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From the editor September/October 2023

4 September 2023 |
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk Who do you think you are? And – perhaps equally important – how do you come across to other people? For...

From the editor January/February 2024

8 January 2024 |
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTw: @Voicedoctor_uk Welcome to January/February 2024 – I hope you have had a restful Christmas break and that you are raring to go...

Retained surgical cottonoids in the nose

1 January 2018 |
his is an interesting group of case reports essentially documenting the presence and characteristics of retained surgical packing (non-resorbable) post sinus surgery. Paranasal gossypiboma refers to surgical foreign objects such as sponge or patties that are left in the nose;...

Soft tissue changes following maxillary osteotomy: comparison of three computer programmes

1 July 2019 | | Maxillofacial Surgery | Dolphin, ProPlan CMF, craniofacial surgery, finite element modelling, orthognathic surgery, soft tissue prediction, virtual surgery planning
This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CT’s three months preoperatively and one-year postoperatively. A clinical comparison between the...

Soft tissue changes following maxillary osteotomy, comparison of three computer programmes

1 May 2019 | | Laryngology / Swallowing / Voice | Dolphin, ProPlan CMF, craniofacial surgery, finite element modelling, orthognathic surgery, soft tissue prediction, virtual surgery planning
This small group of seven patients had a Le Fort I advancement maxillary osteotomy with vertical repositioning and alar base cinch sutures. They were assessed with cone beam CT’s three months preoperatively and one year postoperatively. A clinical comparison between...

Radiology of referred otalgia

1 May 2014 | | ENT, Otology, Neurotology
Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

The future of head and neck cancer surgery

1 March 2019 | | ENT, Head and Neck
Neil Sharma paints an exciting picture of the future of head and neck surgery with nanobots and robot augmented humans – science fiction or reality? Time will tell. ‘May you live in interesting times’ reads the old Chinese curse. The...

NHS collaboration and partnership with the pharmaceutical and medical devices industries

1 March 2015 | | ENT
Historically the relationship between industry and the NHS has been a cautious one. Both sides have typically worked with only partially disclosed agendas, under a pervading fear of finding themselves on the wrong end of a win-lose negotiation. Things have...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Singing after laryngectomy: Shout at Cancer

1 September 2016 | | ENT, 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...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

Vocal cord paralysis: an update

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
The management of unilateral vocal cord paralysis has changed in the last few years: this has largely come about as a result of improvements in technology, meaning that medialisations are quicker and easier to perform than previously. This article will...