Publications by authors named "Ivor Kwame"

Objective: In this multicentric study involving three London hospitals, we compared ANCA-positive and ANCA-negative cocaine-induced midline destructive lesions (CIMDL) patients to assess how presence of antineutrophil cytoplasmic antibodies (ANCA) may correlate with disease severity. Our secondary aims are to better classify etiology centered around ANCA positivity and, consequently, better disease management.

Methods: A retrospective review was performed to identify patients with CIMDL seen between January 2019 and December 2022.

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Purpose: To recommend an international multidisciplinary medical and surgical algorithm of treatment in nasal vasculitis, which will create a more streamlined approach.

Methods: A two-centre, international retrospective analysis of granulomatosis with polyangiitis (GPA) and levamisole-associated vasculitis (LAV) cases presenting between 2005 and 2019 was carried out. Demographic data, and surgical and medical treatment were recorded.

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Purpose: The use of nasal decongestant and nasal anaesthesia is currently not recommended during drug-induced sleep endoscopy (DISE) according to the European position paper. The evaluation of the effects of nasal decongestant/anaesthesia on DISE has not been performed before and our aim is to perform a pilot study to determine whether nasal decongestants/anaesthesia affects DISE outcomes.

Methods: 27 patients undergoing DISE for OSA or for simple snoring were included.

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Article Synopsis
  • - Achieving a satisfactory result in the first rhinoplasty surgery is crucial, as many patients may require secondary surgeries due to various complications, which can be minor or require a complete redo.
  • - Analyzing deformities from failed primary surgeries reveals common error patterns, enabling surgeons to adapt their techniques in order to minimize the need for revisions.
  • - The article shares insights from a study conducted over 5 years, detailing key problem areas in revision rhinoplasty and suggesting methods to prevent further issues, while also noting a trend towards a more open surgical approach and the varying re-revision rates in different patient settings.
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Introduction. To determine patient cosmetic satisfaction following nasal fracture manipulation under general anaesthetic when offered at different time intervals after injury. Materials and Methods.

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Objective: Elite professional voice users experience a high vocal load and if voice quality deteriorates, their livelihoods are affected. Our aim was to assess how an elite professional voice user group, musical theater students (n=49), perceive their voices in comparison with medical students (n=43).

Study Design: Cross-sectional study.

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