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Endoscopic middle ear surgery for cholesteatoma treatment

1 May 2016 | | ENT, Otology
A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...

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...

The future of head and neck cancer surgery

1 March 2019 | | ENT, Head and Neck
Neil Sharma paints an exciting picture of the future of head and neck surgery with nanobots and robot augmented humans – science fiction or reality? Time will tell. ‘May you live in interesting times’ reads the old Chinese curse. The...

Robotic surgery for squamous cell cancer: the new frontiers

4 November 2021 | | ENT, Head and Neck
Although the da Vinci platform was FDA approved for early-stage oropharyngeal cancers, the indications have expanded. In this article, John Hardman explains how surgeons, with greater understanding of the strengths and limitations of robotic surgery, have systematically set out to...

Direct-to-consumer hearing devices: a need to combine cosmetic appeal with device capabilities

1 July 2019 | | Audiology - Adult
How safe and desirable are direct-to-consumer amplification devices? A team has put a range of devices through their paces and compared them to a standard NHS hearing device. Why do most individuals who would benefit from hearing aids not try...

Hearing aid microphone considerations for binaural hearing: When to select natural or aggressive directional microphone technology?

1 July 2019 | | Audiology - Adult, Audiology - Paediatric
Should I use omni-directional or fixed directionality? Does it make a difference if I’m fitting a unilateral hearing loss? Mark Laureyns discusses the current evidence on directional microphones and provides practical advice on the systems and when to employ them....

Use of automated audiometry for faster patient access to audiology services?

30 April 2021 | | Audiology - Diagnostic
Manual audiometry has long been the gold standard for establishing hearing thresholds. In recent years, a number of automated audiometry applications have reached the market. In this article, a team from Ireland have put a version of automated audiometry to...

Endoscopic arytenoid abduction lateropexy for bilateral vocal cord paralysis in neonates

1 July 2018 | | Laryngology / Swallowing / Voice
We are delighted to publish a further update on the use of the technique for vocal fold lateralisation in neonates from Laszlo Rovo and Shahram Madani, who have previously informed us of this new technique [1]. These cases are rare...

Endoscopic DCR

31 October 2018 | | ENT, Rhinology / Sinus
In this interesting article, our experienced colleagues describe their favoured technique for performing endoscopic DCR and share with us the key steps for a successful outcome. Dacrocystorhinostomy (DCR) was historically performed by ophthalmologists for nasolacrimal obstruction using external techniques. The...

Endoscopic CSF leak repair using nasoseptal flap

1 May 2019 | | ENT, Rhinology / Sinus
Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?

7 January 2021 | | ENT, Head and Neck, Otology, Vestibular Disorders
Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....

Circular economy approach to reducing your carbon footprint in your ENT operating room

3 November 2023 | | ENT
Although our operating rooms consume significant resources, some simple changes can have considerable impact in reducing greenhouse gas emissions. Here are 10 such simple things we can do. Waste is one of the largest contributors to a hospital’s carbon footprint,...