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Global health missions – not just for consultants. A guide for trainees.

31 October 2018 | | ENT
Lulu Ritchie is a courageous and driven trainee in London, inspired by humanitarian missions but conscious of the usual requests for consultant level doctors. Lulu didn’t let that hold her back. She found a way and has kindly summarised her...

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...

Pre-hospital care

1 July 2014 | | ENT
For those of us that work within the acute hospital system, the sound of the trauma pager going off warning of an incoming casualty with as yet unknown injuries is often the sound of uncertainty and anxiety. When it becomes...

Middle ear muscle disorders: presentation, diagnosis and management

1 March 2019 | | Audiology - Adult, 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...

Selective upper airway stimulation

1 May 2016 | | Laryngology / Swallowing / Voice
Obstructive sleep apnoea (OSA) is one of the most common diseases in industrialised countries and is characterised by an intermittent obstruction of the upper airway during sleep. The standard treatment for OSA is continuous positive airway pressure (CPAP) therapy, which...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

1 March 2017 | | Head and Neck, Laryngology / Swallowing / Voice
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

In conversation with Liam M Flood: Middlesbrough (M for Michael? ...nope, Martin!)

1 November 2014 | | ENT
Liam Flood. With a name such as Liam you must have some ‘Irish blood’? Where does your family come from? Tell us more? (What did your old man / mum do?) Some Irish blood? Those who know me well would...

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...

Isshiki Thyroplasty Type 2

1 September 2015 | | Laryngology / Swallowing / Voice
Indication Adductor spasmodic dysphonia is a neurological condition of unknown aetiology. The symptoms are believed to be caused by involuntary contraction of the adductor muscles of the vocal cord as a result of an abnormality of neurotransmitters in the basal...

Experience on the front line

21 January 2021 | | ENT
21st January 2021 Back to basics Yesterday I went right back to where my medical career began. I grew up in Germany, bilingual. A prerequisite to studying medicine in Germany is that applicants have to spend two months working as...