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From the editor Nov/Dec 2024

6 November 2024
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk Never let it be said that we don’t provide a broad range of topics for you to digest. For...

Enhancing performance and well-being for surgeons: the science of life coaching

3 September 2024 |
Life coaching has emerged as a powerful personal and professional development tool, particularly for individuals navigating high-stakes environments. Life coaching emphasises self-awareness, self-management and self-efficacy, including establishing desired outcomes, goal setting and developing skills and action plans to achieve them....

2014: Are today’s implantable devices better than conventional solutions for patients with conductive or mixed hearing loss?

6 June 2017 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric, ENTA-Auditory Implants, ENTA-ENT, ENTA-Otology, ENTA-Paediatrics
Patients with conductive or mixed hearing loss become candidates for amplification when reconstructive surgery is not viable. Three common amplification options are conventional acoustic devices, such as behind-the-ear devices (BTEs), (implantable) bone-conduction devices and active middle ear implants. The goal...

Surgical technology and operating room safety failures: lessons from vascular and general surgery

1 January 2014 | | ENTA-ENT
Background – surgical technology and otolaryngology An estimated 234 million major surgical procedures are performed annually worldwide. This requires the interaction of multidisciplinary teams with varying contributions of surgical technology and therefore makes surgical procedures prone to multiple sources of...

Simulation: human factors scenario training

1 January 2014 | | ENTA-ENT
It is said that surgical training has suffered as a result of a combination of factors – through the introduction of work time restrictions such as the European Working Time Directive (EWTD) [1], a limit on the number of years...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENTA-ENT, ENTA-Thyroid / Parathyroid Surgery
Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....

Imaging tinnitus

1 May 2014 | | ENTA-Audiology - Adult, ENTA-ENT, ENTA-Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENTA-ENT, ENTA-Head & Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

The role of macrolide antibiotics in chronic rhinosinusitis

1 July 2016 | | ENTA-ENT, ENTA-Rhinology / Sinus
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...

Singing after laryngectomy: Shout at Cancer

1 September 2016 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Thomas Moors is an ENT junior doctor with a background in music and singing. Combining these interests, he has set up a charity to help patients who have had a laryngectomy. He has achieved considerable public attention, and he tells...

An update on laryngeal reinnervation

1 May 2018 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Laryngeal paralysis remains very difficult to treat, but reinnervation offers many attractions. Laryngeal paralysis presents a unique and varied problem that requires a patient centred approach and a range of treatment options depending on laryngeal and patient factors. There is...

Laryngotracheal stenosis

1 May 2018 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Airway stenosis has been an enormous challenge to laryngologists since the dawn of the sub-specialty. Careful evaluation is essential, as this will determine the best treatment. We hear more from one of the UK’s leading airway centres. Until the advent...