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Transoral laser microsurgery (TLM)

6 November 2024 | | ENTA - Laryngology / Swallowing / Voice
This review article describes the surgical technique of transoral laser microsurgery (TLM) for the piecemeal removal of tumours of the upper aerodigestive tract using carbon dioxide laser. This technique gained acceptance after Wolfgang Steiner published his paper on the treatment...

Talk your brain well: discourse training to fortify your cognitive functioning and protect against dementia

2 May 2025 | | ENTA - Speech and Language Therapy
Mild cognitive impairment (MCI) can be described as a transitional stage prior to a diagnosis of dementia. Approximately 15% of people with amnestic MCI (where memory is the leading symptom) develop dementia. Nonpharmacological interventions, specifically cognitive training, has shown some...

Thoughts on war: von Clausewitz revisited

1 July 2014 | | ENTA - ENT
We few, we happy few, we band of brothers; For he to-day that sheds his blood with me Shall be my brother; be he ne’er so vile, This day shall gentle his condition: And gentlemen in England now a-bed Shall...

Using tele-audiology in Zambia’s ear and hearing care desert

4 May 2021 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
Addressing the medical desert with tele-audiology and tele-education. If a ‘medical desert’ is defined as a community that lives more than 60 miles away from the nearest acute care hospital, then try to imagine an appropriate term for a situation...

Using tele-audiology in Zambia’s ear and hearing care desert

4 May 2021 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
Addressing the medical desert with tele-audiology and tele-education. If a ‘medical desert’ is defined as a community that lives more than 60 miles away from the nearest acute care hospital, then try to imagine an appropriate term for a situation...

Hidden hearing loss in humans

1 March 2018 | | ENTA - Audiology - Diagnostic, ENTA - Audiology - Adult
Awareness of cochlear synaptopathy (‘hidden hearing loss’) is growing. Chris Plack gives us an introduction to the condition, defining it and reviewing recent research in humans and animals with respect to noise exposure. The main cause of hearing loss is...

The preventative audiologist

5 July 2022 | | ENTA - Audiology - Adult
Rob Shepheard has been championing the role of ‘the preventative audiologist’ for many years. In this article, he explores how that can be achieved.

Acoustic shock: definitions and clinical aspects

27 February 2020 | | ENTA - Audiology - Diagnostic, ENTA - Otology
Acoustic shock, a previously little-known and poorly understood clinical entity, came to the public’s attention in 2019 due to a high-profile legal case of a musician at the Royal Opera House. In this fascinating article, Andrew Parker and William Parker...

Acute otitis externa: what are the important outcomes?

2 March 2022 | | ENTA - Audiology - Adult, ENTA - Otology
Matthew Smith discusses a project looking at outcomes of acute otitis externa interventions, and how, going forward, the INTEGRATE team are working with patients to develop outcome measures. Acute otitis externa (AOE) is one of the most common conditions of...

Exploring teenagers’ access and use of assistive hearing technology

1 January 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
Children require good signal-to-noise ratios for optimum listening and learning. The use of remote microphone technology can be of benefit, yet older children often resist using it. Jennifer Groth reviews the challenges facing older children in the use of remote...

Are ENT patients who research their symptoms online better informed?

1 September 2017 | | ENTA - General
All our patients look up their symptoms online before they visit us, don’t they? And patients who do so are better informed than those who don’t, right? Well, that’s not actually the case… The ‘information era’ More information is now...

In conversation with Professor Patrick Gullane: My life in Otolaryngology-Head & Neck Surgery

1 September 2014 | | ENTA - ENT
Fellowship RCSEng 2009. Patrick, as you have recently ‘stepped down’ as Chairman and Chief of ORL-HNS at Toronto General Hospital, what next? Firstly, so often I have been asked why I selected this career path, from a quote by Johnny...