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RCT: tongue retaining devices vs CPAP for OSA

7 January 2021 | | Laryngology / Swallowing / Voice | Continuous positive airway pressure, Obstructive sleep apnea, TRD, Thai, Tongue-retaining device
This study compared the effect of a tongue retaining device versus the use of CPAP in 27 patients within a crossover RCT design. Tongue retaining devices (also known as tongue stabilising devices), are similar in appearance to a plastic tongue-sized...

DISE as a rationalising tool for sleep apnoea surgery

1 May 2019 | | Rhinology / Sinus | Drug-induced sleep endoscopy, Obstructive sleep apnea, Upper airway surgery, VOTE classification
This retrospective study on 85 adult obstructive sleep apnoea (OSA) patients provides further interesting information for sleep surgeons. These patients were all investigated with polysomnography (PSG) and drug induced sleep endoscopy (DISE). They all then underwent a simple uvulopalatoplasty with...

Double suspension sutures for obstructive sleep apnoea

1 March 2019 | | Laryngology / Swallowing / Voice | Double suspension sutures, Modified anterior palatoplasty, Obstructive Sleep Apnea
This study examines the benefit of an operation that targets the lateral pharyngeal wall. The double suspension sutures are, in essence, a suture through the palatopharyngeus muscle which is then tied around the hamulus in the retro molar area. This...

ENT emergencies

1 January 2015 | | ENT
This Belgian paper reports the epidemiology of 1296 patients attending the emergency department with ENT problems over a five-year period. As expected the most common presentation was epistaxis, but interestingly vertigo seemed to be the second most common presentation to...

OAEE UPDATE - Urgent Call for Surgical Supplies in Ukraine

24 March 2022
UK professionals have called for aid in sending surgical equipment to Ukraine during Russian invasion.

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENT, 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....

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...

Adolescence, drug use and body image

1 January 2017 | | ENT, Head and Neck, Paediatric ENT
Teenagers are notoriously conscious of how they are perceived by others. Dr Saraiva and colleagues explain how this can lead to problems with substance abuse for both boys and girls, and discuss the different substances they may encounter. Adolescence is...

Cochlear implantation in the developing world: perspectives from the Indian subcontinent

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, ENT, Otology
Cochlear implants are an expensive technology, yet profound hearing loss is far from a developed-world phenomenon. On the contrary, incidences of both congenital and acquired hearing losses are high in the developing world. This article explains how an initiative in...

Extended benefits of cochlear implantation in the elderly

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Auditory Implants, ENT, Otology
With the challenges presented by an ageing population, Louise Craddock and Charlie Huins describe the benefits of cochlear implants for deaf elderly adults that go beyond improvement of hearing and speech understanding. Introduction People aged over 65 make up 7.4%...

Acoustic shock: definitions and clinical aspects

27 February 2020 | | ENT, Otology, Audiology - Diagnostic
Acoustic shock, a previously little-known and poorly understood clinical entity, came to the public’s attention in 2019 due to a high-profile legal case of a musician at the Royal Opera House. In this fascinating article, Andrew Parker and William Parker...

Hearing rehabilitation after vestibular schwannoma surgery

27 February 2020 | | ENT, Otology, Vestibular Disorders
Hearing rehabilitation is a key focus of the management of patients with vestibular schwannoma. But how do we rehabilitate hearing when the cochlear nerve has been damaged by tumour, irradiation, or resective surgery? Mathieu Trudel, Scott Rutherford and Simon Lloyd...