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From aaargh to zzzzz: the ABC of paediatric anaesthesia

1 November 2019 | | ENT
Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...
Jama Otolaryngology web page image.

Which surgical procedure is more effective in treating OSA? Tonsillectomy or modified uvulopalatopharyngoplasty?

6 January 2023 | | Laryngology / Swallowing / Voice
Obstructive sleep apnoea (OSA) is a recognised condition that is increasing in prevalence, affecting the quality of life in certain individuals. Although the first line management is non-surgical, this paper highlights the two different surgical procedures offered to patients. The...

DISE as a rationalising tool for sleep apnoea surgery

1 May 2019 | | Rhinology / Sinus | Drug-induced sleep endoscopy, Obstructive sleep apnea, Upper airway surgery, VOTE classification
This retrospective study on 85 adult obstructive sleep apnoea (OSA) patients provides further interesting information for sleep surgeons. These patients were all investigated with polysomnography (PSG) and drug induced sleep endoscopy (DISE). They all then underwent a simple uvulopalatoplasty with...

Double suspension sutures for obstructive sleep apnoea

1 March 2019 | | Laryngology / Swallowing / Voice | Double suspension sutures, Modified anterior palatoplasty, Obstructive Sleep Apnea
This study examines the benefit of an operation that targets the lateral pharyngeal wall. The double suspension sutures are, in essence, a suture through the palatopharyngeus muscle which is then tied around the hamulus in the retro molar area. This...

Diagnosis and treatment of snoring in adults – S2k Guideline of the German Society of Otorhinolaryngology, Head and Neck Surgery

1 May 2015 |
This article summarises the work done by the German Society of Otorhinolaryngology, who have developed guidelines for the management of snoring. ‘S2k’ is German nomenclature for a consensus based guideline, which (for those of you interested in such things), is...

Balloon Eustachian tuboplasty – is it time to start doing it in children?

3 May 2022 | | Rhinology / Sinus | BDET, Balloon dilation of eustachian tube, Children, Eustachian tube dysfunction
Given the potential applications for balloon Eustachian tuboplasty (BET) in children, its uptake in most centres has been slow. The reasons for this are multifactorial. There are technical issues – the feasibility of obtaining the correct size balloon and manoeuvring...

BLA announces membership election results

30 May 2024
The British Laryngological Association (BLA) has announced the results of its bi-annual election.

Quo vadis FESS? Future directions in functional endoscopic sinus surgery

1 May 2019 | | ENT, Rhinology / Sinus, Imaging
Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

First UK hypoglossal nerve stimulation implant in the treatment for moderate to severe OSA

25 April 2023 | | ENT, Laryngology / Swallowing / Voice
Obstructive sleep apnoea has been treated in many different ways over the years. We hear from Yakubu Karagama about one of the latest surgical developments. Introduction Obstructive sleep apnoea (OSA) is by far the most common sleep disorder, affecting all...

Thyroid nodules – time for a rational imaging approach

1 May 2014 | | ENT, Thyroid / Parathyroid Surgery
“The more you know, the harder it is to take decisive action. Once you become informed, you start seeing complexities and shades of gray. You realize that nothing is as clear as it first appears. Ultimately, knowledge is paralyzing.” Calvin,...

Surgical management of sleep disordered breathing

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Snoring and sleep-disordered breathing are often described as multi-level problems, and different surgical procedures are required to treat the various sites of airway narrowing and/or collapse. Jonathan Hobson gives us an eloquent run-through the various options available to the ENT...

Sleep apnoea in children with craniofacial syndromes

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Paediatric ENT, Rhinology / Sinus
Whilst snoring and obstructive sleep apnoea are relatively common diagnoses in paediatric ENT, children with craniofacial syndromes take the problem to the next level. Robert Nash and Michelle Wyatt describe the Great Ormond Street multidisciplinary approach to treating this complex...