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Can and should vestibular schwannoma surgery be carried out via the endoscopic transcanal approach?

1 May 2019 | | Neurotology, Otology, Skull Base Surgery
The extent and scope of endoscopic ear surgery has rapidly progressed in recent years, and this paper, from one of the leading proponents of this technique, reports on the outcomes of a case series of patients who have had total...

Inter-aural hearing preservation in cochlear implantation

1 March 2019 | | Audiology - Paediatric, Auditory Implants | Binaural, Cochlear implant, Hearing Preservation, Paediatric, Technique
Hearing preservation during cochlear implantation is becoming increasingly important, although results can be unpredictable. NICE are in the process of updating their guidance in the UK and it is possible that those with better hearing than the current candidates will...

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...

Advances in diagnosis and management of allergic rhinitis

1 May 2018 | | Allergen immunotherapy, Allergic rhinitis, Aspirin-exacerbated respiratory disease, Immunoglobulin E
This article reviews advances in the diagnosis and management of allergic rhinitis. Recent advances in the diagnosis of allergic rhinitis include testing of local immunoglobulin E (IgE), urinary test to diagnose aspirin hypersensitivity and optical rhinometry to assess degree of...

5-cm incision for neck dissection and free flap reconstruction

1 May 2017 | | Anastomosis, Minimal Access, Neck Dissection
Patients with oral cavity squamous cell carcinoma (SCC) will commonly require neck dissection as it is associated with a higher rate of overall and disease free survival. Free flap reconstruction of the defect following surgical resection is considered the gold...

In-office KTP laser excision of a vocal process granuloma

1 July 2016 | | Dysphonia, In-office surgery, KTP laser, Vocal process granuloma
The KTP laser is increasingly being used in an outpatient setting – particularly in North America – to treat various laryngeal pathologies including papillomas, leukoplakia, dysplasia and vascular lesions. This article reports the use of the KTP laser in the...

Salivary gland blues…

1 March 2016 |
Intravenous methylene blue is a well-described method to assist in intraoperative localisation of parathyroid glands. The technique does come with challenges as anybody will know who has had to run adjacent to a theatre-bound trolley to ensure that the infusion...

The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation

1 January 2017 | | Neurotology, Otology
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...

The development of endoscopic sinus surgery – a meeting of three great minds

1 May 2019 | | ENT, Rhinology / Sinus
The story of the development of endoscopic sinus surgery is inextricably linked with the names of Stammberger, Messerklinger and Storz. Karl Storz’s daughter, Sybill Storz, tells us more. We would like to take this opportunity to express our appreciation of...

Practical training courses for otolaryngology trainees

1 March 2017 | | ENT
In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

Minimally invasive techniques for benign salivary gland obstruction

13 June 2017 | | ENT, Laryngology / Swallowing / Voice
Salivary gland obstruction is a common condition – it is recognised by a complaint of intermittent meal-time swelling of the affected salivary gland and can be accompanied by recurrent infections. Imaging can identify the nature and location of an obstruction...

Endoscopic DCR

31 October 2018 | | ENT, Rhinology / Sinus
In this interesting article, our experienced colleagues describe their favoured technique for performing endoscopic DCR and share with us the key steps for a successful outcome. Dacrocystorhinostomy (DCR) was historically performed by ophthalmologists for nasolacrimal obstruction using external techniques. The...