The Journal of laryngology and otology
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A case is described of pneumocephalus involving both frontal lobes, following a frontoethmoidal fracture. It is noteworthy because it illustrates how extensive cerebral damage may be before it it detected. Intracerebral pneumocephalus occurs most commonly in fractures involving the frontal sinus or anterior ethmoidal/cribriform plate area. These fractures are not rare, and this potential complication should be in the minds of Ear, Nose and Throat surgeons who deal with trauma to the frontonasal region.
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The fibreoptic laryngoscope is described, and its method of use detailed. Seventy patients were submitted to this examination. ⋯ Its teaching and research possibilities are also mentioned. The technique shows considerable promise and will, we believe, achieve an accepted place as an addition to our diagnostic armamentarium in the investigation of laryngeal disorders.