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Sialendoscopy
Recent advances in endoscopic technology allow the ENT surgeon to access the salivary gland ductal system for both diagnostic and therapeutic reasons. In this article the authors share their experiences with using this technology, both as a standalone procedure and...Simulation: human factors scenario training
It is said that surgical training has suffered as a result of a combination of factors – through the introduction of work time restrictions such as the European Working Time Directive (EWTD) [1], a limit on the number of years...Re-establishing ENT services in Liberia after three decades
Liberia is a country located on the West African coast bordered by Guinea, Sierra Leone and the Ivory Coast. Founded in 1821, it is Africa’s oldest modern republic and was established on land acquired for freed US slaves by the...The artificial eardrum: how an eggshell membrane fed a German ENT family
In the pre-antibiotic era, purulent otitis media often resulted in a permanent eardrum perforation with hearing loss. In addition to pig or fish bladders, eggshell membranes and cigarette paper were used as eardrum prostheses. I have vivid personal boyhood memories...
Risk factors for pharyngocutaneous fistula after laryngectomy
Pharyngocutaneous or salivary fistula is a feared complication following laryngectomy, causing significant morbidity, prolonged hospital inpatient stay / cost and mortality. Previous radiotherapy / chemoradiotherapy is a well recognised risk factor and leads many surgeons to recommend onlay pectoralis major...
This is what SLTs can do for mild TBI: presenting a care model
The authors of this article estimate there are around six-to-eight million people who sustain a mild traumatic brain injury (mTBI) per annum in the United States (US) as a consequence of sports injuries, traffic accidents, military service-related injuries, falls, assaults...
OSA is neuroprotective!
This interesting study supports the hypothesis of the protective effects of obstructive sleep apnoea (OSA) against ischemic events like stroke. The authors evaluated the impact of OSA with the presentation, hospital course and outcomes of patients with subarachnoid haemorrhage (SAH)....Sniffing out the evidence – COVID-19 and loss of sense of smell and taste
Louis Pasteur once observed: “In the fields of observation chance favors only the prepared mind.” Professor Hopkins was certainly prepared when a few anecdotes of smell problems started to accumulate early in the pandemic’s course. Post-viral olfactory loss is nothing...
Does stress and anxiety worsen idiopathic sudden hearing loss outcomes?
There have been suggestions that the natural course of the idiopathic sudden sensorineural hearing loss (ISSNHL) is not affected by intensive therapy. There is speculation as to whether unknown factors affect the treatment prognosis. This is a retrospective study of...Diaphanoscopy of the paranasal sinuses (Halloween in ENT Practice)
Since time immemorial, humans have tried to enhance the limited capabilities of their sense organs. It would be a clear advantage to be able to see through objects and discern what lies inside or behind them! This concept of transillumination...Salivary duct clipping for drooling
Drooling can be a challenging problem to manage in paediatric ENT. The variety of medical and surgical treatments suggests that there is no gold standard treatment. Nicola Stobbs and Ravi Thevasagayam describe an approach to ligating the salivary ducts. Drooling...
