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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...
Laryngoscope journal cover image.

Automated contouring of costal cartilage for pinna reconstruction – a proof of concept

1 July 2021 | | Maxillofacial Surgery | Auricular reconstruction, cartilage, costal cartilage graft, ear, robot
Presently there are limited applications of automation within operative ENT. This proof-of-concept study explores the use of an augmented robot to contour cadaveric costal cartilage for auricular reconstruction. Ordinarily this task is performed manually. This takes considerable time due to...

A novel graft material for endoscopic tympanoplasty using the pre-tragal SMAS layer

9 September 2020 | | Neurotology, Otology
The traditional biological graft materials for providing a scaffold for tympanic membrane reconstruction include temporalis fascia as well as conchal and tragal perichondrium/cartilage. This group from Taiwan present a novel graft option using the superficial musculo-aponeurotic system (SMAS) layer. They...
SLEEP AND BREATHING cover image

An alternative device for obstructive sleep apnoea

7 January 2020 | | Laryngology / Swallowing / Voice | Apnea–hypopnea index, Intermittent negative air pressure, Intraoral device, Obstructive sleep apnea syndrome, Oral pressure therapy, Sleep-disordered breathing
Continuous positive airway pressure (CPAP) is the first-line treatment for obstructive sleep apnoea (OSA), primarily due to the vast amount of short-term evidence in the medical literature it has accrued. The enduring obstacle to CPAP from becoming a treatment option...

The newest robot from da Vinci – what can it offer for hypopharyngeal cancer surgery?

1 March 2018 | | da Vinci Sp, hypopharyngeal cancer, hypopharynx, transoral endoscopic head and neck surgery, transoral robotic surgery
The standard existing da Vinci surgical robot (the Si model) has been much maligned for not being optimally designed for transoral access and endoscopic manoeuvrability in head and neck surgery. This preclinical work from Holsinger and his team looks at...

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...

Unanswered questions in adult ototoxicity associated with platinum-based chemotherapy

1 July 2017 | | Audiology - Adult, Audiology - Paediatric, Tinnitus
Do the potential side-effects on hearing and tinnitus need to be a ‘necessary evil’ of platinum-based chemotherapy? How strong is our evidence base when offering advice to patients and fellow clinicians? David Baguley and his team from the University of...

In conversation with Harvey Coates

1 November 2016 | | Paediatric ENT, ENT
Indigenous health would remain a Cinderella part of our speciality were it not for the work of a few outstanding pioneers. Kelvin Kong speaks to one of them: Professor Harvey Coates AO. Harvey Coates is a paediatric otolaryngologist and clinical...

In conversation with John Carlisle: the silent hero shaping medical publication integrity

4 March 2024 | | ENT
Have you ever been curious as to what your anaesthetist is getting up to on their laptop during long cases? Me neither, but I always generally assumed they were trading Bitcoin, solving the Riemann hypothesis and buffing their Tinder profile....

In conversation with John Carlisle: the silent hero shaping medical publication integrity

4 March 2024 | | ENT
Have you ever been curious as to what your anaesthetist is getting up to on their laptop during long cases? Me neither, but I always generally assumed they were trading Bitcoin, solving the Riemann hypothesis and buffing their Tinder profile....

Hidden hearing loss in humans: cochlear synaptopathy is superseded by cognitive effects when listening to speech in noise

1 March 2018 | | Audiology - Diagnostic
Elizabeth Beach presents an overview of the recent research being undertaken at the National Acoustic Laboratories on speech in noise and its relationship to cochlear synaptopathy. Our team at the National Acoustic Laboratories (NAL) has been investigating hidden hearing loss...

Coblation tongue channelling

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...