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What is the evidence for contralateral tonsillectomy in TORS for known unilateral tonsil malignancy?

1 January 2018 | | bilateral tonsillar cancer, contralateral tonsillar cancer, tonsillar cancer, transoral robotic surgery (TORS)
The concept of field changes by carcinogens within the upper aerodigestive tract is well established with reported rates of synchronous tumours of 4% and second primaries of 36%. The tonsil in particular has the highest rate of synchronous tumours, postulated...

Rationales to explore the neck in penetrating injuries

1 May 2017 | | Neck Injuries, Penetrating Wounds, Practice Guideline
Penetrating neck injuries in the UK are more commonly associated with low velocity objects such as knives and blades as opposed to gunshots. To explore the neck requires careful consideration of the need to do so in line with Burgess...

Outcome of TORS to tongue base and epiglottis in patients with OSA intolerant of conventional treatment

1 September 2016 | | Epiglottoplasty, Obstructive sleep apnea, Robotic surgery, Tongue base reduction, Transoral
The use of transoral robotic surgery (TORS) in ENT is rather controversial, but the use of robotic surgery for obstructive sleep apneoa (OSA), makes it doubly so. Previous studies on TORS in OSA have been performed with other types of...

Effectiveness of oral pressure therapy in obstructive sleep apnoea: a systematic analysis

1 July 2016 | | Apnea-hypopnea index, Obstructive sleep apnea, Oral pressure therapy, Treatment success rate
Oral pressure therapy (OPT) is a relatively new form of therapy for obstructive sleep apnoea (OSA). Paradoxically it seems to work even though it creates a vacuum in the oral cavity as opposed to the gold standard of continuous positive...

Frederik Dikkers: championing change in laryngology

3 May 2024 | | ENT, Laryngology / Swallowing / Voice
Prof Dikkers shares the details of his journey into ENT surgery, his dedication to treating laryngeal papillomatosis, and his pioneering advancements in button battery safety. Recurrent respiratory papillomatosis (RRP) is one of the most frustrating conditions managed by laryngologists. There...

Frederik Dikkers: championing change in laryngology

3 May 2024 | | ENT, Laryngology / Swallowing / Voice
Prof Dikkers shares the details of his journey into ENT surgery, his dedication to treating laryngeal papillomatosis, and his pioneering advancements in button battery safety. Recurrent respiratory papillomatosis (RRP) is one of the most frustrating conditions managed by laryngologists. There...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

1 July 2016 | | Rhinology / Sinus
In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

Surgical technology and operating room safety failures: lessons from vascular and general surgery

1 January 2014 | | ENT
Background – surgical technology and otolaryngology An estimated 234 million major surgical procedures are performed annually worldwide. This requires the interaction of multidisciplinary teams with varying contributions of surgical technology and therefore makes surgical procedures prone to multiple sources of...

The role of macrolide antibiotics in chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

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...

BACO International 2018: Key Speakers

1 January 2018 | | ENT, Otology, Neurotology, Head and Neck, Laryngology / Swallowing / Voice, Skull Base Surgery
Prof Aldo C Stamm, MD, MSc, PhD Anatomy of the paranasal sinuses and skull base, and breaking the paradigms in severe spontaneous epistaxis It is a true honour to participate as an invited faculty member at the upcoming BACO International...

Olfaction in CRS

3 November 2022 | | ENT, Rhinology / Sinus
Conventional teaching tells us that hyposmia in chronic rhinosinusitis is due to mechanical obstruction of the olfactory cleft. But it might be that the story is slightly more complicated than that. Olfactory dysfunction is a common feature of chronic rhinosinusitis...