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Systemic agents in thyroid cancer

1 July 2017 | | ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
For those patients who have disseminated or unresectable thyroid cancer, Dr Arabella Hunt and Dr Kate Newbold review systemic treatments, their differences, toxicities and outcomes. Thyroid cancer is the most common endocrine malignancy. It is subdivided into differentiated (papillary, follicular...

Temporal bone trauma

1 July 2014 | | ENTA - Head & Neck, ENTA - Skull Base Surgery
Introduction Temporal bone injuries represent one of the more complex management problems presenting to the otolaryngologist. This is largely due to difficulties in assessment and the frequent delays in referral, often as a result of other injuries demanding more immediate...

Staying safe during endoscopic ear surgery

1 May 2016 | | ENTA - Otology
There is growing interest in using rigid endoscopes rather than traditional operative microscopes to perform transcanal middle ear surgery. Rigid endoscopy provides a high resolution, wide-angle view of the tympanic cavity through minimally invasive surgical portals. In this article, Elliott...

Music and cochlear implants

5 June 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Audiology - Auditory Implants, ENTA - Otology, ENTA - Paediatrics
Introduction The introduction of multichannel cochlear implants (CIs) in the early 1980s provided children and adults with severe and profound hearing losses with greatly improved speech perception skills. In this paper, however, I am going to focus on an area...

Superior semicircular canal dehiscence: transmastoid obliteration

1 September 2017 | | ENTA - Audiology - Diagnostic, ENTA - Head & Neck, ENTA - Vestibular Disorders, ENTA - Otology
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...

New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

1 September 2020 | | ENTA - Laryngology / Swallowing / Voice
Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...

A medical student’s perspective on the future of obstructive sleep apnoea management

17 June 2021 | | ENTA - Rhinology / Sinus, ENTA - Laryngology / Swallowing / Voice
Obstructive sleep apnoea remains an immensely challenging condition to treat. Many treatments have been used over the years, but no single management strategy has proven significantly better than the others. We hear about some technological innovations in the field of...

Changing perceptions in head and neck cancer management caused by quality of life issues

1 September 2010 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
Sir Felix Semon was an outstanding clinician and exceptional laryngologist. The money raised by donations from his colleagues on his retirement in 1909 was used to establish the London University’s Semon Lecture. Semon’s Obituary in the BMJ, reads: “In Semon's...

Development of a new negative-pressure ventilatory support device: Exovent

3 September 2021 | | ENTA - Otology
The pandemic has driven innovation in ways that we have not seen for many decades. Intensive care medicine and ENT have been at the forefront of these advances, and our good friends David Howard (never one to put his feet...