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895 results found

Time to endoscopic sinus surgery and outcomes

1 January 2016 |
A well written prospective study, which demonstrates that patients who require endoscopic sinus surgery, should be operated on without long delay since this achieves better and more sustained outcomes. There were 1493 patients undergoing primary nasal surgery who had completed...

Identifying CN IX and X using endotracheal tube electrodes

1 January 2016 |
This clinical study describes the possible usefulness of endotracheal tube electrodes in monitoring vocal cord function during cerebellopontine angle surgery in 20 patients. Lower cranial nerves, especially IX and X are at risk of injury during skull base surgery although...

Smaller gauge voice prosthesis is effective in secondary trans-oesophageal puncture

1 November 2015 |
Placement of voice prosthesis at the time of trachea-oesophageal puncture is well described using 20-French prostheses. There is debate about the optimal size of the prosthesis with work in the 1980s and 1990s supporting larger prostheses. The rationale was that...

Paediatric coblation intracapsular tonsillectomy

1 July 2015 |
The ENT-UK tonsillectomy audit in 2005 created understandable caution in the promotion of Coblation techniques. This prospective study on 100 consecutive paediatric patients looked at outcomes following ‘cold’ radiofrequency ablation (Coblation) intracapsular tonsillectomy. This series shows the technique to be...

The laryngeal microdebrider – a useful adjunct in the surgical treatment of Reinke’s oedema?

1 July 2015 | | CO(2) laser, Larynx, Microdebrider, Reinke edema, Voice quality
The surgical treatment of Reinke’s oedema traditionally involves a cold steel incision placed in the lateral aspect of the vocal fold with aspiration of the characteristic gelatinous contents. In this paper, the authors compare voice outcomes in patients treated with...

Management of benign oesophageal strictures

30 April 2020 | | ENT, Laryngology / Swallowing / Voice
Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

Salivary duct clipping for drooling

1 November 2017 | | Head and Neck
Drooling can be a challenging problem to manage in paediatric ENT. The variety of medical and surgical treatments suggests that there is no gold standard treatment. Nicola Stobbs and Ravi Thevasagayam describe an approach to ligating the salivary ducts. Drooling...

Audiology in this issue...Psychology (May/Jun19)

1 May 2019 |
Alex Griffiths-Brown, BSc(Hons), MRes, Audiologist, The Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK. E: alex.griffiths-brown@nhs.net@griffithsbrown1 Whether using ‘client centred counselling’ [1] when seeing adult hearing aid patients, employing motivational interviewing [2] during tinnitus consultations or considering the stages of...

European funding for the tinnitus research network TINNET

25 May 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Tinnitus
Over 70 million people in Europe experience tinnitus, and for seven million it creates a debilitating condition. Severe tinnitus is often associated with depression, anxiety and insomnia, resulting in an enormous socio-economic impact [1]. It has been estimated that 13...

Minimally invasive techniques for benign salivary gland obstruction

13 June 2017 | | ENT, Laryngology / Swallowing / Voice
Salivary gland obstruction is a common condition – it is recognised by a complaint of intermittent meal-time swelling of the affected salivary gland and can be accompanied by recurrent infections. Imaging can identify the nature and location of an obstruction...

The evolution in management of microtia and atresia

2 March 2022 | | ENT, Otology
The management of microtia and atresia has evolved significantly. Ossama Abdelhamid and Amr Abdelhamid explain how a multidisciplinary approach has become standard, with the aim of delivering individualised assessment and intervention that should target functional, structural, cosmetic and psychological aspects...

What’s new in implantable devices? New indications in cochlear implantation

1 May 2016 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Auditory Implants, Otology, ENT, Paediatric ENT
For over 40 years, cochlear implant procedures have steadily increased. Outcomes for patients are improving as a result of modified surgical techniques, a wider portfolio of electrode arrays, advances in programming strategies, access to improved technology and a better understanding...