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Recent advances in the diagnosis of silent reflux

3 May 2024 | | ENT, Laryngology / Swallowing / Voice
The vexed topic of reflux always generates much discussion, particularly when it comes to testing. We hear about a non-invasive assay that is gaining in popularity. Voice disorders impact around four percent of the UK population and can significantly hamper...
Journal of Voice cover image.

The electromagnetic larynx

4 May 2021 | | Laryngology / Swallowing / Voice | Device, Electromagnet, Neurolaryngology, Vocal fold immobility, Vocal fold paralysis
Current treatment options for a bilateral vocal cord palsy (tracheostomy, posterior cordotomy, arytenoidectomy) are suboptimal, with a focus primarily on a static means of airway restoration at the expense of voice production and potentially swallow safety. This paper reports on...

Looking for a cost-effective product for post-operative bleeding? Try NETCELL® PVA Nasal Packs

19 October 2021 | Research & Development
Carefully constructed using exclusive NETCELL® PVA sponge, the ultra-soft surface improves patient comfort and reduces trauma.

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...

Acoustic shock: definitions and clinical aspects

27 February 2020 | | ENT, Otology, Audiology - Diagnostic
Acoustic shock, a previously little-known and poorly understood clinical entity, came to the public’s attention in 2019 due to a high-profile legal case of a musician at the Royal Opera House. In this fascinating article, Andrew Parker and William Parker...

MDT clinics for adults with learning disabilities and hearing loss

30 April 2020 | | Audiology - Adult, Audiology - Paediatric
Healthcare providers can have limitations and challenges providing optimum care for patients with intellectual disabilities. Siobhan Brennan and Susanna Goodhart highlight key professionals and carers who may be instrumental when trying to deliver good management and care along with other...

Facial pain: the differential diagnosis in an ENT clinic

1 July 2016 | | ENT, Rhinology / Sinus
The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

Head and neck cancer multidisciplinary team

30 April 2020 | | ENT, Head and Neck
Why do we have MDTs? Do they make a difference to outcomes? Jon Bernstein explores the whys and wherefores of the head and neck cancer MDT, and wonders where things might go from here… Head and neck (upper aerodigestive tract)...

Chronic cough hypersensitivity syndrome

1 May 2015 | | ENT, Laryngology / Swallowing / Voice
We all have patients who give us a ‘heartsink’ feeling; for many of us, the coughing patient is exactly such a situation. In this overview, Bhaskar Ram and Sangeeta Maini outline their approach to diagnosis. Declan Costello, Editor. Introduction Chronic...

What is Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE)?

1 May 2018 | | ENT, Head and Neck, Laryngology / Swallowing / Voice
THRIVE is a physiological mechanism for oxygenating and ventilating patients who are under general anaesthesia and who have diminished or absent respiratory effort [1]. Classical ventilation requires bulk flow of gases into and out of the lungs driven by chest...

Acupuncture for tonsillectomy pain in children

1 January 2015 | | Paediatric ENT, Laryngology / Swallowing / Voice
The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENT, Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...