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TORS for patients with sleep-disordered breathing

1 May 2015 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice, ENTA-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...

Migration and training: a British-Nigerian surgeon’s perspective

1 March 2018 | | ENTA-ENT
Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

Endoscopic Dacryocystorhinostomy

1 September 2014 | | ENTA-Rhinology / Sinus
Epiphora, or abnormal tearing, occurs because of blockage in the lacrimal drainage system, which impairs normal tear channeling into the nose. Dacryocystorhinostomy (DCR) is used to treat patients diagnosed with lacrimal sac or nasolacrimal duct obstruction (NLDO). External DCR was...

A medical student’s perspective on the future of obstructive sleep apnoea management

17 June 2021 | | ENTA-Rhinology / Sinus, ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Obstructive sleep apnoea remains an immensely challenging condition to treat. Many treatments have been used over the years, but no single management strategy has proven significantly better than the others. We hear about some technological innovations in the field of...

Specialist teams deliver world-class trauma care

1 July 2014 | | ENTA-ENT
University Hospitals Birmingham NHS Foundation Trust runs the Queen Elizabeth Hospital Birmingham, which is a designated Major Trauma Centre. The Trust holds the contract to treat all UK injured military personnel evacuated from combat zones overseas. More than 1200 of...

Coblation tongue channelling

1 May 2015 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice, ENTA-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...

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENTA-ENT, ENTA-Head & Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENTA-ENT, ENTA-Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

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...

Exploring teenagers’ access and use of assistive hearing technology

1 January 2017 | | ENTA-Audiology - Adult, ENTA-Audiology - Diagnostic, ENTA-Audiology - Paediatric
Children require good signal-to-noise ratios for optimum listening and learning. The use of remote microphone technology can be of benefit, yet older children often resist using it. Jennifer Groth reviews the challenges facing older children in the use of remote...

Rhinology: what does the future hold?

1 May 2017 | | ENTA-ENT, ENTA-Rhinology / Sinus
David Kennedy surveys the past, the present and the future of rhinology practice and research. An evolution of understanding in rhinology The dramatic growth of clinical and translational research within the field of rhinology in recent years is illustrated by...

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice, ENTA-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,...