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Thyroid cancer – the last decade

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
Professor Ashok Shaha describes the evolution in the treatment of thyroid cancer that he has witnessed over the last decade and the invaluable progress made by himself and others, from their contributions to staging systems and guidelines. Nuances and paradigm...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - 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...

Hearing rehabilitation after vestibular schwannoma surgery

27 February 2020 | | ENTA - ENT, ENTA - Otology, ENTA - Vestibular Disorders
Hearing rehabilitation is a key focus of the management of patients with vestibular schwannoma. But how do we rehabilitate hearing when the cochlear nerve has been damaged by tumour, irradiation, or resective surgery? Mathieu Trudel, Scott Rutherford and Simon Lloyd...

What does functional neuroimaging tell us about tinnitus?

24 May 2017 | | ENTA - Audiology - Diagnostic, ENTA - Imaging, ENTA - Neurotology, ENTA - Tinnitus
One of the most common causes of tinnitus is noise exposure, be that either cumulative day-to-day exposure over a lifetime or experience of acute noise trauma such as a loud concert or shooting incident. Observational data indicate that up to...

Clinical utility and practical interpretation of the video head impulse test

1 November 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Vestibular Disorders
The head impulse test (HIT) is an essential bedside test to detect peripheral vestibular deficits. The video head impulse test (vHIT) is a new tool quantifying the HIT. In this article Maria Heuberger and colleagues point out the clinical utility...

Middle ear muscle disorders: presentation, diagnosis and management

1 March 2019 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
Patients often report symptoms relating to disorders of the middle ear muscles. Prof Bance gives us an overview of the anatomy and function, as well as guides our diagnosis and management. The middle ear muscles (MEMs) are a mystery, both...

EEG as a measure of neuroplasticity in children

6 January 2023 | | ENTA - Audiology - Paediatric, ENTA - Auditory Implants, ENTA - Audiology - Diagnostic
Measuring changes in neural activity can teach us a lot about hearing loss and the effect of gained functional hearing. In this article, the authors describe how electroencephalography (EEG) is being used to effectively measure such changes in children with...

Botulinum toxin injection in spasmodic dysphonia

1 May 2018 | | ENTA - Laryngology / Swallowing / Voice
Spasmodic dysphonia is a rare neurological voice disorder, which is often missed by the inexperienced ear. There is no laboratory test or investigation to diagnose this condition therefore, it is best diagnosed by listening to the patient’s voice. Laryngeal endoscopy...

Endoscopic CSF leak repair using nasoseptal flap

1 May 2019 | | ENTA - ENT, ENTA - Rhinology / Sinus
Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

SCOTLAND preoperative tympanomastoid CT temporal bone mnemonic system

2 November 2020 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Imaging
Learning how to interpret a CT scan of the temporal bones can be a daunting task, especially for a head and neck surgeon like me! However, to make life easier, the authors have devised a useful system to help cover...

Sialendoscopy

4 November 2021 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Recent advances in endoscopic technology allow the ENT surgeon to access the salivary gland ductal system for both diagnostic and therapeutic reasons. In this article the authors share their experiences with using this technology, both as a standalone procedure and...

PHACON artificial bone models for ENT training

1 January 2018 | | ENTA - ENT, ENTA - Otology
Simulation, both in training and clinical practice, has become an increasingly important facet of a surgeon’s life. The escalating costs of cadaveric material makes synthetic alternatives an attractive proposition but, up until recently, these artificial versions have lacked the material...