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Clinical Management of Swallowing Disorders, Third Edition

1 September 2014 | | Laryngology / Swallowing / Voice
This is a comprehensive and readable text on swallowing disorders. The covered topics include the physiology of normal swallowing, aetiologies and mechanisms of abnormal swallowing, as well as assessment and management (including surgical, prosthetic and non-surgical). There is a detailed...
Annals of Otology, Rhinology & Laryngology journal cover image.

Corticosteroid prescribing in ENT - are we at risk of being sued?

5 July 2022 | | ENT, Head and Neck, Neurotology, Otology, Paediatric ENT, Rhinology / Sinus, Rhinoplasty, Skull Base Surgery, Tinnitus, Vestibular Disorders | adrenal cortex hormones, corticosteroids, jurisprudence, medicolegal, otolaryngology, steroids
Of medications leading to malpractice claims, corticosteroids comprise the third most common. They are used widely and have a significant side-effect profile: hypertension, lipodystrophy, diabetes, avascular necrosis of the femoral head, peptic ulceration and psychiatric reactions to name but a...

To endo or to micro, that is the question: the musculoskeletal paradigm

4 September 2023 | | Neurotology
Endoscopic ear surgery is a newer concept compared with the microscopic one. Both could lead to musculoskeletal pain due to the long static posture of surgeons during otologic procedures. The authors conducted a study on eight otolaryngologists, four attendings and...

Can laryngeal sensitivity testing predict aspiration and pneumonia in dysphagic patients?

1 July 2018 | | Aspiration, Deglutition, Dysphagia, Laryngeal adductor reflex, Laryngeal sensory deficits, Pneumonia
The laryngeal adductor reflex (LAR) is characterised by brief vocal cord closure in response to laryngeal stimulation. It is important in swallowing physiology as it represents a mechanism for airway protection. The authors of this study examined whether the absence...

What is the optimum duration of voice rest after microlaryngoscopy procedures?

1 March 2017 | | Voice rest, Stimulation, Phonomicrosurgery, Fibroblast, Voice therapy
Recent survey data looking at the opinions and practices of otolaryngologists in the US and the UK demonstrate that there is a wide variation in recommendations made for voice rest after vocal fold surgery. In the US, the most common...

Evidence based guidelines for ONS treatment in occipital neuralgia

1 January 2016 |
Occipital neuralgia (ON) can flummox otolaryngologists especially when it follows mastoid surgery. The paroxysms of sharp, electrical pain originating from the occiput can extend along the posterior aspect of the scalp and even up to the mastoid. Although the aetiology...

Imaging in hyperparathyroidism

1 May 2014 | | ENT, Head and Neck, Thyroid / Parathyroid Surgery
Following their caudal migration at eight weeks of development, the parathyroid glands normally locate posterolaterally to the upper pole of the thyroid gland at the level of the cricoid cartilage (superior parathyroid glands arising from the fourth branchial pouch and...

In conversation with Dr John Woo and Mr Derek Skinner

1 March 2017 | | ENT, Head and Neck
Dr John Woo and Mr Derek Skinner have between them an absolute wealth of experience and expertise in the fields of surgical training and specialist examinations. Here, they tell us about their involvement in surgical education, and explain some of...

Roshna Rose Paul: interview between trainee and senior surgeon

3 July 2023 | | ENT
Professor Paul has been heavily involved with training and educating multiple cohorts of ENT trainees over the years, since 2010. In this article, Mr Reid (a current ENT registrar from the West Midlands) picks her brains. Prof Roshna Rose Paul....

Mindfulness based approaches to tinnitus management: meditations on a new approach

24 May 2017 | | Audiology - Adult, Tinnitus
Psychological approaches to tinnitus There is now widespread agreement that an individual’s interpretation of tinnitus can determine how distressing they find it. If tinnitus is regarded as non-threatening then habituation normally follows. If, however, tinnitus is interpreted as threatening, habituation...

This surgeon learned the power of Twitter / Twitter: an ENT surgeon’s perspective

1 September 2015 | | ENT
This surgeon learned the power of Twitter I was once Australia’s most followed surgeon on Twitter, according to my dear wife. She was probably right, as always. I had more than 3,700 followers on my account, but very few people...

The role of macrolide antibiotics in chronic rhinosinusitis

1 July 2016 | | ENT, Rhinology / Sinus
The use of long-term antibiotics in the treatment of chronic rhinosinusitis is a contentious issue, not only because of the increasing problem with antibiotic resistance but also because of the potential cardiac risks, including sudden death. In this article, Anders...