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Changing behaviour with a human factors approach

1 January 2014 | | ENTA - General
The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

Why and how I enjoy the history of Otorhinolaryngology, Head and Neck Surgery (OHNS)

1 September 2015 | | ENTA - General
In the first article of this History of ENT edition, Albert Mudry explains why history is so intrinsically relevant to the practice of medicine and tells us how to use history as a foundation for the discovery of new ideas,...

Is one glass of wine on call safe?

1 January 2014 | | ENTA - General
It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

Military otolaryngology and its impact on civilian trauma care

1 July 2014 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice, ENTA - Otology
Over the centuries, military conflicts and wars have caused both death and injuries and led to improvements in the care of the combat wounded. Military otolaryngologist-head and neck surgeons have been at the forefront of these developments and advances. War...

Temporoparietal fascia flap for blind sac closure

4 March 2024 | | ENTA - Head & Neck
Chronic ear disease can be challenging to manage and difficult for patients to live with. In this article, the authors describe their technique for otomastoid obliteration and blind sac closure of the external canal allowing for a more tolerable situation...

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

2 March 2022 | | ENTA - Rhinology / Sinus
In this article, the authors describe the importance of identifying aspirin-exacerbated respiratory disease in patients with chronic rhinosinusitis refractory to standard medical treatment. This can then open the door to considering aspirin desensitisation treatment which, in their hands, has proven...

Endoscopic excision of cholesteatoma

1 November 2019 | | ENTA - Otology
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...

Parathyroidectomy

1 July 2017 | | 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...

Random-pattern skin flaps: part 1 – advancement flaps

3 September 2021 | | ENTA - Otology
In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...

Endoscopic stapes surgery

14 April 2021 | | ENTA - Otology
Traditionally middle ear surgery, including stapes surgery, has been performed using the operating microscope. In this article the authors describe their experience with endoscopic middle surgery and share some of its advantages. Trans-canal endoscopic ear surgery (TEES) is now a...

Otorhinolaryngology training in Haiti: a call for accompaniment

25 April 2023 | | ENTA - Head & Neck
Haiti is a small Caribbean country in which a group of freedom fighters successfully defied Napoleon and the French military. It has faced embargoes, economic isolation, political crises and devastating natural disasters since its independence. Its GDP is 0.01% of...

Congenital CMV: investigations and management in the audiology setting

1 July 2017 | | ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic, ENTA - Vestibular Disorders
Congenital cytomegalovirus (cCMV) is the only cause of congenital sensorineural hearing loss (SNHL) for which there is a medical treatment available to prevent further hearing loss. Dr Simone Walter discusses cCMV infection, cCMV-related hearing loss, and how to facilitate their...