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When ears go bad

1 September 2015 | | Cancer, External auditory canal, Squamous cell carcinoma, Surgical management, Temporal bone malignancy, Temporal bone resection
Whilst rare, squamous cell carcinoma is the commonest primary malignancy of the temporal bone and is discussed in this review article. This tumour frequently presents with otalgia, ottorhoea and hearing loss; less commonly, with facial palsy or parotid mass. Investigations...

Cutting burr otoplasty and conchal setback to correct prominent pinna: a ‘step by step approach’

1 January 2015 | | Otology
Prominent ears can cause significant social and psychological effects on an individual. The two most common anatomical defects for a prominent pinna are an underdeveloped anti-helical fold and / or enlarged conchal bowl. In the senior author’s practice over the...

Audiology in this issue... Paediatric Audiology Gamechangers (NovDec18)

7 November 2018
Fifty years ago, the National Conference on Education of the Deaf followed up on the Babbidge Report of 1965, recognising the failure of oralism in deaf education. Because young, deaf children at that time did not have access to sound, they could not develop speech and language. Further, because children were identified at two years or later, early intervention was only a dream.

Temporoparietal fascia flap for blind sac closure

4 March 2024 | | ENT, Head and Neck
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...

Salivary duct clipping for drooling

1 November 2017 | | Head and Neck
Drooling can be a challenging problem to manage in paediatric ENT. The variety of medical and surgical treatments suggests that there is no gold standard treatment. Nicola Stobbs and Ravi Thevasagayam describe an approach to ligating the salivary ducts. Drooling...

Assessment of genetic disorders: congenital sensorineural hearing loss

1 November 2014 | | ENT, Genetics, Otology
Severe or profound sensorineural hearing impairment (SNHI) is a common birth defect, affecting approximately 1 in 1000 newborns [1]. SNHI may result from environmental causes or have a genetic basis. The genetic causes can be further subdivided into non-syndromic (isolated...

Acupuncture for tonsillectomy pain in children

1 January 2015 | | Paediatric ENT, Laryngology / Swallowing / Voice
The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

Using telehealth to engage teenagers

1 January 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
Can we use a teenager’s love of gadgets to re-engage them with their hearing technology? Gwen Carr reports on an innovative use of telehealth to support teenagers who are no longer visiting their hearing healthcare professionals. Parents of children and...

A surgeon’s perspective on the challenges facing cochlear implantation in children

1 September 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, ENT, Otology, Paediatric ENT
Cochlear implantation in children offers a different set of challenges and goals to adult practice. In this article, Iain Bruce, Professor of Paediatric Otolaryngology in Manchester, UK, explains some of the current clinical and research challenges in paediatric cochlear implantation,...

The evolution of the Confederation of CEORL-HNS Congress: a conversation among presidents

1 January 2019 | | ENT
The Congress of the Confederation has come a long way since its first meeting in 2011. Three presidents – past and present – discuss how it has evolved. Prof Bernal-Sprekelsen, you organised the 1st Congress of the Confederation of EORL-HNS...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENT, Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

The changing landscape of thyroid and parathyroid surgery

5 July 2022 | | ENT, Thyroid / Parathyroid Surgery
How has clinical practice in the management of thyroid and parathyroid disease has evolved in recent years? I perform very few head & neck operations where the patient tells me just one week following surgery that they ‘feel much better’....