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Semi dynamic reconstruction of the lower lip

1 September 2015 | | Bidirectional/double fascia grafting, Facial paralysis, Lower lip deformity, Semi-dynamic reconstruction
The main goal of reconstructive surgery for facial paralysis is the restoration of smiling and function of eye closure. The deformity of the lower lip in paralysis is ptosis of the corner of the mouth, eversion of the vermillion and...

A higher aspiration for fine needles

1 March 2015 | | ENTA-ENT | Indeterminate biopsy, Molecular testing, Thyroid cancer, Thyroid nodule
Fine needle aspiration biopsy (FNAB) has aided in the diagnosis and management of thyroid nodules for decades. Now a rapid evolution is hoped to benefit an increasing cohort of patients with small nodules and non-diagnostic investigations. This review discusses the...

The Performer’s Voice – Second Edition

1 March 2016 | | ENTA-Laryngology / Swallowing / Voice
The editors of this 450-page book are amongst the most respected laryngologists in the world, with a vast amount of experience between them. It is therefore no surprise that they have put together a very comprehensive and well thought-out book....

Possibility of noise induced hearing loss during middle ear suction for secretory otitis media

1 January 2015 | | ENTA-Laryngology / Swallowing / Voice, Otology
Emission of high intensity sound is dangerous to the cochlea and can result in noise induced hearing loss (NIHL). Removal of middle ear fluid is common in everyday practice and the possibility of inducing NIHL is seldom considered and not...
Dysphagia journal cover image.

Predicting the nature of swallowing deficits caused by surgical resection of the tongue?

2 March 2022 | | ENTA-Laryngology / Swallowing / Voice | Functional outcomes, Glossectomy classification, Swallowing, Tongue cancer, Videofluoroscopy
Patients treated surgically for cancer of the tongue are expected to have difficulty in eating, drinking and swallowing. The authors of this paper report on a cohort of 106 patients in their practice who had surgical resection as primary treatment....

Can laryngeal sensitivity testing predict aspiration and pneumonia in dysphagic patients?

1 July 2018 | | Aspiration, Deglutition, Dysphagia, Laryngeal adductor reflex, Laryngeal sensory deficits, Pneumonia
The laryngeal adductor reflex (LAR) is characterised by brief vocal cord closure in response to laryngeal stimulation. It is important in swallowing physiology as it represents a mechanism for airway protection. The authors of this study examined whether the absence...

The newest robot from da Vinci – what can it offer for hypopharyngeal cancer surgery?

1 March 2018 | | da Vinci Sp, hypopharyngeal cancer, hypopharynx, transoral endoscopic head and neck surgery, transoral robotic surgery
The standard existing da Vinci surgical robot (the Si model) has been much maligned for not being optimally designed for transoral access and endoscopic manoeuvrability in head and neck surgery. This preclinical work from Holsinger and his team looks at...

Approaching a ranula

1 September 2015 | | ranula, mucocele, plunging ranula, sublingual gland, floor of mouth, neck mass, pediatric
The March issue of Operative Techniques in Otolaryngology is the first of two concentrating on oral surgery within the paediatric setting. It sets the scene with a paper on the anatomy of the paediatric oral cavity and the associated surgical...
Image showing Bebird Note 5 Pro.

Patient-led wax and aural foreign body removal technology – is it safe?

4 March 2024 | | ENTA-Audiology - Adult
As ENT and audiology professionals, wax impaction and aural foreign bodies are common presentations to our clinic that can cause significant distress to patients and can preclude diagnostic testing such as pure tone audiograms and tympanometry. We often advise patients...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

1 March 2017 | | ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

The structure and function of DNA

1 November 2014 | | ENTA-ENT
DNA structure and replication Genetic information within multicellular organisms, including man, is stored in molecules of deoxyribonucleic acid (DNA), which reside within the chromosomes of each cell nucleus. A DNA molecule consists of two very long chains, or strands, of...

Nasal and aural foreign body removal: another technique for a common problem

1 March 2019 | | ENTA-ENT, ENTA-Otology, ENTA-Paediatrics
Trying to remove foreign bodies from the ears and noses of children is something we have all struggled with at various times. Many people have their own top tips, and here Oliver McLaren and Alexander Walkden describe an ingenious way...