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Chronic cough hypersensitivity syndrome

1 May 2015 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
We all have patients who give us a ‘heartsink’ feeling; for many of us, the coughing patient is exactly such a situation. In this overview, Bhaskar Ram and Sangeeta Maini outline their approach to diagnosis. Declan Costello, Editor. Introduction Chronic...

Cochlear implants: recipient stories

1 September 2017 | ENTA-Auditory Implants, ENTA-Audiology - Adult, ENTA-Audiology - Diagnostic, ENTA-Audiology - Paediatric, ENTA-Otology, ENTA-Paediatrics
The most powerful evidence for the remarkable achievements made with cochlear implants over 40 years comes from the life-changing, personal stories of those who have benefited from the technology. James Rylance I first noticed a problem with hearing when I...

The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation

1 January 2017 | | ENTA-Neurotology, ENTA-Otology
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...

Partial reconstruction of the pinna

1 September 2016 | | ENTA-Otology
Reconstruction of the pinna is one of the most challenging procedures in facial plastic surgery. Although there has been significant progress since one of the earliest recorded descriptions by Sushruta in 600 BC, the complex three-dimensional structure of the pinna...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

1 March 2017 | | ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

Nuclear heads – and necks

1 May 2014 | | ENTA-ENT, ENTA-Head & Neck
Imaging of the extra-cranial head and neck is challenging due to the anatomic complexity of the region. CT, MRI and ultrasonography (US) are amongst the most frequently utilised radiological modalities in head and neck imaging but do not always provide...

Imaging and management of head and neck vascular anomalies

1 May 2014 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Maxillofacial Surgery
Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...

Pre-clinical development of magnetic delivery of therapy to middle and inner ears

1 March 2014 | | ENTA-ENT, ENTA-Otology
Why are we developing this technology? A key problem in drug delivery is getting the therapy to the right place in the body, which is especially challenging for targets that are small, deep and are protected or surrounded by anatomical...

Communicating with patients in 
‘Plain English’

1 January 2014 | | ENTA-ENT
Physicians have long been accused of using unnecessarily complicated language and impenetrable jargon as a way of maintaining their status, prestige and high earnings-potential, bamboozling the public and excluding them from meaningful discussion as part of what George Bernard Shaw...

Thoughts on war: von Clausewitz revisited

1 July 2014 | | ENTA-ENT
We few, we happy few, we band of brothers; For he to-day that sheds his blood with me Shall be my brother; be he ne’er so vile, This day shall gentle his condition: And gentlemen in England now a-bed Shall...

Patient and public involvement in research

1 January 2016 | | ENTA-ENT
One step further from involving patients in setting research priorities is to involve them in the planning and recruitment stages of the subsequent trials and studies. Here, Carl Philpott and Aneeka Degun explain the concept of Patient and Public Involvement...

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...