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Smaller gauge voice prosthesis is effective in secondary trans-oesophageal puncture
Placement of voice prosthesis at the time of trachea-oesophageal puncture is well described using 20-French prostheses. There is debate about the optimal size of the prosthesis with work in the 1980s and 1990s supporting larger prostheses. The rationale was that...
Can and should vestibular schwannoma surgery be carried out via the endoscopic transcanal approach?
The extent and scope of endoscopic ear surgery has rapidly progressed in recent years, and this paper, from one of the leading proponents of this technique, reports on the outcomes of a case series of patients who have had total...
Robotic insertion of electrode array in cochlear implantation
Cochlear implants (CIs) are commonly used for profound bilateral hearing loss. They have specific national guidance for their insertion, however patients with a substantial residual acoustic hearing are potential CI candidates. Preservation of this residual hearing can be sought with...Prednisolone and/or acyclovir for Bell’s palsy
Landmark Paper: Sullivan FM, Swan IRC, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s Palsy. N Engl J Med 2007;357(16):1598-607. Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long-term effects on...
Current management of facial fractures in the preadolescent
This article reviews the trends in management of preadolescent facial fractures – a challenging population due to the need to consider growth, dynamic changes in dentition, and evolving fracture patterns. In summary, conservative management is preferred in all fractures in...True Cut – a dramatic biopsy from the world of surgery
True Cut is a stage play that asks: “What happens when things go wrong in healthcare?” It brings the hidden world of the operating theatre onto the theatre stage. ENT surgeon, David Alderson, talks about how the play came about....Making sense of modern wireless hearing aid technologies
Before diving into the topic of the technology behind wireless hearing aids, it is important to define two key concepts. The first is wireless frequency. This is the frequency at which a wireless signal is transmitted. In the context of...Out of Africa: Audiovannah audiology clinic in Zimbabwe
Audiovannah reception area. In 2015 two Danish audiologists, Jenny Pedersen and Nicolai Pedersen, relocated to Zimbabwe and opened a full service audiology clinic (Audiovannah) in the capital city of Harare. The focus has been to give back as much as...2020 Unmasked - By Paul Howard Surridge
Throughout human existence, metaphorical masks have been worn to conceal emotional and physical imperfections, whether imagined or real. We mask the way we look; we mask the way we feel. We’re vulnerable creatures, psychologically wired to present socially acceptable characteristics...Time to professionalise medical leadership
For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...20th ASEAN ORL-HNS Congress
Amrita Bhattacharya, Second Year Post-Graduate Trainee, Department of ENT Head & Neck Surgery, Ramakrishna Mission Seva Pratishthan, Vivekananda Institute of Medical Sciences, Kolkata, India and Miss Rajini Rajagopal, Locum Consultant ENT Surgeon, UK. A pre-congress course on rhinology kicked things...
