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Random-pattern skin flaps: part 1 – advancement flaps

3 September 2021 | | ENT, 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...

Aspirin desensitisation for aspirin-exacerbated respiratory disease (AERD)

2 March 2022 | | ENT, 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...

ENT across borders – revisited

1 March 2018 | | ENT, Paediatric ENT, Otology
The exceptional Professor Muaaz Tarabichi is known to many as a pioneer of endoscopic ear surgery, and a founder of generous scholarships to trainees from developing countries. He also has an inspiring story of how he came to his current...

CROS hearing aids existed 10 years before they were even invented!

3 November 2023 | | Audiology - Adult
We all know the principles of CROS aids and the potential benefits they provide to patients, but did you know they were invented many years before they were officially described in literature? In this engaging article, Neil Bauman explains how...

Hyposalivation: a review of current and future treatments

8 January 2024 | | ENT, Head and Neck
Hyposalivation remains a stubbornly difficult condition to treat, but novel therapies may not be far away. Saliva has many essential functions, including aiding digestion and swallowing, lubrication, maintaining tooth integrity and antibacterial activity. When patients experience reduced saliva production (hyposalivation),...

Addressing the non-use of hearing aids

4 July 2024 | | Audiology - Adult
We all know non-use of hearing aids occurs, but why, and what can we do about it? Numerous studies have investigated the challenges surrounding the underutilisation of hearing aids, examining factors such as reluctance to seek assistance, the impact of...

Radiology of referred otalgia

1 May 2014 | | ENT, Otology, Neurotology
Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

William Hunter’s work on the anatomy of the human ear

1 September 2015 | | ENT, Otology
The Hunterian Society offers an annual award for an essay and presentation on a subject of relevance to John or William Hunter, or medicine in the 18th Century. This article is based on Emma Stapleton’s 2014 winning essay, which was...

An update on HPV and the vaccination

1 January 2017 | | ENT, Head and Neck, Laryngology / Swallowing / Voice, Paediatric ENT
In recent years, the role of HPV in the development of oropharyngeal cancers has become apparent. Hannah Fox and Vin Paleri contend that while we may not always be able to cure oropharyngeal cancers, vaccination offers our best hope for...

What’s the appetite for clinical risk?

1 September 2018 | | ENT
The first Professor and Chair of Medical Professionalism at RCSI and BSHS, Dubhfeasa Slattery provides an overview of how a desire for better healthcare at all levels can be harnessed and nourished, leading to a potential life-long interest in reducing...

Reducing hierarchy for individuals and teams across ENT

3 May 2022 | | ENT
Alexander Pope said that “to err is human”, but medical errors can have serious consequences. How can better communication minimise the risk of them occurring in the first place? Allowing all members of the surgical team to feel empowered to...