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Nasal septoplasty: is it more effective than medical management?

8 January 2024 | | Rhinology / Sinus
Question1. How do we know that undertaking an operation will benefit a patient? Question 2. How do policy makers / health systems know an operation is effective and ‘good value for money’? As trained professionals, we spend our careers seeking...

Coblation tongue channelling

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

Sniffing out the evidence – COVID-19 and loss of sense of smell and taste

1 July 2021 | | ENT, Rhinology / Sinus, COVID-19
Louis Pasteur once observed: “In the fields of observation chance favors only the prepared mind.” Professor Hopkins was certainly prepared when a few anecdotes of smell problems started to accumulate early in the pandemic’s course. Post-viral olfactory loss is nothing...

Use of a diode laser for the removal of a frontal sinus osteoma

1 November 2015 | | Rhinology / Sinus
In this How I Do It, Professor Sergei Karpischenko introduces a gentle method of reduction of mobilised frontal sinus osteoma which has been successfully used in five patients in his university clinic using a diode laser in contact mode. Osteoma...

Cochlear implants and therapeutics: a natural partnership?

2 September 2022 | | ENT, Auditory Implants
Global awareness of cochlear implants as a solution for hearing loss is slowly increasing and gaining acceptance. The potential for combining cochlear implants with inner ear therapeutics is immense, with promise in several areas. This article takes us on a...

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...

Acupuncture for tonsillectomy pain in children

1 January 2015 | | Paediatric ENT, Laryngology / Swallowing / Voice
The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

A surgeon’s perspective on the challenges facing cochlear implantation in children

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, ENT, Otology, Paediatric ENT
Cochlear implantation in children offers a different set of challenges and goals to adult practice. In this article, Iain Bruce, Professor of Paediatric Otolaryngology in Manchester, UK, explains some of the current clinical and research challenges in paediatric cochlear implantation,...

Bipolar microdebrider turbinoplasty

1 September 2019 | | ENT, Rhinology / Sinus
There are a variety of ways to reduce the bulk of hypertrophied turbinates. Kimberley Lau and Showkat Mirza describe their technique which can be used in difficult cases and with minimal morbidity. As ever, one aim should be to avoid...

ENT and audiology in the Land of a Thousand Hills

4 March 2024 | | ENT, Audiology - Diagnostic, Audiology - Adult, Otology
Rwanda is a beautiful country known as the ‘Land of a Thousand Hills’. It is located in the Great Rift Valley in East Africa and shares borders with Uganda, Tanzania, Burundi, and the Democratic Republic of Congo, all offering direct...

Medical and surgical management of performing vocalists

1 September 2016 | | ENT, Laryngology / Swallowing / Voice
Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...

Isshiki Thyroplasty Type 2

1 September 2015 | | Laryngology / Swallowing / Voice
Indication Adductor spasmodic dysphonia is a neurological condition of unknown aetiology. The symptoms are believed to be caused by involuntary contraction of the adductor muscles of the vocal cord as a result of an abnormality of neurotransmitters in the basal...