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Surgical approach to trigeminal neuralgia

1 November 2017 | | Microvascular decompression, Percutaneous balloon compression, Percutaneous glycerol rhizotomy, Percutaneous radiofrequency rhizotomy, Trigeminal neuralgia
This article provides a summary of the operative techniques available for treating patients with trigeminal neuralgia who have medication resistant pain or medication intolerance. Microvascular decompression is performed via suboccipital craniotomy to find and resolve the underlying nerve compression. The...

Audiologists’ perspectives on their ability to address hearing, social and emotional adult patient needs

4 March 2024 | | Audiology - Adult | Counselling, adjustment, confidence, patient-centred care, rehabilitation
Authors suggest there is little evidence that hearing technology addresses patients’ emotional concerns related to their lived experience of hearing and communication difficulty. The study explores the notion of audiologic counselling and discusses the role of audiologists in supporting the...

Does cholesteatoma surgery affect school performance?

1 September 2016 | | Academic achievement, cholesteatoma, education, middle ear, school performance
While much focus has been placed on short-term complications associated with cholesteatoma, a lack of knowledge remains about the impact suffering from cholesteatoma in childhood may have on educational outcome. The aim of the study was to investigate whether suffering...

Botulinum toxin injection for bilateral recurrent laryngeal nerve paralysis

1 May 2016 | | Bilateral recurrent laryngeal nerve paralysis, Bilateral vocal fold paralysis, Botox, Cricothyroid muscle injection
All traditional surgical treatments for bilateral recurrent laryngeal nerve (RLN) paralysis are essentially a balance between maximising airway patency and ensuring adequate phonation / airway protection. This paper highlights the potential role of botulinum toxin (Botox) injection into the cricothyroid...

Dysphagia in complex laryngology – maintaining the balance

4 May 2023 | | ENT, Laryngology / Swallowing / Voice, Speech and Language Therapy
These authors from the speech and language therapy department at Imperial College Healthcare NHS Trust, describe their view of a patient-centred approach to managing dysphagia in complex laryngology. Careful consideration of the balance of airway, voice and swallow, which is...

TORS for patients with sleep-disordered breathing

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
Transoral robotic surgery is now a well-accepted technique in malignant tumours of the tongue base. Here the team from St Mary’s and the Royal National Throat Nose & Ear Hospital in London describe its use in carefully selected patients with...

Migration and training: a British-Nigerian surgeon’s perspective

1 March 2018 | | ENT
Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

The Association of Otolaryngologists in Training: by trainees for trainees

1 November 2016 | | ENT
The Association of Otolaryngologists in Training (AOT) is an independent organisation, run by trainees for trainees in the UK for over 25 years. Its aims are to represent all ENT trainees in the UK; to improve and promote standards of...

The power of mentoring

3 May 2022 | | ENT
What is a mentor, and what are the benefits for mentee and mentor? Emma Stapleton and Rohma Abrar, mentor and mentee respectively, explain. The term ‘mentor’ is derived from Homer’s Odyssey, in which the goddess Athena, disguised as Mentor, guides...

Elasticated retraction in head and neck surgery – a trainee’s perspective

1 May 2017 | | ENT, Head and Neck
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

Hidden genetic disorders in children that may present to the otolaryngologist

1 November 2014 | | Paediatric ENT, Genetics
Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...

Laryngeal papillomatosis

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Laryngeal papillomatosis remains one of the most frustrating conditions seen by laryngologists. Sam Majumdar gives us an overview of the current science and clinical practice. Human papilloma virus is a small (> 8kb) double stranded DNA virus with approximately 200...