A rare case of spontaneous thyroid cyst haemorrhage.

Background: We report a case of hypopharyngeal swelling secondary to a spontaneous thyroid cyst haemorrhage. Haemorrhage is a known complication of thyroid cysts, and usually presents as external swelling and localised pain.

Case Report: A 93-year-old woman developed hypopharyngeal swelling, dysphagia and odynophagia.

Clinical outcomes of total laryngectomy for laryngeal carcinoma.

Background: Controversy exists as to the management of advanced laryngeal carcinoma. In general primary radical surgery is favoured.

Objective: The aim of this study was to analyse the clinical outcome of patients having total laryngectomy for cancer of larynx.

Pre-operative parathyroid localisation: surgical review of sesta-methoxyisobutylisonitrile images is important.

Objective: To highlight the importance of pre-operative review of sesta-methoxyisobutylisonitrile imaging before parathyroid surgery.

Case Report: Technetium-99 m sesta-methoxyisobutylisonitrile scanning is a well established imaging modality undertaken to locate the parathyroid glands prior to parathyroidectomy. Because of the relative lack of detail in the images obtained, the radiological report is normally the most important piece of information used by the surgeon for surgical planning.

Trends of ear syringing at Ibadan, Nigeria.

Ear syringing is a procedure by which the external auditory canal is irrigated with a normal saline at body temperature. It is a procedure which every doctor or nurse should be able to perform proficiently. A study of 622 patients that needed ear syringing was done between December 1999 and June 2001 to determine its trend.