This is the first study to review malpractice litigation resulting from injuries sustained during ESS and shows a hitherto unexpected pattern between severity of injury and case outcome.

Facial nerve dehiscence in our series was far greater than that reported in the literature, underscoring the fact that this is an under-appreciated condition. These findings suggest that surgeons should be highly vigilant when dissecting near the facial nerve. Intraoperative facial nerve monitoring has been shown to be of value in facial nerve preservation during acoustic neuroma resections, and may have a role during surgery for cholesteatoma.

No abstract

Although the perceived poor outcome of uninsured and underserved cancer patients is multifactorial, advanced stage at presentation is a critical factor. These statistics demonstrate the need for increased patient education and screening for this underserved population as an initial step to improve outcome.

improved saccharine clearance times more than normal saline (39.6% vs 24.1%), (P ϭ 0.007). Neither hypertonic nor normal saline significantly affected nasal airway patency.Conclusion: Both hypertonic and normal saline nasal spray significantly improved saccharine clearance times without affecting nasal airway patency. Hypertonic saline affected saccharine clearance times to a greater degree than normal saline.