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The Laryngeal Pacemaker – developing an innovative solution for bilateral vocal fold paralysis

4 July 2024 | | ENT, Laryngology / Swallowing / Voice
Bilateral vocal fold paralysis is a difficult condition to manage, with surgical interventions previously limited to tracheostomy or arytenoidectomy. Re-innervation surgery has been developed and, in recent years, a Laryngeal Pacemaker is now in clinical trials. We speak to two...

Cancer genetics and signalling pathways in ENT – a review and discussion of how this can be applied to rare tumours

1 November 2014 | | ENT, Genetics
Introduction Cancer cases continue to increase worldwide, and­­ head and neck cancer is a major global health issue, with an estimated global burden of over 630,000 new cases and over 350,000 deaths per year [1]. The term ‘head and neck...

Scott-Brown’s Otorhinolaryngology Head and Neck Surgery, 8th edition

1 July 2018 | | ENT
If there’s one thing I love about a book review, it’s the unique opportunity to handle, peruse and imbibe a piece of work before it reaches the masses. There are few things more enjoyable than engaging with printer-fresh pages and...

Prednisolone and/or acyclovir for Bell’s palsy

5 January 2022 | | ENT, Head and Neck
Landmark Paper: Sullivan FM, Swan IRC, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s Palsy. N Engl J Med 2007;357(16):1598-607. Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long-term effects on...

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...

Thoughts on war: von Clausewitz revisited

1 July 2014 | | ENT
We few, we happy few, we band of brothers; For he to-day that sheds his blood with me Shall be my brother; be he ne’er so vile, This day shall gentle his condition: And gentlemen in England now a-bed Shall...

Inter-professional teamwork and hearing care for older adults with cognitive loss

27 June 2017 | | Audiology - Adult
There is growing awareness that hearing loss is linked to dementia [1]. The average first-time hearing aid user is about 70 years old. By this age, approximately 1 in 2 people have hearing loss and 1 in 7 have cognitive...

How should we detect and identify deficit-specific auditory processing disorders?

31 October 2018 | | Audiology - Paediatric, Audiology - Diagnostic
The human central auditory nervous system (CANS) is complex and highly dependent upon attention and cognitive brain regions. Profs David Moore and Harvey Dillon discuss novel assessment approaches to clarify auditory contributions to listening difficulties in children. How can we...

Sound sensitivity in children

1 January 2019 | | Audiology - Paediatric
Sound tolerance symptoms in young patients can be a challenge, Veronica Kennedy and Claire Benton share their clinical experience in navigating the issues that can arise in diagnosis and management. In any noisy environment, it’s a common sight to see...

A comparison of two different audiology roles in Denmark and the United Kingdom

1 July 2015 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
The World Health Organisation (WHO) estimates that there are over 360 million people with a disabling hearing loss in the world. Disabling hearing loss is considered to be a loss of greater than 40 decibels (dB) in the better hearing...

Simulation: human factors scenario training

1 January 2014 | | 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...

NHS collaboration and partnership with the pharmaceutical and medical devices industries

1 March 2015 | | ENT
Historically the relationship between industry and the NHS has been a cautious one. Both sides have typically worked with only partially disclosed agendas, under a pervading fear of finding themselves on the wrong end of a win-lose negotiation. Things have...