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Thyroid nodules – time for a rational imaging approach

1 May 2014 | | ENTA - ENT, ENTA - Thyroid / Parathyroid Surgery
“The more you know, the harder it is to take decisive action. Once you become informed, you start seeing complexities and shades of gray. You realize that nothing is as clear as it first appears. Ultimately, knowledge is paralyzing.” Calvin,...

Laryngeal papillomatosis

1 May 2018 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Laryngeal papillomatosis remains one of the most frustrating conditions seen by laryngologists. Sam Majumdar gives us an overview of the current science and clinical practice. Human papilloma virus is a small (> 8kb) double stranded DNA virus with approximately 200...

American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care

1 March 2016 | | ENTA - ENT, ENTA - Head & Neck
The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....

Destination unknown

4 May 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

The role of the maxillo-facial surgeon in the management of skull base malignancy

1 June 2014 | | ENTA - Maxillofacial Surgery, ENTA - Skull Base Surgery
Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Patient initiated follow-up in head and neck cancer

3 May 2024 | | ENTA - ENT, ENTA - Head & Neck
Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...

Robotic head and neck surgery: current state of the art and future innovations

1 March 2016 | | ENTA - ENT, ENTA - Head & Neck
Technology and innovation has provided modern head and neck surgeons with successive generations of robotic surgical systems, fibre-optic lasers, and novel tools which have ushered in a new era of minimally invasive surgery for tumours of the pharynx and larynx....

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

Robotic surgery for squamous cell cancer: the new frontiers

4 November 2021 | | ENTA - ENT, ENTA - Head & Neck
Although the da Vinci platform was FDA approved for early-stage oropharyngeal cancers, the indications have expanded. In this article, John Hardman explains how surgeons, with greater understanding of the strengths and limitations of robotic surgery, have systematically set out to...

Targeted focal parathyroidectomy

1 July 2019 | | ENTA - ENT, ENTA - Head & Neck
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Management of benign oesophageal strictures

30 April 2020 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Benign strictures of the upper oesophagus and pharynx, while not very common, can be a challenging condition to successfully manage. The authors of this article provide us with a detailed description of their technique for using the CO2 laser, balloon...

In conversation with Dr John Woo and Mr Derek Skinner

1 March 2017 | | ENTA - ENT, ENTA - Head & Neck
Dr John Woo and Mr Derek Skinner have between them an absolute wealth of experience and expertise in the fields of surgical training and specialist examinations. Here, they tell us about their involvement in surgical education, and explain some of...