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Dysphagia in complex laryngology – maintaining the balance

4 May 2023 | | ENT, Laryngology / Swallowing / Voice, Speech and Language Therapy
These authors from the speech and language therapy department at Imperial College Healthcare NHS Trust, describe their view of a patient-centred approach to managing dysphagia in complex laryngology. Careful consideration of the balance of airway, voice and swallow, which is...

Using autologous blood to reduce postoperative infections

7 January 2020 | | Head and Neck, Maxillofacial Surgery | Hyaluronic acid, Impacted tooth, L-PRF, Mucosa, Soft tissue, Wound healing
The removal of impacted wisdom teeth is a common surgical procedure with possible complications including postoperative bleeding and wound infection and alveolar osteitis. Preventing osteitis is dependent on retaining the blood clot in the socket with no infection. There are...

Advances in surgical innovation for head and neck cancer

1 March 2018 | | Intraoperative imaging, Sentinel node biopsy, Stereolithic modeling, Transoral robotic surgery
This article reviews current advances in surgical treatment of head and neck cancers such as sentinel node biopsy, stereolithic modelling, transoral robotic surgery and intra-operative imaging of tumour margins. Sentinel node biopsy has been found to be especially useful for...

Is it possible to fix condylar neck fractures with one plate?

1 January 2017 | Condylar fracture, Delta plate, Surgical treatment
Fractures of the condylar neck are fairly common and account for over 25% of all mandible fractures. Over the years a number of modalities have been used to fix these fractures. Direct reduction is complicated by the overlying proximity of...

Transnasal oesophagoscopy in head and neck cancer: an update

1 September 2015 |
The role of transnasal oesophagoscopy (TNE) in the management of head and neck cancer patients is evolving. Until 1990, oesphagoscopy required specialist endoscopists, general anaesthesia or sedation. This review succinctly summarises updates in the evidence for TNE in: i) Screening...

How to talk about hearing aid costs?

1 March 2018 | | Audiology, clinician–client communication, conversation analysis, cost, hearing rehabilitation, shared decision making
Money is always a controversial topic if discussed in reference to healthcare. This study raises the interesting topic of difficulties when it comes to discussing the costs of hearing aids with customers. Sixty-two audiological appointments were recorded and discussions concerning...
Laryngology & Otology journal cover image.

A time-saving method for faster cancer diagnosis and treatment

3 November 2023 | | Head and Neck, Otology
One of the main impediments in achieving UK Government cancer diagnosis and treatment targets is lack of diagnostic capacity. An increase in head and neck cancers by 50% in the last five years has put on additional strain. In this...

Elasticated retraction in head and neck surgery – a trainee’s perspective

1 May 2017 | | ENT, Head and Neck
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

Shifting paradigms – how a visionary can change a specialty

1 May 2019 | | ENT, Rhinology / Sinus, Otology
The Tarabichi-Stammberger Ear and Sinus Institute came about because of a close working relationship and friendship between two senior figures in the specialty. Professor Muaaz Tarabichi tells us the story. My first meeting with Heinz Stammberger was in 1988 in...

The death of Attila the Hun, a 70s film and Japanese cartoons

4 May 2023 | | ENT
The 6th century Gothic monk, Jordanes, tells us that Attila the Hun, the notorious and allegedly merciless barbarian (who was a prime mover in the fall of the Roman Empire), died of a nosebleed on his wedding night in 453...

Mucormycosis: In conversation with Dr Deepak Haldipur and Dr Aditya Moorthy

7 July 2021 | | ENT, Rhinology / Sinus, COVID-19
COVID-19 has ravaged the world in the past 18 months. The second wave in many countries was deadlier than the first. Mucormycosis, infamously labelled ‘the black fungus’ has affected some countries, such as India, in epidemic proportions within this COVID...

A soprano’s demise: a cautionary tale for the thyroid surgeon

4 March 2024 | | ENT
Prior to the mid-19th century, thyroid surgery was considered excessively dangerous. The emergence of anaesthetic, antisepsis and improved instrumentation, however, increased its feasibility and frequency in Europe. The unhurried, judiciously antiseptic and haemostatic approach, advocated by Kocher, was popularised and...