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KTP laser in the office

1 March 2016 | | ENTA - Laryngology / Swallowing / Voice
KTP laser surgery offers a new way of selectively targeting microvasculature within laryngeal lesions and leaving normal surrounding tissues like epithelium and lamina propria intact – and thus preserving physiological phonation. This kind of selective photoangiolysis can be performed in...

The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation

1 January 2017 | | ENTA - Neurotology, ENTA - Otology
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...

In-office management of subglottic and tracheal stenosis: balloon dilation, laser treatment and steroid injection

4 September 2025 | | ENTA - Laryngology / Swallowing / Voice
Laryngology continues to advance since its development as a subspecialty at the turn of the century. Rarely performed operations restricted to the surgical theatre can now be undertaken in the outpatient / office environment. This detailed article demonstrates, in a...

Minimally invasive techniques for benign salivary gland obstruction

13 June 2017 | | ENTA - Laryngology / Swallowing / Voice
Salivary gland obstruction is a common condition – it is recognised by a complaint of intermittent meal-time swelling of the affected salivary gland and can be accompanied by recurrent infections. Imaging can identify the nature and location of an obstruction...

Chronic rhinosinusitis management: back to the future?

1 July 2016 | | ENTA - Rhinology / Sinus
Immunology is a dim and distant medical school memory to many ENT surgeons, but the increasingly complex immunology of chronic rhinosinusitis is fascinating (honestly!). Medical management options in CRS no longer just involves saline and steroids, and we need to...

Imaging and management of head and neck vascular anomalies

1 May 2014 | | ENTA - Head & Neck, ENTA - Maxillofacial Surgery
Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...

Imaging in hyperparathyroidism

1 May 2014 | | ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
Following their caudal migration at eight weeks of development, the parathyroid glands normally locate posterolaterally to the upper pole of the thyroid gland at the level of the cricoid cartilage (superior parathyroid glands arising from the fourth branchial pouch and...

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...

Elasticated retraction in head and neck surgery – a trainee’s perspective

1 May 2017 | | ENTA - Head & Neck
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

In conversation with Bill Gibson, Richard Ramsden and Shakeel Saeed

1 September 2017 | | ENTA - Audiology - Auditory Implants, ENTA - Audiology - Paediatric, ENTA - Audiology - Adult, ENTA - Otology, ENTA - Paediatrics
The surgical aspect of cochlear implantation is both a joy and a challenge – which is why we love it! In this article, Simon Freeman draws on the wisdom of his three previous mentors, sharing pearls from some of the...

Isshiki Thyroplasty Type 2

1 September 2015 | | ENTA - Laryngology / Swallowing / Voice
Indication Adductor spasmodic dysphonia is a neurological condition of unknown aetiology. The symptoms are believed to be caused by involuntary contraction of the adductor muscles of the vocal cord as a result of an abnormality of neurotransmitters in the basal...

Medical and surgical management of performing vocalists

1 September 2016 | | ENTA - Laryngology / Swallowing / Voice
Dr Steven Zeitels is widely recognised as the foremost laryngologist of his generation. He has been at the forefront of innovation for 25 years, and has treated innumerable high-profile singers, most recently Sam Smith and Adele. Here, he gives us...