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We should all use ultrasound-guided core needle biopsy when investigating salivary gland lesions

1 July 2018 | | Core needle biopsy, fine needle, minor salivary glands, salivary gland, parotid glands, salivary glands, submandibular glands
Ultrasound core needle biopsy of salivary glands is an excellent diagnostic tool in terms of accuracy (both sensitivity and specificity), technical performance, and safety profile. This paper provided an update of the previous meta-analysis of the same question, which found...

What is balloon eustachian tuboplasty (BET)?

1 May 2018 | | Eustachian tube dysfunction, adults, balloon dilation of the tuba auditiva, systematic review
Eustachian tube dysfunction (ETD) is the result of a combination of factors that interfere with the mucosal functional or cartilaginous structures. Failure to open the eustachian tubes can cause aural pain, pressure in the ears, muffled hearing, crackling/popping sounds in...
Laryngology & Otology journal cover image.

Occurrence of cancer in asymmetrical tonsillar enlargement in adults

8 January 2024 | | ENTA - Head & Neck | Head And Neck Neoplasms, Tonsillar Neoplasms
With significant increase in head and neck cancer in the last decade, attributed to HPV, fast-track referrals from primary care have markedly increased, adding further to the burden on the NHS. Whether or not unilateral tonsillar enlargement alone, without red...

A comparison of same day with staged bilateral cartilage graft tympanoplasty for tubotympanic CSOM

1 July 2017 | | Cartilage, Costs and Cost Analysis, Otitis Media, Tympanoplasty
This randomised, controlled study compares the tympanoplasty outcomes in two groups of patients: one undergoing bilateral tympanoplasty on the same day (18 patients, 36 ears) and the other having the same procedure done on different days, with a gap of...

Lateral wall augmentation for patulous eustachian tube

1 January 2017 | | Augmentation, Dysfunction, Eustachian Tube, Injection
The problem more commonly attributed to the eustachian tube is lack of its patency rather than it being unduly patulous. This lesser recognised condition is due to loss of peritubal fat volume resulting in concavity of the lateral wall and...

Division of tongue tie helps breast feeding

1 May 2016 | | Ankyloglossia, Breast Feeding, Tongue Tie
The need for frenotomy in children with tongue tie is not universally accepted. It is however understood that among other problems, such as impaired speech, tongue tie impedes breast feeding possibly leading to early weaning. Therefore, with recent resurgence of...

Plunging new depths for the treatment of ranulas

1 September 2015 | | Minimally-invasive, Mucous extravasation cyst, Ranula, Salivary gland surgery, Sublingual gland
Within our scope of practice, we encounter a number of salivary gland pathologies, including the sublingual gland. Clinical signs are often subtle, and even with meticulous surgical management, morbidity can easily occur. Textbooks advocate excision of the gland as the...

European position paper on drug induced sedation endoscopy (DISE)

1 November 2014 | | ENTA - Laryngology / Swallowing / Voice, ENTA - ENT
DISE is a controversial topic but a practice that is largely accepted in the UK. There has been much variation about the technique, and how to interpret the results. For this reason, a collection of European DISE bigwigs aimed for...

Pinnaplasty for prominent ears

9 September 2020 | | ENTA - ENT, ENTA - Paediatrics
Pinnaplasty is a challenging yet rewarding procedure for which many different techniques have been described. In this article the authors describe their favoured technique, including the important postoperative care. Prominent ears can be a source of significant psychological distress in...

A soprano’s demise: a cautionary tale for the thyroid surgeon

4 March 2024 | | ENTA - ENT
Prior to the mid-19th century, thyroid surgery was considered excessively dangerous. The emergence of anaesthetic, antisepsis and improved instrumentation, however, increased its feasibility and frequency in Europe. The unhurried, judiciously antiseptic and haemostatic approach, advocated by Kocher, was popularised and...

Rhinoplasty: state-of-the-art

1 May 2017 | | ENTA - ENT, ENTA - Rhinoplasty
Rhinoplasty surgery has evolved over the years, and Pietro Palma introduces a further new concept. When flicking through the topics of major rhinoplasty meetings, the astute observer will realise that, at present, there are two mainstream schools of rhinoplasty, which...

How good ideas become great products: in conversation with three medical innovators

2 November 2020 | | ENTA - ENT
Ever had a great idea for an innovation that would significantly improve your practice, but wondered how to go about developing it? Lucy Dalton interviewed three consultant ENT surgeons-come-successful innovators (one international, one novice and one experienced) who explain what...