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In-office KTP laser excision of a vocal process granuloma

1 July 2016 | | Dysphonia, In-office surgery, KTP laser, Vocal process granuloma
The KTP laser is increasingly being used in an outpatient setting – particularly in North America – to treat various laryngeal pathologies including papillomas, leukoplakia, dysplasia and vascular lesions. This article reports the use of the KTP laser in the...

History of photography in otorhinolaryngology in the 19th Century

1 September 2015 | | ENTA - ENT
In this final article of the History of ENT edition, João Clode introduces us to the history of medical photography in the 19th century, giving us some fascinating early examples of otorhinolaryngology photographs. Medical photography – the early years The...

Guillotines from Joseph‑Ignace Guillotin to Greenfield Sluder

3 November 2023 | | ENTA - ENT
Joseph‑Ignace Guillotin. The politician and physician Joseph-Ignace Guillotin (1738-1814) was so disgusted by brutal head and shoulder injuries sustained in ‘failed attempts’ by drunken axe-wielding executioners during the French Revolution that he and surgeon Antoine Louis (1723-1792) advocated not only...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

1 September 2016 | | ENTA - ENT, ENTA - 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....

Muscle tension dysphagia: an underdiagnosed problem

4 May 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
In this article, the authors introduce the description of swallowing problems which have been recently attributed to muscle tension dysphagia (MTDg). The authors are clear that this is a diagnosis of exclusion, and it is important to rule out other...

The pioneers of endoscopy and the sword swallowers

3 March 2021 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Adolf Kussmaul drew inspiration from an unlikely source to further the development of endoscopy… The early pioneers of airway endoscopy and oesophagoscopy were bedevilled by two major and seemingly insurmountable problems. One was the paucity of light sources, with reliance...

Chronic cough hypersensitivity syndrome

1 May 2015 | | ENTA - ENT, ENTA - 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...

Retrograde cricopharyngeal dysfunction (RCPD) - inability to burp: treatment with Botox injection

3 July 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
As unusual as it may sound, some people have great difficulty burping. We hear of one approach to tackling this problem. Retrograde cricopharyngeal dysfunction (RCPD) is a condition presenting with inability to burp, resulting in gaseous distension of the digestive...

COVID-19 innovations

7 July 2020 | ENTA - Audiology - Diagnostic, ENTA - ENT, ENTA - Otology
The coronavirus pandemic has mobilised medical innovators in an amazing way. We take a look at just a few of the hundreds of innovative products and techniques that have been developed and used in the last few weeks. Some of...

Recurrent respiratory papilloma treatment in the office

1 September 2018 | | ENTA - Laryngology / Swallowing / Voice
In this interesting new article, Markus Hess and Susanne Fleischer describe their technique for managing recurrent laryngeal papillomatosis in an outpatient setting using channelled endoscopes. The recurrent respiratory papillomatosis (RRP) of the larynx is a chronic HPV-associated viral disease. Clinical...

Progress of head and neck surgery in China over the last 20 years

1 March 2017 | | ENTA - ENT, ENTA - Head & Neck
Although China was late to establish head and neck surgery in comparison to other areas of oncological surgery, with the persistent hard work of head and neck surgeons nationally, it has progressed significantly during the last two decades. Yueying Ma...

New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

1 September 2020 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...