Publications by authors named "Mary-Louise Montague"

Article Synopsis
  • Pediatric ENT surgeons in the UK noticed an unusual increase in severe head and neck abscesses during the winter of 2022/3, prompting a study to validate this trend and explore associated factors.
  • A multicentre study collected data from 262 patients admitted with head and neck abscesses between September 2022 and February 2023, revealing a significant rise in group A streptococcus cases and complications like venous thrombosis during the winter months.
  • Despite the observed increases in certain complications, the overall number of abscess cases fell within expected historical ranges, indicating that the winter 2022/2023 rates were consistent with pre-COVID trends in pediatric cases.
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Unlabelled: Sleep-related breathing disorders are a common problem in infancy and childhood. The most common type of sleep-related breathing disorder in this age group is obstructive sleep apnea syndrome (OSAS), generally caused by factors affecting airway patency, such as tonsillar hypertrophy or obesity. However, in adults OSAS can also be caused by processes affecting the brainstem, such as central nervous system tumors.

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We describe the case of a 12-year-old boy who reported unilateral hearing loss following laparoscopic appendicectomy for acute appendicitis under general anaesthesia. He was otherwise fit and well with no previous otological history. Formal audiological assessment by pure tone audiogram demonstrated a unilateral high-frequency sensorineural hearing loss (SNHL).

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Objectives: This study aimed to determine the factors associated with hyperacusis in children referred to an audiology-led paediatric hyperacusis clinic in a Paediatric tertiary centre. It also aimed to identify current management strategies in paediatric hyperacusis and their outcomes.

Methods: Retrospective cohort study conducted by case note and AuditBase review over a 5-year period (March 2010 to March 2015) in a tertiary Paediatric ENT and Audiology service.

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Objective: Epistaxis is common in children, but its cause remains unknown. About half the children who present with epistaxis have prominent vessels on the nasal septum. The aim of this study was to determine the pathological nature of the prominent septal vessels in children with recurrent epistaxis.

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Dysphagia is common following total laryngectomy. Postlaryngectomy neopharyngeal diverticulae are known to cause postlaryngectomy dysphagia but are more frequently asymptomatic. We report a case presenting with late-onset postlaryngectomy dysphagia and a suprastomal swelling secondary to such a diverticulum.

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Objective: The aim of our study was to assess the rate of reactionary and secondary posttonsillectomy hemorrhage using "cold" dissection and bipolar diathermy and to determine whether there was any difference in the postoperative hemorrhage rate between the 2 methods.

Methods: This was a prospective study of all patients undergoing tonsillectomy between November 8, 1999 and November 7, 2000 in a tertiary medical centre. The data collected included patient identity, age, gender, date of surgery, method of operation, and complications (if any).

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Objectives: To use a human reliability assessment tool to identify commonly occurring errors during myringotomy and ventilation tube (VT) insertion and to quantify the likelihood of error occurrence.

Methods: Error-free task analysis for myringotomy and VT insertion was defined at the outset. Fifty-five consecutive myringotomy and VT insertion procedures were videotaped.

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This review of ectodermal dyplasias (ED) presents the particular syndromes that might present to the otolaryngologist for management and discusses the ear, nose and throat manifestations of the condition.

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Article Synopsis
  • Antrochoanal polyps are uncommon growths first reported by Killian in 1906, and their cause is not completely understood.
  • Various mechanisms have been identified, but the exact factors leading to their development remain unclear.
  • This paper highlights a unique case of antrochoanal polyps found in siblings, suggesting a potential genetic link.
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Article Synopsis
  • A UK government directive in 2001 mandated the use of disposable instruments for tonsillectomy to reduce the risk of variant Creutzfeld-Jacob disease, leading to concerns about increased post-operative hemorrhage.
  • A study comparing tonsillectomy outcomes using reusable versus disposable instruments found no significant difference in secondary hemorrhage rates among children.
  • Results indicated that while some variations in hemorrhage rates existed between techniques, the overall secondary hemorrhage rate was statistically similar, suggesting that the switch to disposable instruments did not worsen post-operative outcomes.
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Article Synopsis
  • - This study evaluated whether using disposable instruments in adult tonsillectomy affects post-surgery hemorrhage rates compared to reusable instruments.
  • - The research involved analyzing hemorrhage data from two groups: one treated with reusable instruments (1999-2000) and another with disposable instruments (2001), including child patients as well.
  • - Results indicated no significant differences in hemorrhage rates for either adults or children, suggesting disposable instruments do not lead to increased post-tonsillectomy complications in the study center.
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Aim: Intralabyrinthine schwannomas (ILS) are rare benign tumours. They are not always recognized on routine magnetic resonance imaging (MRI). We aimed to study the clinical presentation and MRI findings in our patients with ILS.

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