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Anaesthesia for free-flap surgery

1 November 2019 | | ENTA-ENT
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

How well are we managing epistaxis cases?

1 January 2017 | | Epistaxis, Prevention & Control, Surgery
Epistaxis constitutes 34.5% of all emergency admissions to otolaryngology departments nation-wide. Presently there are no detailed consensus guidelines for this commonest emergency, and there is tremendous variation of practice. Quite often, non-ENT trained doctors manage this emergency. This paper reviews...

Screening: evaluating the outcomes of early intervention

1 January 2015 | | ENTA-Audiology - Diagnostic, ENTA-Audiology - Paediatric
Newborn hearing screening is now the accepted standard of care in several countries, and is becoming increasingly more established worldwide. White [1] reported eight countries screening over 90% of newborns, ten screening between 25-89% of births and a further 54...

Developing outcome measures for research

1 January 2018 | | ENTA-Audiology - Adult, ENTA-Audiology - Diagnostic
There are challenges in developing outcomes measures; Professor Hall presents five top pointers for making rapid progress in developing outcome measures for research purposes. Anyone who has worked clinically with hearing loss will appreciate that every patient’s experience is personal....

MedAudPro: a united front for audiology

19 September 2022
For the past three years, the Network of Medical Audiology Professionals has been bringing together ENT providers in the USA. Co-founder and President, Patricia Ramos talks about her ambitions for the organisation.

Making sense of modern wireless hearing aid technologies

1 November 2014 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric
Before diving into the topic of the technology behind wireless hearing aids, it is important to define two key concepts. The first is wireless frequency. This is the frequency at which a wireless signal is transmitted. In the context of...

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

30 April 2020 | | ENTA-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...

Audiology training in South Africa

1 May 2017 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric, ENTA-Audiology - Diagnostic
There are many different ways to become an audiologist throughout the world and it is interesting to see how different some of the training routes can be. Dr Cherilee Rutherford, a lecturer in audiology at the University of Cape Town,...

Reflections on educational gatherings in the COVID era

9 September 2020 | | ENTA-Covid-19, ENTA-ENT
The COVID pandemic has brought disruption and uncertainty for the organisers of medical conferences. ENT and audiology have always thrived on a healthy exchange of views and the sharing of knowledge across subspecialties and across national boundaries. Ray Clarke asked...

Changing behaviour with a human factors approach

1 January 2014 | | ENTA-ENT
The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

ENT clinics – 50 years of progress…?

1 May 2017 | | ENTA-ENT
Cocaine in abundance, eustachian tube catheterisation, and the ever-present threat of a fire in the clinic… How have things changed in the last few decades? Retired ENT surgeon, Douglas MacMillan, tells us of his experiences starting out in the late...

A place for everything and everything in its place: the practicalities of randomised clinical trials

1 November 2016 | | ENTA-Audiology - Adult
Will this pill cure tinnitus? Bonnie Millar describes one trial that has investigated the possibility whilst describing the path of drug trials in the UK. Background In the last quarter of 2014, a clinical trial (QUIET-1; ClinicalTrials.gov Identifier: NCT02315508) commenced...