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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....

What does an Olympic medal and surgery have in common?

1 November 2016 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Paediatrics
Competing against female Eastern Bloc athletes in the 1980s was a thankless task, demanding a mulish tenacity in an often futile cause. Ideal preparation for a career in surgery? My path to medicine was unusual, in that I left school...

Have we reached our limits in endoscopic skull base surgery?

1 November 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Skull Base Surgery
As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Alfred Alexander: a life in ENT, but mainly music

1 July 2018 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Your own voice clinic may be filled with teachers, elderly clergy and badly trained pub singers, but it wasn’t always like this... When I was first invited to write an article about opera and ENT for this edition of ENT...

Non-surgical rhinoplasty

1 July 2019 | | ENTA - ENT, ENTA - Rhinology / Sinus, ENTA - Rhinoplasty
Some patients would like to alter the appearance of their nose without surgery or make further subtle changes after a rhinoplasty. Lydia Badia explains how this can be done, thanks to the advent of injectable fillers. This medical procedure in...

Anaesthesia for free-flap surgery

1 November 2019 | | ENTA - ENT
Adel Hutchinson is one of those calm and controlled anaesthetists for whom nothing seems too difficult. In this article, she describes the key perioperative factors for one of the highest complexity operations in ENT; free-flap surgery. It makes good reading...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENTA - ENT, ENTA - Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

The role of the multidisciplinary team in laryngology and airway – the Charing Cross experience

30 April 2020 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
As the National Centre for Airway Reconstruction, the Charing Cross laryngology MDT provides expert care to patients with airway problems as well as voice and swallowing disorders. In this article, the team explain their raison d’etre and why the MDT...

Chocolates for laryngectomees

8 December 2020 | | ENTA - Laryngology / Swallowing / Voice, ENTA - ENT
When The Chocolate Line in Bruges, Belgium, was approached by the charity, Shout at Cancer, there was always going to be something very special and innovative in the pipeline! Shout at Cancer’s Thomas Moors has been chatting with Julius Persoone,...

The ENT operating theatre viewed down the retrospectoscope

7 January 2021 | | ENTA - ENT
We learn much of our future by looking at our past; Douglas MacMillan provides us with a fascinating glimpse into his years as a junior doctor. The operating theatre was a somewhat alien environment in the late 1960s: theatre sisters...

Audiology Training – Time to change our Spots? A student’s perspective of the Scientist Training Programme

1 March 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
In the “Just-so Stories”, the accomplished wordsmith Rudyard Kipling details how the leopard got his spots. Which concludes that the leopard will never change his appearance again as he is quite content just the way he is. The former degree...

Multidisciplinary airway simulation workshops: ‘preparing your team for the difficult airway’

1 September 2019 |
Can human factor issues be better addressed within a multidisciplinary learning environment? Would this improve team working and patient outcomes? Are these important training considerations? Mona Thornton discusses the experience of a multidisciplinary simulation airway workshop in the unit she...