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Pharyngoplasty for palatal snoring

This prospective Belgian study looked at the benefits of barbed reposition pharyngoplasty in the management of patients with isolated unilevel palatal snoring. This technique involves using a barbed suture and repositioning the palatopharyngeal muscle in a more lateral and anterior...

What are the airway, voice and swallowing outcomes of a mucosal-sparing surgical approach to improving the glottic airway in bilateral vocal fold immobility?

Bilateral vocal fold immobility (BVFI) causes significant breathing problems as well as voice and swallowing difficulties. Surgical interventions aim to enlarge the glottic outlet by altering or removing glottic structures which improve breathing but often lead to worsening dysphonia and...

Laryngeal endoscopies

Here, the authors provide some great tips for performing a successful microlaryngoscopy which should be of benefit to those learning this very common procedure. In this article, we will discuss tips for performing a microlaryngoscopy, and different laryngoscopes used to...

Bipolar microdebrider turbinoplasty

There are a variety of ways to reduce the bulk of hypertrophied turbinates. Kimberley Lau and Showkat Mirza describe their technique which can be used in difficult cases and with minimal morbidity. As ever, one aim should be to avoid...

Getting to grips with acoustic trauma

Our understanding of hearing loss caused by noise exposure to those in the armed forces is growing in interest and understanding. Research at a cellular level is essential to increase our understanding so that we can better diagnose, manage and...

Advances in laryngeal surgery

We are seeing many advances in laryngology: from the lab, from equipment manufacturers and from developments in surgical techniques. The field of laryngology has been under constant change in recent years, with the introduction of new technologies and research. The...

Office-based PRP injection for benign vocal fold disorders

Awake transnasal laryngeal injection has become globally popularised. This article discusses autologous plasma as a regenerative alternative to synthetic materials. Regenerative therapies are increasingly being explored across a range of specialties. Among these, platelet-rich plasma (PRP) has seen the widest...

Hidden genetic disorders in children that may present to the otolaryngologist

Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...

An update on laryngeal reinnervation

Laryngeal paralysis remains very difficult to treat, but reinnervation offers many attractions. Laryngeal paralysis presents a unique and varied problem that requires a patient centred approach and a range of treatment options depending on laryngeal and patient factors. There is...

Medical and surgical management of performing vocalists

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...

Risky behaviour: do care homes follow dysphagia recommendations?

A huge proportion of elderly people living in residential care homes will develop dysphagia. In Australia this is estimated at close to two thirds of all residents. It is the role of the speech and language therapist to make recommendations...

Vicarious (nasal) menstruation

Hippocrates himself is known to have said that when a woman’s menses are due, but instead of the usual vaginal menstrual flow, she has a haemorrhage from the nose, then this is a sure sign of pregnancy [1]. Artist’s impression...