-4486 ; 1749-4478 ; 0307-7772 ; 1365-2273
    ISSN (online) 1749-4486
    ISSN 1749-4478 ; 0307-7772 ; 1365-2273
    DOI 10.1111/coa.13856
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  10. Article ; Online: Sinogenic polymicrobial anaerobic orbital cellulitis: the importance of source control and broad empirical antibiotics.

    Blunsum, Andrew / Treharne, Clare / Tikka, Theofano / Iyer, Arunachalam / Tsarfati, Elan Micha

    BMJ case reports

    2022  Volume 15, Issue 3

    Abstract: A man in his twenties with a history of recurrent sinusitis was urgently referred to the emergency department (ED) by an out-of-hours general practitioner following a 2-day history of increasing right eye pain, redness and swelling after a week of ... ...

    Abstract A man in his twenties with a history of recurrent sinusitis was urgently referred to the emergency department (ED) by an out-of-hours general practitioner following a 2-day history of increasing right eye pain, redness and swelling after a week of coryzal symptoms. He denied visual impairment and any history of recent dental pain or procedures. Initial assessment in ED noted fever, tachycardia and hypotension. Video consultation with ophthalmologist in the ED identified proptosis, periorbital erythema and chemosis with full eye movement solely affecting the right eye. Visual acuity of 6/6 was confirmed in both eyes. After review by the ear, nose and throat (ENT) team, a diagnosis of sinogenic right orbital cellulitis was made, empirical antibiotics started and care transferred to the ENT team for immediate surgical intervention. 48 hours postoperatively, the patient acutely deteriorated, developing ophthalmoplegia and visual acuity of 6/95 in the right eye. Repeat imaging demonstrated a deteriorating picture and urgent surgery was organised at a neighbouring hospital's specialist ENT unit combined with a change to his antibiotics. On day 4, 1 day following transfer, an anaerobic bacterium,
    MeSH term(s) Anaerobiosis ; Anti-Bacterial Agents/therapeutic use ; Base Composition ; Humans ; Male ; Orbital Cellulitis/diagnosis ; Orbital Cellulitis/drug therapy ; Orbital Cellulitis/surgery ; Phylogeny ; RNA, Ribosomal, 16S ; Sequence Analysis, DNA ; Tomography, X-Ray Computed
    Chemical Substances Anti-Bacterial Agents ; RNA, Ribosomal, 16S
    Language English
    Publishing date 2022-03-29
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-248473
    Database MEDical Literature Analysis and Retrieval System OnLINE

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