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Advances in vestibular function testing

1 November 2015 | | ENT, Vestibular Disorders
Vestibular function testing has historically been limited by difficulties in testing individual parts of the vestibular apparatus. Jas Sandhu describes new tests available to clinicians that address this problem. Advances in vestibular function testing Vestibular function testing has historically been...

Update on the development of an implantable vestibular prosthesis

1 November 2015 | | Auditory Implants, ENT, Vestibular Disorders
Cochlear implants have revolutionised the management of profound hearing loss. Might vestibular implants be the future for the treatment of bilateral vestibular failure? James Johnston and Neil Donnelly explore. The vestibular system is highly complex, integrating visual, labyrinthine and proprioceptive...

General overview of endoscopic ear surgery: advantages and principles

1 May 2016 | | ENT, Otology
The philosophy of endoscopic ear surgery presents surgeons with a tricky concept – does the magnificent view make up for the fact I need to operate with one hand? In this article, Jane Lea discusses the advantages of operating transcanal...

Airway stenting in paediatric ENT

1 May 2017 | | ENT, Paediatric ENT, Laryngology / Swallowing / Voice
Although experience in the use of airway stents in adults is considerable, their use in children is more recent and more limited. Cláudia Schweiger and Michael J Rutter provide an overview of stents and their use in paediatric airway. Stenting...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

An update on laryngeal reinnervation

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Laryngeal paralysis remains very difficult to treat, but reinnervation offers many attractions. Laryngeal paralysis presents a unique and varied problem that requires a patient centred approach and a range of treatment options depending on laryngeal and patient factors. There is...

Quo vadis FESS? Future directions in functional endoscopic sinus surgery

1 May 2019 | | ENT, Rhinology / Sinus, Imaging
Endoscopic sinus surgery is now so ubiquitous that it is hard to imagine a time when it was not part of our clinical practice. Valentin Tomazic takes a look at its early development and looks ahead to endoscopic sinus surgery...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENT
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...

Breaking barriers in Uganda: the story of Elaine Mukaaya

1 July 2019 | | ENT, Paediatric ENT, Auditory Implants, Audiology - Adult, Audiology - Paediatric
More than 9% of sub-Saharan Africa’s one billion people live with disabling hearing loss, with children having among the highest rates of childhood hearing loss in the world [1]. Sadly, in concordance with the inverse care law – proposed by...

Open septorhinoplasty approach for closure of medium sized septal perforations

1 May 2015 | | Rhinology / Sinus
Septal perforations are difficult problems to treat. There are various causes described in literature such as trauma, inflammatory, cocaine abuse but most often they are due to iatrogenic cause (such as septoplasty) or due to trauma. The symptoms due to...

Use of a diode laser for the removal of a frontal sinus osteoma

1 November 2015 | | Rhinology / Sinus
In this How I Do It, Professor Sergei Karpischenko introduces a gentle method of reduction of mobilised frontal sinus osteoma which has been successfully used in five patients in his university clinic using a diode laser in contact mode. Osteoma...

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

1 March 2017 | | Head and Neck, 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...