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Transmastoid facial nerve decompression for persistent traumatic facial nerve paralysis

2 March 2022 | | Otology, ENTA-Vestibular Disorders
Facial nerve paralysis (FNP) can occur following trauma, with a small number of these patients requiring facial nerve decompression (FND) to aid recovery. The authors shared their experience in decompressing the facial nerve for persistent severe FNP via a transmastoid...

Branchio Oto Renal syndrome

1 May 2015 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric, ENTA-Genetics, ENTA-Otology
Branchio Oto Renal Syndrome (BOR) is an autosomal dominant disorder with branchial, otologic and renal manifestations. The presence of clinical signs varies among and within affected families. Three causative genes for BOR syndrome have been reported thus far: EYA1, SIX1...

Botulinum toxin injection in spasmodic dysphonia

1 May 2018 | | ENTA-Laryngology / Swallowing / Voice
Spasmodic dysphonia is a rare neurological voice disorder, which is often missed by the inexperienced ear. There is no laboratory test or investigation to diagnose this condition therefore, it is best diagnosed by listening to the patient’s voice. Laryngeal endoscopy...

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice, ENTA-Thyroid / Parathyroid Surgery
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Retrograde cricopharyngeal dysfunction (RCPD) - inability to burp: treatment with Botox injection

3 July 2023 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
As unusual as it may sound, some people have great difficulty burping. We hear of one approach to tackling this problem. Retrograde cricopharyngeal dysfunction (RCPD) is a condition presenting with inability to burp, resulting in gaseous distension of the digestive...

An update on laryngeal reinnervation

1 May 2018 | | ENTA-ENT, ENTA-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...

Vocal cord paralysis: an update

1 May 2018 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
The management of unilateral vocal cord paralysis has changed in the last few years: this has largely come about as a result of improvements in technology, meaning that medialisations are quicker and easier to perform than previously. This article will...

By the people, for the people: a multidisciplinary facial nerve clinic with a difference

30 April 2020 | | ENTA-ENT
Facial nerve palsy is regularly seen in ENT clinics. Underlying diagnoses are excluded, and the patient is often then discharged to ‘see how it goes’, with or without an ophthalmology referral. Here, Catherine Meller describes how she and her team...

Hearables: in-ear sensing devices for recording of physiological signals

5 January 2022 | | ENTA-Audiology - Adult, ENTA-Audiology - Diagnostic
Colver Ken Howe Ne, Jameel Muzaffar and Manohar Bance discuss the potential of hearable systems to monitor physiological signals (e.g. from brain or heart, blood pressure, body temperature) unobtrusively. Such adaptations require high-quality sensors and sophisticated de-noising signal processing on...