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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...

Experience of the Sophono transcutaneous bone conduction system

1 May 2015 | | bone conduction, hearing loss, surgery, osseointegration
This article is a frank discussion of the authors’ experience implanting these devices. The principle of the device is surgical implantation of a bilobed magnet within a bony well in the cranium (similar position to BAHA). The implant is a...

Four (more) ways to reduce turbinates

1 May 2015 |
Setting aside the issue of when/if to reduce inferior turbinates, the issue of how to reduce turbinates is a never-ending story. This edition of rhinology carries two articles looking at this subject, both prospective randomised trials comparing two different methods...

Practical Neurotology and Skull Base Surgery

1 November 2014 | | ENTA-Neurotology
The introduction describes this text as being useful for a wide readership including the medical student, physician assistant, nurse practitioner and physical therapist dealing with dizziness. I would be of the opinion as indicated in the preface that this is...

Management of benign oesophageal strictures

30 April 2020 | | ENTA-ENT, ENTA-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...

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 | | ENTA-Audiology - Adult, ENTA-Audiology - Diagnostic, ENTA-Audiology - Paediatric, ENTA-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...

Salivary duct clipping for drooling

1 November 2017 | | ENTA-Head & 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...

Minimally invasive techniques for benign salivary gland obstruction

13 June 2017 | | ENTA-ENT, ENTA-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...