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Voice change after total thyroidectomy with intact laryngeal nerves – a common but temporary problem

1 March 2018 |
It has been reported that up to 87% of patients have a degree of voice dysfunction after thyroidectomy, even when the laryngeal nerves are preserved. Postoperative inflammation, laryngeal oedema due to vascular congestion, direct damage to the cricothyroid muscles and...

Clinical Practice Guideline on Tympanostomy Tube in Children Update (AAO-HNS)

3 May 2022 | | ENTA-Audiology - Paediatric, Otology, Paediatric ENT | developmental delay disorders, grommets, middle ear effusion, otitis media, otorrhea, pediatric otolaryngology, tympanostomy tubes
The American Academy of Otolaryngology–Head and Neck Surgery Foundation’s ‘Clinical Practice Guideline: Tympanostomy Tubes in Children (Update)’ has been recently published - an update of the original 2013 guideline. This article forms an executive summary to accompany the full guideline....

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...

Reduction thyroplasty

1 November 2014 | | ENTA-Laryngology / Swallowing / Voice
Introduction Male to female transgendered patients are referred to ENT for reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’,...

Gender-affirming voice surgery

4 September 2023 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Professor Ahmed Geneid is a laryngologist and phoniatrician at Helsinki University Hospital and a founding member of the International Association of TransVoice Surgeons. Here, he presents the intricacies and nuances of gender-affirming voice surgery after own hospital’s 30 years of...

Continuing professional development

1 September 2018 | | ENTA-Audiology - Adult, ENTA-Audiology - Paediatric
In this article Siobhán Brennan explores continuing professional development (CPD) in all its glory! She outlines why it’s important to continue learning throughout our careers, highlights some of the challenges facing those trying to undertake CPD and discusses the variety...

Cognitive effort and listening in everyday life

26 June 2017 | | ENTA-Audiology - Adult, ENTA-Neurotology
Dining with family members, amongst the clinking of dishes and glasses, the sounds of conversations and laughter, the husband, a user of hearing aids, misses his wife’s request to bring another bottle of wine. After a third try, the wife,...

Non-absorbable synthetic material for middle fossa repair using a combined transmastoid/middle fossa approach

4 May 2023 |
Repair of CSF leaks can be a challenging technical undertaking. In this article, the authors describe their use of a synthetic material to help with the successful repair of these leaks from the middle cranial fossa. Erosion of the middle...

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...

In conversation with Prof Nobuhiko Isshiki

7 January 2020 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
A 90th birthday is definitely a landmark that should be observed and celebrated. Elisabeth Sjögren interviews this man who has been such a huge influence in the world of laryngology. Nobuhiko and Keiko in the cosmos field. Congratulations on your...

Percutaneous fibre guided laser surgery of the endolarynx

7 January 2020 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Occasionally, getting access to the larynx for an intervention can be challenging. Markus Hess and Susanne Fleischer describe a novel way to perform laser treatment in such difficult instances. Fibre guided office-based endolaryngeal laser surgery has developed to be a...