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Surgical voice restoration after laryngopharyngectomy

1 March 2016 | | Total laryngopharyngectomy, jejunal free flap, quality of life, radial forearm free flap, tracheoesophageal voice
Voice restoration is one of the key rehabilitative steps after laryngectomy or total laryngopharyngectomy (TLP). Patients who undergo TLP require reconstruction – increasingly commonly with microvascular free flaps. Despite their advantages in terms of fistula rates and swallowing outcomes, these...

What’s new in laryngology: the next 10 years!

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
At a time of unprecedented technological advances, Taran Tatla and Jonathan Fishman gaze into the laryngological crystal ball… Introduction The recent explosion in science, technology and innovation takes us into a new era, with the opportunity and capability to transform...

Microneedles enable inner ear precision medicine

2 September 2022 | | Audiology - Adult, Otology
Developing safe, reliable and efficient ways to deliver therapeutics into the cochlea is a key challenge. In this article, the authors share their work to develop microneedles to address this challenge. The era of precision medicine of the inner ear...

Hunting for the zorse - hybrid learning in the wake of the COVID-19 pandemic

3 July 2023 | | ENT, COVID-19
Emma Watts, a West Midlands ENT Registrar and Digital Fellow, gives a witty and concise recollection of ENT training during COVID, and predicts how hybrid learning may be here to stay. *A zorse is the offspring of a zebra stallion...

Robotic assisted orbital surgery (RAOS) – a novel approach to orbital malignancy surgery

4 March 2024 | | ENT, Head and Neck
Robotic technology in ENT surgery has been used in certain areas of head and neck cancer care but, in this article, we hear of an exciting development from the team at Guy’s & St Thomas’. Advances in surgical robotic technology...

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENT, Head and Neck, Laryngology / Swallowing / Voice, Thyroid / Parathyroid Surgery
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

By the people, for the people: a multidisciplinary facial nerve clinic with a difference

30 April 2020 | | ENT
Facial nerve palsy is regularly seen in ENT clinics. Underlying diagnoses are excluded, and the patient is often then discharged to ‘see how it goes’, with or without an ophthalmology referral. Here, Catherine Meller describes how she and her team...

Middle ear muscle disorders: presentation, diagnosis and management

1 March 2019 | | Audiology - Adult, Audiology - Diagnostic
Patients often report symptoms relating to disorders of the middle ear muscles. Prof Bance gives us an overview of the anatomy and function, as well as guides our diagnosis and management. The middle ear muscles (MEMs) are a mystery, both...

Using tele-audiology in Zambia’s ear and hearing care desert

4 May 2021 | | Audiology - Adult, Audiology - Diagnostic
Addressing the medical desert with tele-audiology and tele-education. If a ‘medical desert’ is defined as a community that lives more than 60 miles away from the nearest acute care hospital, then try to imagine an appropriate term for a situation...

Differing outcomes of three Sub-Saharan Africa journeys with the common goal of task sharing in audiology

4 May 2021 | | Audiology - Adult, Otology, ENT
Task sharing can be designed and implemented specific to the needs of each programme. Foundational principles of global health include developing local leadership as a means to successful sustainable service provision in low- and middle-income countries (LMIC) or regions. It...

Using tele-audiology in Zambia’s ear and hearing care desert

4 May 2021 | | Audiology - Adult, Audiology - Diagnostic
Addressing the medical desert with tele-audiology and tele-education. If a ‘medical desert’ is defined as a community that lives more than 60 miles away from the nearest acute care hospital, then try to imagine an appropriate term for a situation...

Differing outcomes of three Sub-Saharan Africa journeys with the common goal of task sharing in audiology

4 May 2021 | | Audiology - Adult, Otology, ENT
Task sharing can be designed and implemented specific to the needs of each programme. Foundational principles of global health include developing local leadership as a means to successful sustainable service provision in low- and middle-income countries (LMIC) or regions. It...