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1498 results found

Dental implant rehabilitation in fibula free flaps

1 February 2018 | Fibula, Implants, Reconstruction
The fibula free flap was first described in 1975 and since then has gone on to become the gold standard technique for reconstruction of longer spans in the mandible or maxilla. It is a reliable flap that affords good quality...

Measuring the ‘impact’ of preoperative immunonutrition

1 September 2018 | | head and neck cancer, head and neck surgery, immunonutrition, length of hospital stay, wound infections
Using preoperative nutritional supplements as part of ‘enhanced recovery’ in surgical patients is not a new concept. This interesting paper looks at the latest development in optimising patients undergoing head and neck oncological surgery. Immunonutrition (Nestle’s ‘Oral Impact’ in this...

Pomegranate juice as an otoprotective agent

1 November 2014 | | ENTA - Otology
Chemotherapeutic agents such as cisplatin, given alongside irradiation, offer a survival advantage in head and neck cancer. Some patients often complain bitterly about side-effects of their treatment, one of which is ototoxicity. In this paper, the authors propose the use...
Journal of Voice journal cover

Long-term voice outcomes following transoral laser surgery versus radiotherapy for early laryngeal cancers

1 September 2019 | | ENTA - Laryngology / Swallowing / Voice | Laryngeal cancer treatment, Laser microsurgery, Quality of life, Radiation therapy, Voice outcome
The oncological outcomes of transoral laser microsurgery (TOLM) for early laryngeal cancers are well-known to be very similar to radiation therapy (RT). The functional outcomes associated with each treatment modality are therefore of significant interest. This study is reported to...
American Journal of Otolaryngology cover image.

Gastrostomy tube dependence following TORS

2 March 2022 | | ENTA - Head & Neck | Functional outcomes, Gastrostomy tube, Nasogastric tube, Oropharyngeal cancer, Transoral robotic surgery
Transoral robotic surgery (TORS) for oropharyngeal squamous cell carcinoma (OPSCC) is now a well-established treatment modality for early (T1-T2) disease. Accumulating evidence suggests that one of its main benefits relative to conventional chemoradiotherapy is superior long-term functional outcome, especially with...

Extracapsular dissection alone for low-grade malignancies of the parotid gland – oncologically sound?

3 July 2023 | | ENTA - Head & Neck | Extracapsular dissection, Facial nerve, Low-grade, Malignant tumour, Parotid gland
The general treatment strategy advocated for a primary carcinoma of the parotid gland is surgical resection +/- adjuvant radiotherapy. A selective neck dissection is usually recommended in all cases of parotid malignancies, except for small, low-grade tumours. In this paper,...

In conversation with Dr Eugene Myers: Education, training, and leadership in the modern era

3 September 2021 | | ENTA - ENT
It is an honour to hear from Dr Eugene Myers, who shares his experience with us, and his opinions and advice on the current circumstances for training and trainees. His energy, vitality and work ethic in his late 80s are...

Aboriginal and Torres Strait Islander ear health in the 2020s

30 April 2020 | | ENTA - ENT, ENTA - Otology
The world is in the midst of a pandemic, and global health is severely threatened by this novel coronavirus which has caused over three million infections of COVID-19 and claimed more than 228,000 lives to date*. Societies and health systems...

Virtual educational outreach in the COVID-19 era

7 January 2021 | | ENTA - ENT, ENTA - Head & Neck
Existing surgical outreach programmes to developing countries have been severely curtailed by the COVID-19 pandemic. This has impacted on opportunities for otolaryngologists from the USA and from other developed countries to contribute to education and training of otolaryngologists in developing...

Running a post-COVID smell clinic

1 July 2021 | | ENTA - ENT, ENTA - Rhinology / Sinus
Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

Targeted focal parathyroidectomy

1 July 2019 | | ENTA - ENT, ENTA - Head & Neck
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

1 May 2015 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Rhinology / Sinus
Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...