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ENT in this issue...The Future of ENT (Mar/Apr19)

8 March 2019 |
Chris CoulsonENT Surgeon; Managing Director of endoscope-i E: chris@endoscope-i.com The future, predict it at your peril’, said me – just now. But despite this (rather late) warning, we have managed to commission five articles from futurists within our midst. The...

Laryngeal papillomatosis

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Laryngeal papillomatosis remains one of the most frustrating conditions seen by laryngologists. Sam Majumdar gives us an overview of the current science and clinical practice. Human papilloma virus is a small (> 8kb) double stranded DNA virus with approximately 200...

Robotic head and neck surgery: current state of the art and future innovations

1 March 2016 | | ENT, Head and Neck
Technology and innovation has provided modern head and neck surgeons with successive generations of robotic surgical systems, fibre-optic lasers, and novel tools which have ushered in a new era of minimally invasive surgery for tumours of the pharynx and larynx....

Hearing care systems – European examples

1 May 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
In this article, Vice President of the European Federation of Hard of Hearing, Lidia Best, explores the drivers for improvement and change in European hearing care systems. In 2010, the European Committee for Standardization (CEN) issued the EN-15927 European Standard...

Precision medicine in allergic rhinitis and chronic rhinosinusitis

1 November 2017 | | allergic rhinitis, integrated care pathway, precision medicine, rhinosinusitis
Precision medicine (PM) with its ‘four Ps’ (personalised, predictive, preventive and participatory) is about appreciating differences between individuals when offering management options for health problems. Multiple groups interested in rhinology such as EPOS and ARIA supported a review of the...

Cancer genetics and signalling pathways in ENT – a review and discussion of how this can be applied to rare tumours

1 November 2014 | | ENT, Genetics
Introduction Cancer cases continue to increase worldwide, and­­ head and neck cancer is a major global health issue, with an estimated global burden of over 630,000 new cases and over 350,000 deaths per year [1]. The term ‘head and neck...

Titanium bobbins are prone to water penetration

1 November 2016 | | Middle ear ventilation, Swimming, Tympanostomy tube insertion
There is limited evidence that swimming with grommets increases ear infections and most clinicians advise swimming with ventilation tubes is acceptable. Concerns may persist especially among parents. This paper evaluates the amount of different liquids (soapy water, sea water, chlorinated...

The search for pharmacological treatments for hearing loss and tinnitus

1 November 2016 | | Audiology - Adult
Where are we in our search for a hearing restoration grail? Nicola Robas leads us through the map pieces discovered in creating a pharmaceutical answer to hearing loss and tinnitus. Together, hearing loss and tinnitus affect over one in six...

Plasticity with cochlear implants: individual factors in the outcomes

1 May 2017 | | Audiology - Adult, Audiology - Paediatric, Auditory Implants, Otology
Andrej Kral gives us an overview of neuronal plasticity in congenital hearing loss, and discusses why it is core to our clinical interventions in hearing loss and rehabilitation. The brain is born immature and undergoes extensive shaping during early development....

Endoscopic ‘syringe and cutdown’ technique for nasolacrimal duct obstruction in children

3 May 2024 | | ENT, Rhinology / Sinus
This article presents a novel yet simple technique to help in the management of congenital NLDO. The authors propose it as a valuable addition to existing standard procedures. Congenital nasolacrimal duct obstruction (NLDO) is a condition encountered within the first...

ENT and evidence-based medicine: How do they benefit each other?

1 November 2016 | | ENT
How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...

Monitored safe medical practice: minimising patient harm will reduce medical negligence bill for the NHS

1 September 2018 | | ENT
Patrick Bradley ruminates on a celebrated career in ENT head and neck surgery and suggests that increasing the possibility of positive outcomes to contemporary patient safety initiatives by the NHS must involve efforts to develop an enthusiastic contented workforce willing...