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Dutch pharyngeal pouch surgery experience

1 November 2017 | | Diverticulum, Dysphagia, Endoscopy, Pharynx, Zenker
A decade’s experience of pharyngeal pouch surgery was reported in this paper from Rotterdam. A total of 94 patients were analysed. The majority (80%) underwent an endoscopic approach, either with stapling or CO2 laser-assisted. Interestingly, 13 of 75 (14%) procedures...

Surgical options for children with OSA

1 January 2017 | | Sleep-disordered breathing, Sleep apnea, Obstructive sleep apnea, Pediatric, Adenotonsillectomy, Lingual tonsillectomy, Midline glossectomy, Supraglottoplasty, Turbinoplasty, Tracheostomy, Drug-induced sleep endoscopy, DISE, Distraction osteogenesis
This paper looks at the surgical management of OSA in children and approaches the method of patient selection initially. They discuss the role of polysomnography in that it is part of the AAOHNS criteria in those patients with OSA symptoms...

Imaging and embolisation of paragangliomas

1 July 2016 | | Paraganglioma, Angiogram, Balloon Test Occlusion, Embolization
Paragangliomas are rare tumours within the head and neck and any article which succinctly jogs the memory with respect to their existence and subsequent accurate diagnosis is welcome. This article concisely explains the imaging techniques used to diagnose these tumours...

Risk factors for pharyngocutaneous fistula after laryngectomy

1 January 2016 | | carcinoma, cutaneous fistula, laryngeal neoplasms, laryngectomy, meta-analysis, postoperative complications, squamous cell carcinoma
Pharyngocutaneous or salivary fistula is a feared complication following laryngectomy, causing significant morbidity, prolonged hospital inpatient stay / cost and mortality. Previous radiotherapy / chemoradiotherapy is a well recognised risk factor and leads many surgeons to recommend onlay pectoralis major...

Peritonsillar abscess - an indication for tonsillectomy?

1 September 2015 |
Extension of infection beyond the tonsil results in a peritonsillar abscess and is a frequent emergency presentation in otolaryngology. In many places one episode of peritonsillar abscess is not considered an indication for emergency or interval tonsillectomy and future episodes...

Destination unknown

4 May 2023 | | ENT, Laryngology / Swallowing / Voice
We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

TORS for patients with sleep-disordered breathing

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Transoral robotic surgery is now a well-accepted technique in malignant tumours of the tongue base. Here the team from St Mary’s and the Royal National Throat Nose & Ear Hospital in London describe its use in carefully selected patients with...

Interview with Mr Vasant Oswal, Emeritus Consultant ENT H&N Surgeon

21 June 2022 | | ENT, Head and Neck
British Medical Laser Association (BMLA) held its 39th annual conference, the first in-person gathering following the COVID-19 pandemic, in the academic surrounding of the Surgeons’ Quarters of the Royal College of Surgeons in Edinburgh. Chris Henson caught up with 87-year-old...

Academic BACO 2015

1 July 2015 | | ENT
Putting together the academic programme for BACO is a monumental task. Academic Chairman Shakeel Saeed and Peter Andrews, the Academic Secretary of the conference, tell us how to make it a success. Conference season is nearly upon us, and Liverpool...

The Airway Intervention Registry: Recurrent Respiratory Papillomatosis (AIR: RRP) data collection

1 September 2018 | | ENT
Laryngeal papillomatosis remains a frustratingly difficult condition to treat. Adam Donne and Steven Powell tells us about a collaborative project aiming to enhance patient care. The first UK Recurrent Respiratory Papillomatosis registry opened in April 2018 through the AIR (Airway...

Parathyroidectomy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

Nasal and aural foreign body removal: another technique for a common problem

1 March 2019 | | ENT, Paediatric ENT, Otology
Trying to remove foreign bodies from the ears and noses of children is something we have all struggled with at various times. Many people have their own top tips, and here Oliver McLaren and Alexander Walkden describe an ingenious way...