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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...

Targeted focal parathyroidectomy

1 July 2019 | | ENT, Head and Neck
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Cochlear implantation in children with single-sided deafness: rationale and early findings

31 October 2018 | | Audiology - Paediatric, Audiology - Diagnostic
Cochlear Implantation (CI) in children with single-sided deafness (SSD) is a controversial treatment option. Profs Karen Gordon, Papsin and Cushing discuss the rationale and early findings on the relative success of achieving binaural hearing for SSD with CI. If you’d...

Medical and surgical management of performing vocalists

1 September 2016 | | ENT, Laryngology / Swallowing / Voice
Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...

Cancer genetics and signalling pathways in ENT – a review and discussion of how this can be applied to rare tumours

1 November 2014 | | ENT, Genetics
Introduction Cancer cases continue to increase worldwide, and­­ head and neck cancer is a major global health issue, with an estimated global burden of over 630,000 new cases and over 350,000 deaths per year [1]. The term ‘head and neck...

Sir Terence Edward Cawthorne (1902-1970): first Chairman of the BACO Academic Committee

1 July 2015 | | ENT, Otology
Sir Terence Cawthorne was the chairman of the academic committee of the first BACO in 1963, and was Master of the second BACO in 1967. In this article, Neil Weir describes the life and career of one of the UK’s...

Endoscopic airway interventions in children

6 January 2023 | | ENT, Paediatric ENT
Open surgery for paediatric airway pathologies such as subglottic stenosis was hailed as revolutionary when many of today’s paediatric ORL specialists were in training. Equipment, facilities and training has moved on and the high-quality optics in modern endoscopes, coupled with...

Nuclear heads – and necks

1 May 2014 | | ENT, Head and 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...

Temporal bone trauma

1 July 2014 | | ENT, Head and Neck, Skull Base Surgery
Introduction Temporal bone injuries represent one of the more complex management problems presenting to the otolaryngologist. This is largely due to difficulties in assessment and the frequent delays in referral, often as a result of other injuries demanding more immediate...

Aetiology, investigation and acute management of sudden sensorineural hearing loss

1 September 2015 | | Audiology - Adult, Audiology - Diagnostic
The cause of a single sided sensorineural hearing loss has a wide variety of aetiologies. This review, by Edwin Halliday, looks specifically at the differential diagnostic causes of a sudden sensorineural hearing loss, the relevant investigations and the management should...

Elasticated retraction in head and neck surgery – a trainee’s perspective

1 May 2017 | | ENT, Head and Neck
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

Isshiki Thyroplasty Type 2

1 September 2015 | | Laryngology / Swallowing / Voice
Indication Adductor spasmodic dysphonia is a neurological condition of unknown aetiology. The symptoms are believed to be caused by involuntary contraction of the adductor muscles of the vocal cord as a result of an abnormality of neurotransmitters in the basal...