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Opening ceremonies – a necessary evil?

6 November 2024 | | ENTA - ENT
This series of stories is dedicated to those of you with whom some of these moments were shared (or endured) and, above all, to my amazing and long-suffering husband, David Howard. Most of you know him as an exceptional head...

Lipofilling for scar improvement

1 January 2015 | | ENTA - Head & Neck, Maxillofacial Surgery | Autologous lipofilling, Laser Doppler spectrometry, Minimally invasive surgery, Scar correction, Tissue microcirculation
Since Coleman et al. in 1991 reported on lipofilling, numerous applications have been reported; these include but are not limited to contour restoration, lip augmentation, and wrinkle therapy. There has also been some one off reported improvements in scars following...

Stereotactic radiosurgery for pituitary adenomas

1 January 2015 | | ENTA - Skull Base Surgery
Residual and recurrent functioning pituitary adenomas can be difficult to delineate on postoperative MRI scans, making them difficult targets for stereotactic radio surgery. In such cases radiation delivery to the entire sellar has been utilised as a radio surgical equivalent...

Passive smoking and rhinosinusitis

1 November 2014 | | ENTA - Rhinology / Sinus | Chronic rhinosinusitis, hair nicotine, passive smoke, prevalence, quantitative
One would expect that subjects exposed to more passive smoke would have a significantly increased level of rhinosinusitis. This study looked at a reasonable number of sinusitis and control subjects (404 and 165) using hair nicotine as an assessment of...

One stage nasal reconstruction with local flaps

1 November 2014 | | Maxillofacial Surgery, ENTA - Skull Base Surgery
This is an excellent and authoritative review of an often difficult and controversial (as there are so many options or so few) clinical subject. Better education and earlier diagnosis of skin tumours allows defects with limited size and depth to...

Freestyle facial artery perforator flaps for nasal reconstruction

1 November 2014 | | Maxillofacial Surgery, ENTA - Skull Base Surgery
This is an update from the authors that originally described the freestyle facial artery perforator flap for one stage nasal reconstruction in 2009. They now update with their 10-year experience of freestyle facial artery perforator flaps, accumulating a series of...

The use of Integra to allow early cover wounds

1 September 2014 | | Digital amputation, Ballistic, Battle wounds, Blast, Dermal substitute, Improvised explosive device, Injury, Integra, Soft tissue reconstruction, Stump
The authors present the use of Integra in a unique cohort of patients. Seven patients ages 21-31 in a six month period treated in one hospital. These were a very fit group of patients that had injuries caused by improvised...

Vascular vertigo and dizziness: diagnostic criteria

3 November 2022 | | Neurotology | Vertigo, brainstem, cerebellum, dizziness, imbalance, infarction, stroke
This diagnostic criteria is one of the latest produced by The Bárány Society. It is a useful addition to previous ones for vestibular disorders. Vascular vertigo/dizziness by definition is caused by stroke, transient ischaemic attack (TIA), isolated labyrinthine infarction/haemorrhage and...

Changing behaviour with a human factors approach

1 January 2014 | | ENTA - ENT
The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

Clinical management: 
a personal view

1 September 2014 | | ENTA - ENT
When Nigel Beasley approached me to write on my experience of clinical management, I was a little surprised. I see myself as primarily a clinician, but have had increasing involvement with clinical management within my Trust. I am now in...

Why does music move us? Music as auditory signals of emotion

1 September 2016 | | ENTA - Audiology - Adult
Music forms an integral part of the lives of people in all known cultures around the world. In this article Dr Sandra Garrido explains that in fact, our response to music is largely innate and is related to the evolutionary...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

1 September 2016 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....