Recognition of UK Insolvency Proceedings Post-Brexit: The Impact of a ‘No Deal’ Scenario

This paper examines the impact of a ‘no deal’ or ‘hard’ Brexit on the recognition of insolvency proceedings commenced in the UK by the remaining Member States of the European Union (‘EU’) post-Brexit. The paper considers the framework currently implemented by the Recast European Insolvency Regulation and the possible approaches when it will cease to apply to proceedings commenced post-Brexit. The paper identifies that there will be no overarching framework in the event that ‘no deal’ is reached between the UK and EU for post-Brexit arrangements, resulting in reliance on individual Member States’ domestic laws to determine recognition of insolvency proceedings commenced in the UK. The paper sets out the contrasting approaches of five of the UK’s key trading partners in the EU: France, Germany, Ireland, the Netherlands and Spain. The paper concludes that UK insolvency proceedings will not be recognised in a consistent manner in these Member States, which will be detrimental to stakeholders in, and ultimately the economies of, the UK and these Member States. In doing so, the paper underlines the importance of an agreement being reached between the UK and the EU on the recognition of cross-border insolvency proceedings for the benefit of all parties

Subcutaneous and Mediastinal Emphysema Followed by Group A Beta-Hemolytic Streptococci Mediastinitis. A Complicated Course after Adenotonsillectomy: Case Report

Tonsillectomy is a commonly performed surgery in the daily practice of an otorhinolaryngologist. For patients as well as health professionals, the best known complication is post-operative bleeding. Among the less noted, but potentially life-threatening, complications are the development of subcutaneous emphysema and the presence of bacteremia due to group A hemolytic streptococci. In this report, we describe a severely complicated clinical course after an uncomplicated adenotonsillectomy in a young boy. Increased awareness of relatively unknown complications after adenotonsillectomy amongst surgeons, pediatricians and anesthesiologists is desirable to facilitate rapid diagnosis and adequate treatment in order to prevent life-threatening situations

DIAGNOSTIC ACCURACY OF FINE-NEEDLE ASPIRATION CYTOLOGY IN WARTHIN TUMORS

Background. Our aim was to evaluate the diagnostic accuracy of fine-needle aspiration cytology (FNAC) for Warthin tumors of the parotid gland. Methods. All cytologic diagnoses of Warthin tumor between 1990 and 2007 were correlated with available histology. In addition, our results were compared to current literature. Results. In 310 cases, Warthin tumor was diagnosed by FNAC. In 133 cases, (43%) both cytology and histology were available. In 127 of these 133 cases (95.5%), the diagnosis Warthin tumor was confirmed by histology. In 4 cases (3%), a benign lesion was diagnosed and 2 (1.5%) revealed a malignant lesion. On review, those cytologic diagnoses were not certain. In the literature, 11 missed malignancies (5.4%) in 202 cases were reported. Conclusion. The diagnostic accuracy of FNAC for the diagnosis of Warthin tumor is high and the percentage of missed malignant tumors is very low. Our results imply that a cytologic diagnosis of Warthin tumor may justify conservative treatment. (C) 2010 Wiley Periodicals, Inc. Head Neck 32: 1635-1640, 201

Kindermishandeling, ook de KNO-arts moet er alert op zijn!

Kindermishandeling is een veelvoorkomend probleem maar wordt helaas nog geregeld gemist. Verwondingen in het hoofd-halsgebied komen hetmeest voor, wat maakt dat ook KNO-artsen zich bewust moeten zijn van de mogelijkheid dat letsel opzettelijk is toegebracht. Met dit case report hopen wij u alert te makenop de verschillende symptomen en vormen van kindermishandeling, zodat u deze tijdig herkent en herhaling en escalatie kunnen worden voorkomen

Xanthoma in the external acoustic meatus

Objectivesa unique case of a xanthoma in the external ear canal of a pediatric patient is presented in this case report. We describe and resume the current literature on xanthomas in the head and neck area.Methodsclinical and intraoperative findings are reported and the presumed mechanisms for the emergence of xanthomas are discussed. We furthermore described the pathologic and immunohistochemical characteristics.Resultsxanthomas are mostly seen in patients with lipid metabolism disorders or hyperlipidemia. However, they can be present in normolipemic patients and are also associated with hematologic disease. Literature on the existence of xanthomata in the head and neck area is rare and there are no case reports in the pediatric population to the best of our knowledge. Besides the clinical presentation, characteristic histopathological features can confirm the diagnosis. When features are overlapping, immunohistochemistry can be necessary.Conclusionsince different subtypes of xanthoma have specific clinical and histopathological features and are assoc