How I Do It
Endoscopic excision of cholesteatoma
In this article Vikranth Visvanathan describes an exciting development on the use of endoscopic technology in complex otological practice. Transcanal endoscopic ear surgery (TEES) is rapidly evolving as a recognised method of addressing middle ear and mastoid pathology. Since its...
Bipolar microdebrider turbinoplasty
There are a variety of ways to reduce the bulk of hypertrophied turbinates. Kimberley Lau and Showkat Mirza describe their technique which can be used in difficult cases and with minimal morbidity. As ever, one aim should be to avoid...
Targeted focal parathyroidectomy
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...
Endoscopic CSF leak repair using nasoseptal flap
Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...
Nasal and aural foreign body removal: another technique for a common problem
Trying to remove foreign bodies from the ears and noses of children is something we have all struggled with at various times. Many people have their own top tips, and here Oliver McLaren and Alexander Walkden describe an ingenious way...
The utilisation of three-dimensional printed models in skull base surgery
As technology improves, there are new ways to assist with surgeons when it comes to training and preparing for surgery. Barbara Anne Thomson and Georgios Kontorinis highlight how 3D printing can help with the understanding and surgical planning for complex...
Endoscopic DCR
In this interesting article, our experienced colleagues describe their favoured technique for performing endoscopic DCR and share with us the key steps for a successful outcome. Dacrocystorhinostomy (DCR) was historically performed by ophthalmologists for nasolacrimal obstruction using external techniques. The...
Superior semicircular canal dehiscence: transmastoid obliteration
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...
Parathyroidectomy
Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...
Elasticated retraction in head and neck surgery – a trainee’s perspective
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...
Foreign object removal from the ear or nose
The range of nasal and aural foreign bodies that present to accident and emergency (A&E) departments, emergency rooms and minor injury units is limited only by the imagination. Aetiology and epidemiology statistics point to patients being predominantly children in the...
