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Marshmallows for swallowing assessments!

1 January 2017 |
The complaint of ‘food sticking in my throat’ is one many of us will have heard several times in clinical practice. The authors of this study report the prevalence of this symptom to be between 5-8% in the general population...

Does transoral robotic surgery improve outcomes among patients with head and neck cancer of unknown primary?

4 March 2024 | | Head and Neck | Head and neck cancer, human papillomavirus, Oropharyngeal cancer, Transoral robotic surgery, unknown primary tumor
A tonsillectomy and tongue base mucosectomy is becoming increasingly accepted as the optimal surgical intervention to aid in identifying the primary source of a p16+ / HPV-related squamous cell carcinoma (SCC) of unknown origin, given that this disease almost exclusively...
Dysphagia journal cover image.

Analysing videofluroscopy: does it matter how it’s done?

4 March 2024 | | Laryngology / Swallowing / Voice | Deglutition, Dysphagia, MBS, Quantitative analysis, Rehabilitation, Reliability, VFSS
Videofluoroscopy, as a tool that assesses the process of swallowing, has transformed our understanding of dysphagia. Clinicians can observe the biomechanics of a bolus moving from the oral cavity through the pharynx and oesophagus and into the stomach. Over the...

Simulation: human factors scenario training

1 January 2014 | | ENT
It is said that surgical training has suffered as a result of a combination of factors – through the introduction of work time restrictions such as the European Working Time Directive (EWTD) [1], a limit on the number of years...

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...

Superior semicircular canal dehiscence syndrome

1 November 2015 | | ENT, Vestibular Disorders, Otology
In this article, Hannah North and Simon Lloyd give us an overview of the complex condition of superior semicircular canal dehiscence (SSCD) syndrome, including diagnosis, treatment and management. Superior semicircular canal dehiscence (SSCD) is a bony defect of the otic...

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENT, Head and Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

The role of macrolide antibiotics in chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENT, Head and Neck, Laryngology / Swallowing / Voice, Thyroid / Parathyroid Surgery
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Vocal cord paralysis: an update

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
The management of unilateral vocal cord paralysis has changed in the last few years: this has largely come about as a result of improvements in technology, meaning that medialisations are quicker and easier to perform than previously. This article will...

Diagnosis, wearables and remote monitoring in 15 and 50 years

1 March 2019 | | ENT
In 2069 will we look forward to being enslaved by robots, becoming zombies or having our health (and ill health) diagnosed by nanotech? Ajith George muses over what the future holds for us all. The future of healthcare, not just...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENT
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...