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Balloon Eustachian tuboplasty – is it time to start doing it in children?

3 May 2022 | | ENTA-Rhinology / Sinus | BDET, Balloon dilation of eustachian tube, Children, Eustachian tube dysfunction
Given the potential applications for balloon Eustachian tuboplasty (BET) in children, its uptake in most centres has been slow. The reasons for this are multifactorial. There are technical issues – the feasibility of obtaining the correct size balloon and manoeuvring...
Sleep and Breathing journal cover image.

RCT: tongue retaining devices vs CPAP for OSA

7 January 2021 | | ENTA-Laryngology / Swallowing / Voice | Continuous positive airway pressure, Obstructive sleep apnea, TRD, Thai, Tongue-retaining device
This study compared the effect of a tongue retaining device versus the use of CPAP in 27 patients within a crossover RCT design. Tongue retaining devices (also known as tongue stabilising devices), are similar in appearance to a plastic tongue-sized...
Otolaryngologic Clinics journal cover image

What to do if adenotonsillectomy does not cure sleep apnoea in children?

30 April 2020 | | Paediatric ENT | DISE, Pediatric obstructive sleep apnea, Persistent OSA, Tongue base obstruction
This article reviews the management of children with persistent obstructive sleep apnoea (OSA) following adenotonsillectomy (AT). Risk factors for patients to have persistent disease include obesity, being Afro-Caribbean and existing co-morbidities such as craniofacial and neuromuscular disorders. Initial assessment of...

Tonsillectomy in or out?

1 March 2019 | | ENTA-Head & Neck, ENTA-Laryngology / Swallowing / Voice | Tonsillectomy, Ambulatory, Adult, Child, Activity
Although tonsillectomy is the most common surgical act performed in ENT practice, there is still some concern about the safety of outpatient or day surgery scheduling, especially in adults. Although this has been common practice in many departments for some...

Static positional nystagmus

1 March 2018 | | Static, VNG, balance, nystagmus, positional, vestibular
This study aimed to clarify the interpretation of positional nystagmus (PN) by looking at the current criteria for significance of PN, comparison of PN in symptomatic patients with normative data, prevalence of PN among participants with balance problems and assessing...

Speech and language therapy is valuable for people at all stages of dementia

1 November 2016 |
The number of people living with dementia is going to increase significantly over the coming 10-20 years. The authors of this article describe the breadth of the role of speech and language therapists (SLTs) working with people with dementia. They...

Where ignorance is bliss, 'tis folly to be wise

1 July 2018 | | ENTA-ENT
Our irrepressible Features Editor, Chris Potter, explores the limits of ignorance. I’m not sure about you, but I seem to exist in a sea of incompetence and ignorance, constantly surrounded by amateurish chumps and feckless underachievers. Now, a lesser man...

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,...

Laryngotracheal stenosis

1 May 2018 | | ENTA-ENT, ENTA-Laryngology / Swallowing / Voice
Airway stenosis has been an enormous challenge to laryngologists since the dawn of the sub-specialty. Careful evaluation is essential, as this will determine the best treatment. We hear more from one of the UK’s leading airway centres. Until the advent...

Imaging in hyperparathyroidism

1 May 2014 | | ENTA-ENT, ENTA-Head & Neck, ENTA-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...

Pre-hospital care

1 July 2014 | | ENTA-ENT
For those of us that work within the acute hospital system, the sound of the trauma pager going off warning of an incoming casualty with as yet unknown injuries is often the sound of uncertainty and anxiety. When it becomes...

Leadership in academia

1 September 2014 | | ENTA-ENT
I went into medicine with the clichéd view of wanting to help people. I found that by doing surgery I could help a small number of people, albeit usually to a large effect. Then, I recognised that by engaging in...