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From the editor Sep/Oct 2024

3 September 2024 |
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk This edition marks a milestone for me, as it is exactly 10 years since I started as editor of...

British Skull Base Society Clinical Consensus Document on Management of Head and Neck Paragangliomas (HNPGLs)

7 January 2021 | | ENTA-Head & Neck, ENTA-Skull Base Surgery | paraganglioma, radiotherapy, surgery, treatment
All forms of HNPGLs should be managed by a multidisciplinary team (MDT) of core members from skull base otolaryngology, head and neck surgery, clinical genetics, oncology, endocrinology, vascular surgery, radiology and pathology. Extended members include neurosurgery, endocrine surgery, nuclear medicine,...

Occupational dust exposure and nasal polyposis

1 January 2019 |
This interesting European cross-sectional study demonstrates a link between occupational dust exposure and the presence of nasal polyposis. A random sample of textile workers (215) and retail store employees (101) in Portugal was taken, with clinical data gathered through a...
JPRAS journal cover image.

Surgery plus radiotherapy keeps the helical keloid scar away

8 January 2024 | | Otology | Electron beam, Keloid, Keystone flap, Perforator flap, Radiotherapy, Single fraction
Keloid scars lead to significant psychological and cosmetic morbidity. As the pinna is a key component of facial cosmesis, pinna keloid scar formation can be aesthetically displeasing. Their stubbornness and high recurrence rate can be challenging to treat. This department,...

Subtypes of vestibular migraine

6 January 2023 | | Neurotology, ENTA-Vestibular Disorders | Barany society, chronic; dizziness, vertigo, vestibular migraine
The authors argue that the current Barany criteria (ICVD) for vestibular migraine (definite and probable – dVM and pVM) are too restrictive. For instance, whereas a category of chronic migraine with or without aura is recognised in ICHD-3, ‘chronic VM’...

Beyond hearing aids: early interventions in hearing care to lower dementia risk

6 November 2024 | | ENTA-Audiology - Adult
Published in print under the titleHearing care and dementia: professional insights on the new Lancet Commission findingsThe Lancet Commission on ‘Dementia prevention, intervention and care: 2024 report’ highlights a list of potential modifiable factors to reduce dementia risk. As with...

Encounter

1 May 2017 | | ENTA-ENT
Nick Jones’s poetry debut - a short (16 poems) collection - is a revelation. He traverses time and place with ease, evoking childhood memories and ephemeral moments, suffusing the ordinary and the mundane with an almost sacred sense of epiphany...

Giacomo Puccini’s laryngeal cancer

1 September 2015 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

Robotic head and neck surgery: current state of the art and future innovations

1 March 2016 | | ENTA-ENT, ENTA-Head & Neck
Technology and innovation has provided modern head and neck surgeons with successive generations of robotic surgical systems, fibre-optic lasers, and novel tools which have ushered in a new era of minimally invasive surgery for tumours of the pharynx and larynx....

Recurrent respiratory papilloma treatment in the office

1 September 2018 | | ENTA-Laryngology / Swallowing / Voice
In this interesting new article, Markus Hess and Susanne Fleischer describe their technique for managing recurrent laryngeal papillomatosis in an outpatient setting using channelled endoscopes. The recurrent respiratory papillomatosis (RRP) of the larynx is a chronic HPV-associated viral disease. Clinical...

Endoscopic CSF leak repair using nasoseptal flap

1 May 2019 | | ENTA-ENT, ENTA-Rhinology / Sinus
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...

Current management of unilateral sporadic vestibular schwannoma

10 March 2023 | | ENTA-Audiology - Adult, ENTA-Skull Base Surgery, ENTA-Vestibular Disorders
Vestibular schwannoma is the commonest tumour of the cerebellopontine angle (80%) and accounts for around 8% of all intracranial tumours. The commonest primary presenting symptoms are audio vestibular. Hearing health professionals are often the first contact for patients with potential symptoms of vestibular schwannoma, with the majority then being seen and diagnosed by otorhinolaryngologists.