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Should we do oesophagoscopy during panendoscopy?

1 July 2017 |
Panendoscopy entails a complete evaluation of the upper aerodigestive tract, and consists of oral inspection, direct laryngoscopy, bronchoscopy, oesophagoscopy, or some combination of these procedures. Despite many advances in imaging over the years, a skilled surgeon’s eyes remain superior in...

Management of the ear in cleft lip and palate

1 November 2016 | | Cleft lip and palate, Ear tubes, Middle ear dysfunction
The management of patients with cleft lip and palate includes a focus on effective speech and language function. Poor eustachian tube function and middle ear dysfunction mean over 90% of children suffer from otitis media with effusion. This article provides...

The perils of poor postop blood pressure control

1 March 2016 |
This retrospective case control study reviews 621 patients undergoing thyroid surgery over a 10-year period from 2002-2012 looking at postoperative haemorrhage rates. This potentially catastrophic complication warrants close analysis in order to best discern how it can be minimised. The...

Benefit of prolonged voice rest following phonosurgery

1 September 2015 | | benign laryngeal lesions, phonosurgery, voice rest
The recommendation for voice rest following surgery is not agreed amongst surgeons, regarding either the type of voice rest (absolute or relative) or the optimal duration. In this ongoing study, 31 elective patients operated on for benign laryngeal lesions were...

Clinical Practice Guideline on Tympanostomy Tube in Children Update (AAO-HNS)

3 May 2022 | | Audiology - Paediatric, Otology, Paediatric ENT | developmental delay disorders, grommets, middle ear effusion, otitis media, otorrhea, pediatric otolaryngology, tympanostomy tubes
The American Academy of Otolaryngology–Head and Neck Surgery Foundation’s ‘Clinical Practice Guideline: Tympanostomy Tubes in Children (Update)’ has been recently published - an update of the original 2013 guideline. This article forms an executive summary to accompany the full guideline....

A medical student’s perspective on the future of obstructive sleep apnoea management

17 June 2021 | | Rhinology / Sinus, ENT, Laryngology / Swallowing / Voice
Obstructive sleep apnoea remains an immensely challenging condition to treat. Many treatments have been used over the years, but no single management strategy has proven significantly better than the others. We hear about some technological innovations in the field of...

Perspectives on audiology training and education in Canada and New Zealand

1 November 2015 | | Audiology - Diagnostic
In this Trainee Matters we look at audiology training in two different locations from around the world, Canada and New Zealand. Marshall Chasin gives us an overview of the education system in Canada, while Amy Arrowsmith explains the history of...

Human immunodeficiency virus and hearing impairment

1 July 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric, Otology
With an estimated 36.7 million individuals living with HIV / AIDS and literature reporting that these conditions contribute to hearing loss, it is surprising that more focus and resources are not employed to tackle this major hearing health concern. Yolandé...

Hyposalivation: a review of current and future treatments

8 January 2024 | | ENT, Head and Neck
Hyposalivation remains a stubbornly difficult condition to treat, but novel therapies may not be far away. Saliva has many essential functions, including aiding digestion and swallowing, lubrication, maintaining tooth integrity and antibacterial activity. When patients experience reduced saliva production (hyposalivation),...

The common frontal sinusotomy (Lothrop) and chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
As our understanding of the pathophysiology of CRS evolves, so do our treatment strategies. It is accepted that in many cases, the main role of surgery is to allow better penetration of topical therapies to the sinus cavities. What, then,...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

1 September 2016 | | ENT, Laryngology / Swallowing / Voice
Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

Laryngology: past, present and future

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Two laryngological authorities trace the history of laryngology, from ancient Rome to the modern day. The structure of the vocal folds was a matter of conjecture until the renaissance when anatomists such as Andreas Vesalius and Julius Casserius demonstrated the...