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Anaesthesia for free-flap surgery

1 November 2019 | | ENTA-ENT
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation

1 January 2017 | | ENTA-Neurotology, ENTA-Otology
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...

Cutting burr otoplasty and conchal setback to correct prominent pinna: a ‘step by step approach’

1 January 2015 | | ENTA-Otology
Prominent ears can cause significant social and psychological effects on an individual. The two most common anatomical defects for a prominent pinna are an underdeveloped anti-helical fold and / or enlarged conchal bowl. In the senior author’s practice over the...

Microneedles enable inner ear precision medicine

2 September 2022 | | ENTA-Audiology - Adult, ENTA-Otology
Developing safe, reliable and efficient ways to deliver therapeutics into the cochlea is a key challenge. In this article, the authors share their work to develop microneedles to address this challenge. The era of precision medicine of the inner ear...

The future of inner ear drug delivery

1 May 2017 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric, ENTA-Otology
The techniques for delivering drugs to the inner ear system are evolving. Jeffrey Harris considers the myths, the facts and the potential for drug delivery innovations and how they can improve tomorrow’s hearing outcomes. The inner ear’s delicate membranous structure,...

The changing landscape of thyroid and parathyroid surgery

5 July 2022 | | ENTA-ENT, ENTA-Thyroid / Parathyroid Surgery
How has clinical practice in the management of thyroid and parathyroid disease has evolved in recent years? I perform very few head & neck operations where the patient tells me just one week following surgery that they ‘feel much better’....

Parathyroidectomy

1 July 2017 | | ENTA-ENT, ENTA-Head & Neck, ENTA-Thyroid / Parathyroid Surgery
Many ENT head and neck surgeons are now involved in thyroid surgery. This can also include the need to explore the parathyroids, either to preserve them or indeed to resect parathyroid adenomas. David Smith, a highly experienced endocrine surgeon from...

Transnasal endoscopic orbital decompression

10 March 2023 | | ENTA-ENT
Surgery for the eye complications of Grave’s disease is an area that, over the years, ENT has become more and more involved in due to our ability to access the orbit endoscopically. In this article, the authors describe their technique...

Medical racism and the surgical ‘correction’ of the nose in Brazil

4 September 2023 | | ENTA-ENT, ENTA-Rhinoplasty
Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Malignant lesions and reconstruction of the pinna

2 March 2022 | | ENTA-ENT, ENTA-Otology
External ear reconstruction can be challenging. Baskaran Ranganathan and Amr Abdelhamid describe how careful assessment, planning and surgery following the subunit principles and reconstructive ladder will ultimately lead to good aesthetic outcomes with restored form and function. The external ear,...

2014: Are today’s implantable devices better than conventional solutions for patients with conductive or mixed hearing loss?

6 June 2017 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric, ENTA-Auditory Implants, ENTA-ENT, ENTA-Otology, ENTA-Paediatrics
Patients with conductive or mixed hearing loss become candidates for amplification when reconstructive surgery is not viable. Three common amplification options are conventional acoustic devices, such as behind-the-ear devices (BTEs), (implantable) bone-conduction devices and active middle ear implants. The goal...

Sleep apnoea in children with craniofacial syndromes

1 May 2015 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice, ENTA-Paediatrics, ENTA-Rhinology / Sinus
Whilst snoring and obstructive sleep apnoea are relatively common diagnoses in paediatric ENT, children with craniofacial syndromes take the problem to the next level. Robert Nash and Michelle Wyatt describe the Great Ormond Street multidisciplinary approach to treating this complex...