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Dirty Work

1 May 2014 | | ENTA-ENT
Gabriel Weston’s new novel chronicles four traumatic weeks in the life of its narrator, Dr Nancy Mullion. Nancy is a young trainee in obstetrics and gynaecology, the subject of a General Medical Council (GMC) investigation into her clinical performance following...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENTA-ENT, ENTA-Thyroid / Parathyroid Surgery
Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Imaging tinnitus

1 May 2014 | | ENTA-Audiology - Adult, ENTA-ENT, ENTA-Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

Singing after laryngectomy: Shout at Cancer

1 September 2016 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Thomas Moors is an ENT junior doctor with a background in music and singing. Combining these interests, he has set up a charity to help patients who have had a laryngectomy. He has achieved considerable public attention, and he tells...

The future of facial plastics and rhinoplasty

1 November 2017 | | ENTA-ENT, ENTA-Rhinoplasty
Interest in facial plastic surgery and in particular rhinoplasty has never been greater. From his wealth of experience in the field, Professor Palma outlines the potential problems of this increasing popularity and how they may be addressed, areas on which...

Hidden hearing loss in humans

1 March 2018 | | ENTA-Audiology - Diagnostic, ENTA-Audiology - Adult
Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...

The importance of hearing aid validation in infants with hearing loss

31 October 2018 | | ENTA-Audiology - Paediatric
Hearing aid validation requires that speech discrimination be measured, yet there are no validated methods of measuring speech discrimination in infants and toddlers. Prof Uhler describes two related approaches that are showing promise. Speech discrimination is the gold standard for...

Selective upper airway stimulation

1 May 2016 | | ENTA-Laryngology / Swallowing / Voice
Obstructive sleep apnoea (OSA) is one of the most common diseases in industrialised countries and is characterised by an intermittent obstruction of the upper airway during sleep. The standard treatment for OSA is continuous positive airway pressure (CPAP) therapy, which...

Targeted focal parathyroidectomy

1 July 2019 | | ENTA-ENT, ENTA-Head & Neck
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Management of benign oesophageal strictures

30 April 2020 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

Cochlear implants and therapeutics: a natural partnership?

2 September 2022 | | ENTA-ENT, ENTA-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...

An update on HPV and the vaccination

1 January 2017 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice, ENTA-Paediatrics
In recent years, the role of HPV in the development of oropharyngeal cancers has become apparent. Hannah Fox and Vin Paleri contend that while we may not always be able to cure oropharyngeal cancers, vaccination offers our best hope for...