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Atlas of the Facial Nerve and Related Structures cover

Atlas of the Facial Nerve and Related Structures

1 July 2019 | ENTA-ENT, ENTA-Head & Neck, ENTA-Skull Base Surgery
Although we all know the course of the facial nerve is pretty complex, I was surprised that a whole book and 104 pages had been dedicated to describing it. However, on reading through the book, it is apparent that although...

Radiology and sinus disease: “the ever-evolving landscape”

1 May 2014 | | ENTA-ENT, ENTA-Rhinology / Sinus
Computed tomography (CT) remains the imaging modality of choice in assessment of patients with symptoms of chronic rhinosinusitis resistant to conservative treatment. In the last 10 years, CT technology has seen significant advances with the development and integration of multi-detector...

Predicting CSF leaks pre FESS: Gera classification - a new tool?

1 March 2019 | | ENTA-Rhinology / Sinus
An interesting study from Italy looking at an anterior skull base classification that may be useful in predicting risk of intraoperative CSF leak during FESS surgery. Traditionally we have used the Keros classification system, developed in 1962 to categorise olfactory...
Annals of Otology, Rhinology & Laryngology journal cover image.

Lost and sound: exploring hyperbaric oxygen therapy for refractory SSNHL

4 July 2024 | | ENTA-Audiology - Adult, Neurotology, Otology, ENTA-Vestibular Disorders
Can hyperbaric oxygen therapy (HBOT) offer a breakthrough for patients with refractory sudden sensorineural hearing loss (SSNHL)? SSNHL is defined as acute hearing loss of ≥30 decibels in three consecutive frequencies within three days. Typically, it’s treated with two weeks...

Have we reached our limits in endoscopic skull base surgery?

1 November 2017 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Skull Base Surgery
As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Parathyroidectomy

1 July 2017 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Thyroid / Parathyroid Surgery
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...

Intratympanic treatments for subjective idiopathic tinnitus

24 May 2017 | | ENTA-Audiology - Adult, ENTA-ENT, ENTA-Otology, ENTA-Tinnitus
Direct application of medication into the ear is long established, going back as far as written records. In the modern era, greater understanding of aural anatomy revealed that drugs instilled in the middle ear could potentially diffuse into the cochlea...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENTA-ENT, ENTA-Thyroid / Parathyroid Surgery
Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Imaging tinnitus

1 May 2014 | | ENTA-Audiology - Adult, ENTA-ENT, ENTA-Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENTA-ENT, ENTA-Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Measuring the pitch and loudness of tinnitus

24 May 2017 | | ENTA-Tinnitus, ENTA-Audiology - Adult
Matching the characteristics of tinnitus Many researchers and clinicians have explored the subjective nature of tinnitus by asking people with tinnitus to adjust a sound so that it matches their tinnitus in some way. This can be useful both for...

Use of a diode laser for the removal of a frontal sinus osteoma

1 November 2015 | | ENTA-Rhinology / Sinus
In this How I Do It, Professor Sergei Karpischenko introduces a gentle method of reduction of mobilised frontal sinus osteoma which has been successfully used in five patients in his university clinic using a diode laser in contact mode. Osteoma...