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Effectiveness of oral pressure therapy in obstructive sleep apnoea: a systematic analysis

1 July 2016 | | Apnea-hypopnea index, Obstructive sleep apnea, Oral pressure therapy, Treatment success rate
Oral pressure therapy (OPT) is a relatively new form of therapy for obstructive sleep apnoea (OSA). Paradoxically it seems to work even though it creates a vacuum in the oral cavity as opposed to the gold standard of continuous positive...

Clinical assessment in OSA

1 January 2016 | | airway evaluation, airway classification, Müller maneuver, pharyngometry
This paper divides the assessment up into anatomical (nasal and oropharyngeal), endoscopic and imaging. It points out the salient features to look out for in OSA patients with regards the nasal valve and also oropharyngeal anatomy, with tonsil hypertrophy grading...

Treatment algorithm for olfactory disorders

1 May 2015 |
The purpose of this paper is to review the current evidence in diagnosing olfactory disorders and suggest an algorithmic approach to patients with relevant complaints. Age-associated olfactory loss is often multifactorial and requires a careful history and physical exam. A...

Four (more) ways to reduce turbinates

1 May 2015 |
Setting aside the issue of when/if to reduce inferior turbinates, the issue of how to reduce turbinates is a never-ending story. This edition of rhinology carries two articles looking at this subject, both prospective randomised trials comparing two different methods...

Current management of facial fractures in the preadolescent

1 March 2015 | | ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice, ENTA-Skull Base Surgery, Otology
This article reviews the trends in management of preadolescent facial fractures – a challenging population due to the need to consider growth, dynamic changes in dentition, and evolving fracture patterns. In summary, conservative management is preferred in all fractures in...

Anterior skull-base surgery: current opinion

1 January 2015 | | ENTA-Head & Neck, ENTA-Skull Base Surgery
This review examines the changes in the field of anterior skull-base surgery and the rapid advancement that has taken place in the last 10–15 years. Tumours of the anterior skull base that were once considered inoperable are now routinely resected...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

1 March 2017 | | ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

Royal Society of Medicine – the year ahead

4 November 2022
Professor Peter Andrews and Professor Manohar Bance look forward to 2022-23.

What is Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)?

1 May 2018 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice
THRIVE is a physiological mechanism for oxygenating and ventilating patients who are under general anaesthesia and who have diminished or absent respiratory effort [1]. Classical ventilation requires bulk flow of gases into and out of the lungs driven by chest...

Paediatric ENT trauma

31 October 2018 | | ENTA-Audiology - Paediatric, ENTA-ENT, ENTA-Paediatrics
Managing trauma in children often strikes terror in doctors who do not deal with children regularly. Kate Stephenson explains the approach to a child who has suffered ENT trauma and specific things to look for in children. ENT injuries are...

Role of interventional neuroradiology in otorhinolarygological pathology 
– a brief review

1 May 2014 | | ENTA-ENT, ENTA-Neurotology
Introduction Since its advent in 1964 when Dotter percutaneously dilated a stenosed femoral artery [1], interventional radiology has undergone tremendous advancement in both imaging and devices that have enabled the operator (interventional radiologist) to access very distal small vasculature and...

Surgical management of sleep disordered breathing

1 May 2015 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice, ENTA-Rhinology / Sinus
Snoring and sleep-disordered breathing are often described as multi-level problems, and different surgical procedures are required to treat the various sites of airway narrowing and/or collapse. Jonathan Hobson gives us an eloquent run-through the various options available to the ENT...