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TORS for patients with sleep-disordered breathing
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...In conversation with Bill Gibson, Richard Ramsden and Shakeel Saeed
The surgical aspect of cochlear implantation is both a joy and a challenge – which is why we love it! In this article, Simon Freeman draws on the wisdom of his three previous mentors, sharing pearls from some of the...Chronic rhinosinusitis management: back to the future?
Immunology is a dim and distant medical school memory to many ENT surgeons, but the increasingly complex immunology of chronic rhinosinusitis is fascinating (honestly!). Medical management options in CRS no longer just involves saline and steroids, and we need to...
How effective is vestibular rehabilitation in bilateral vestibular failure?
In patients with bilateral vestibular hypofunction (BVH), the outcome of vestibular rehabilitation is mixed. The aim of the study was to identify factors associated with outcome of vestibular rehabilitation (VR) in patients with BVH. A retrospective case notes review identified...Imaging and management of head and neck vascular anomalies
Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...Cochlear Implant International Community of Action: closing the gap in CI provision
The 25 February was International Cochlear Implant (CI) Day. Over 50 years after the introduction of CIs, how far have we progressed in ensuring access to CI and CI services for those who could benefit? Only between five and 10%...
A ‘smarter’ personal amplification device
The hearing aids available on the market today are undeniably impressive, particularly when compared to their clunky and squeaky predecessors. At a most basic level, hearing aids sample the surrounding auditory signal in real-time, breaking sounds down into frequency-specific channels....The ENT operating theatre viewed down the retrospectoscope
We learn much of our future by looking at our past; Douglas MacMillan provides us with a fascinating glimpse into his years as a junior doctor. The operating theatre was a somewhat alien environment in the late 1960s: theatre sisters...Paediatric ENT trauma
Managing trauma in children often strikes terror in doctors who do not deal with children regularly. Kate Stephenson explains the approach to a child who has suffered ENT trauma and specific things to look for in children. ENT injuries are...Temporoparietal fascia flap for blind sac closure
Chronic ear disease can be challenging to manage and difficult for patients to live with. In this article, the authors describe their technique for otomastoid obliteration and blind sac closure of the external canal allowing for a more tolerable situation...Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia
Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...
