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Is one glass of wine on call safe?

1 January 2014 | | ENT
It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

Coblation tongue channelling

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Rhinology / Sinus
After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

Sleep apnoea in children with craniofacial syndromes

1 May 2015 | | ENT, Laryngology / Swallowing / Voice, Paediatric ENT, 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...

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENT, Head and Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

Staphylococcus aureus as a cause of refractory chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
Staphylococcus aureus has long been linked to chronic rhinosinusitis, particularly recalcitrant cases. In this article, Alkis Psaltis describes how newer techniques have shown higher rates of S. aureus infection than were previously thought, and explains how the bacteria are able...

Timing of surgery in chronic rhinosinusitis: does it matter?

1 July 2016 | | ENT, Rhinology / Sinus
While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

10 steps to improving transition to adult services

1 January 2017 | | Audiology - Paediatric, Audiology - Adult, ENT, Paediatric ENT
Children and parents like the reassurance that staying under the care of the team who looked after them from birth gives, but as the child approaches adulthood he / she must come under the care of a new team. This...

Audiological evaluation and management of teenagers with tinnitus

1 January 2017 | | Audiology - Adult, Audiology - Diagnostic, Audiology - Paediatric
There is a growing interest in investigating, understanding and managing tinnitus in children and adolescents, with several articles on the subject published in journals over the last year. Brian Fligor describes the approaches to consider when discussing tinnitus with teenagers....

Rhinology: what does the future hold?

1 May 2017 | | ENT, Rhinology / Sinus
David Kennedy surveys the past, the present and the future of rhinology practice and research. An evolution of understanding in rhinology The dramatic growth of clinical and translational research within the field of rhinology in recent years is illustrated by...

The role of objective measures and imaging to optimise cochlear implant outcomes

1 September 2017 | | Auditory Implants, ENT, Otology
Should we be using new or novel objective measures and imaging to assist with our cochlear implant patients? Debi Vickers and Shak Saeed describe current clinical techniques and present advances that have the potential to optimise outcomes. Introduction It is...

The European School of Interdisciplinary Tinnitus

1 May 2018 | | Vestibular Disorders
Scientific careers in tinnitus are expanding beyond any single discipline to embrace interdisciplinary collaboration and knowledge exchange. Natalia Trpchevska and Christopher R Cederroth present an overview of an innovative EU-funded training programme called the ‘European School of Interdisciplinary Tinnitus’, and...

Long-term outcomes of children and young people with cochlear implants

5 June 2017 | | Audiology - Paediatric, Auditory Implants, Otology, Paediatric ENT
Introduction Profound childhood hearing loss has a huge impact on early communication skills, the acquisition of spoken language, and hence on educational attainments and employment prospects. Over the centuries, educators of the deaf attempted to overcome the challenge by using...