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A Case of Metastatic Nasopharyngeal Carcinoma in Benign Nasal Polyps

Our patient was a 39-year-old Chinese man with nasopharyngeal carcinoma (NPC) presenting initially with right upper cervical lymphadenopathy. He was treated primarily with a...

Subclavian-oesophageal Fistula as a Complication of Foreign Body Ingestion: A Case Report

Ingested foreign bodies are a common condition in the practice of Otolaryngology. In particular, there is no doubt a greater tendency in the local...

Otitis Externa—The Clinical Pattern in a Tertiary Institution in Singapore

Although otitis externa is a common otological condition, the literature pertaining to it is sparse in contrast to the vast amounts of articles that...

Contrast-Enhanced Magnetic Resonance Imaging of the Internal Auditory Canals and Posterior Fossa

Contrast-enhanced magnetic resonance imaging (MRI) is now the gold-standard examination for the exclusion of acoustic schwannomas or other posterior fossa tumours. We retrospectively reviewed...

New Techniques for Surgical Decompression of Thyroid-related Orbitopathy

For a number of years, transantral orbital decompression formed the mainstay of surgical treatment of thyroid-related orbitopathy. The goal of this and several subsequently-described...

The Use of the Laryngeal Mask Airway in Post-Tonsillectomy Haemorrhage—A Case Report

A 53-year-old man with a history of hypertension and asymptomatic Wolff-Parkinson-White syndrome was admitted to the hospital for an elective uvulopalatopharyngoplasty, tonsillectomy and bilateral...

Otogenic Lateral Sinus Thrombosis—A Case Report

A 16-year-old boy, with a background history of beta-thalassaemia intermedia, splenectomy and hypogonadotrophic hypogonadism, was referred to our otolaryngological clinic for right otalgia following...

Tracheoesophageal Puncture Outcomes and Predictors of Success in Laryngectomised Patients

Laryngectomised patients have been shown to have significant physical and psychosocial problems. These relate not only to respiratory symptoms but also psychological symptoms such...

Unusual Endolaryngeal Extension of a Large Thyroglossal Duct Cyst

Thyroglossal duct cysts are the most common nonodontogenic cysts that occur in the neck. They can be complicated by infections and fistulae. This article is...

Thyroid Surgery—The Tan Tock Seng Hospital Otolaryngology Experience

The solitary thyroid nodule is a common clinical finding in the Otolaryngology practice. Although most lesions are ultimately shown to be benign, the management...

The Early Years of Otolaryngology in Singapore – 1946 to 1977

It was the late Dr BM Johns, a general surgeon, a New Zealander and Head of Surgical Unit “B” Singapore General Hospital (SGH), who...

Preoperative High Resolution CT and MR Imaging in Cochlear Implantation

Candidates for cochlear implantation undergo a thorough audiological and medical assessment. The audiological assessment is done to ensure that these candidates who have bilateral...

Acute Isolated Sphenoid Sinusitis

Isolated infection of the sphenoid sinus is uncommon. It usually occurs in conjunction with infection of the other paranasal sinuses. Acute isolated sphenoid sinusitis...

Accuracy of Fine Needle Aspiration Cytology and Frozen Section Histopathology for Lesions of the Major Salivary Glands

The histopathology of salivary gland tumours is extremely varied and complex. Amongst the epithelial neoplasms alone, at least 9 different adenomas and 17 different...

Metastasis to the Sinonasal Tract from Sigmoid Colon Adenocarcinoma

A 52-year-old female was diagnosed with well-differentiated adenocarcinoma of the sigmoid colon in 1999. An anterior resection was performed followed by adjuvant chemotherapy for...

The Scope of Paediatric Sleep Medicine

Despite apparent similarities to adult sleep medicine, the disorders of paediatric sleep medicine have a distinct epidemiology and pathophysiology. During childhood, the physiology of...

Effect of Orthognathic Surgery on the Posterior Airway Space (PAS)

During the growth and development of a person, the facial structures are primarily dependent on the genetic makeup and secondarily on the environmental factors....

Nasal Obstruction in Children with Sleep-disordered Breathing

Nasal breathing is critical in infants and children; for example, neonatal choanal atresia often leads to respiratory distress and may require urgent intervention in...

Airway and Craniofacial Changes With Mandibular Advancement Device in Chinese With Obstructive Sleep Apnoea

The mandibular advancement device (MAD) consists of upper and lower splints attached to the teeth and postures the mandible forward. The rationale for use...

Forestier’s Disease Presenting as a Retropharyngeal Mass in an Elderly with Dysphagia

Diffuse idiopathic skeletal hyperostosis (DISH), also known as Forestier’s disease, is a non-inflammatory enthesopathy of unknown etiology. Affecting predominantly men, it results in flowing,...

A Rare Cause of Spontaneous Bleeding Per Oral in an Elderly

A 71-year-old female developed several episodes of intermittent bleeding from the mouth with an underlying history of foreign body sensation in the throat for...

Complications Following Tracheoesophageal Puncture: A Tertiary Hospital Experience

It has been nearly 3 decades since tracheoesophageal puncture (TEP) with valve prosthesis placement was first introduced as an alternative means of achieving voice...

Cardiovascular Risks Associated With Obesity in Children and Adolescents

The prevalence of obesity has risen by three-folds or more in many countries since 1980. In 2005, it was estimated that globally there are...

Review on Epidemic of Obesity

According to the World Health Organization (WHO), there were about 1.6 billion overweight adults aged 15 years and above and at least 400 million...

A Missed Bilateral Choanal Atresia

What do you see in the image? a) Deviated posterior nasal septum b) Nasopharyngeal tumour c) Rhinolith with mucous plug d) Bilateral choanal atresia e) Nasal pyriform aperture stenosis This...

Unusual Presentation of a Solitary Thyroid Cyst

Recurrent laryngeal nerve (RLN) lies in close proximity with the thyroid gland. Thus, thyroid diseases, mainly the malignant ones, tend to cause irreversible recurrent...

Submandibular Mass Excision in an Asian Population: A 10-year Review

Submandibular masses are common presenting complaints in the outpatient setting. The differential diagnosis of a submandibular mass lesion can be salivary gland pathology, lymph...

Managing buccal space tumours

Dear Editor, The buccal space is an infrequently addressed fascial space of the head and neck region. Intrinsic tumours of the buccal space are...

Management Plan to Reduce Risks in Perioperative Care of Patients with Obstructive Sleep Apnoea Averts the Need for Presurgical Polysomnography

A significant proportion of patients with underlying obstructive sleepapnoea (OSA) remain undiagnosed when they present for surgery. Epidemiologic data have placed the prevalence in the...