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Beware the skinny patient…

1 July 2018 | | Arytenoid dislocation, BMI, Cricoarytenoid joint three-dimensional reconstruction, High-resolution computed tomography, Risk factor
The adverse health impacts of an excessive BMI are well known. This study highlights one laryngeal pathology for which a low BMI appears to be a significant risk factor. The records of 28 patients treated for arytenoid cartilage dislocation were...

Concussion and vestibular processing deficits

9 October 2017 | | Concussion, near point convergence, optokinetic stimulation, posture, virtual reality
It is well known that patients with mild traumatic brain injury (mTBI), also referred to as concussion, display longstanding vestibular symptoms but often clinical signs and objective vestibular function test abnormalities are lacking. The aim of the study was to...

Physician health and wellness amidst a global pandemic

9 September 2020 | | ENTA - ENT
Dr Westerberg attended a workshop on Physician Wellness hosted by Dr Osler a few years ago at our Canadian Society of Otolaryngology-Head and Neck Surgery meeting. The list of symptoms of stress and burnout resonated as typical of almost a...

From the editor May/Jun 2024

3 May 2024 |
Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk One of the privileges of editing this magazine is interviewing senior figures within our specialty; so, it was wonderful...

Audiological management of autistic children

3 May 2022 | | ENTA - Audiology - Paediatric
Philippa James and Lucy Shiels explain the development of the ‘Autism Listening Clinics’, highlighting a recommended clinical approach for audiologists, the importance of remote microphone technology and sharing some wonderful caregiver experiences. Auditory challenges in autistic children Autism spectrum disorder...

Gastric inlet patch – an under-diagnosed cause of globus

4 May 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
A gastric inlet patch (GIP) is an island of heterotopic gastric mucosa found commonly in the proximal oesophagus just below the upper oesophageal sphincter. It is often underdiagnosed due to its location. Its importance and clinical relevance can be underestimated...

Advances in vestibular function testing

1 November 2015 | | ENTA - ENT, ENTA - Vestibular Disorders
Vestibular function testing has historically been limited by difficulties in testing individual parts of the vestibular apparatus. Jas Sandhu describes new tests available to clinicians that address this problem. Advances in vestibular function testing Vestibular function testing has historically been...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENTA - ENT, ENTA - Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Unravelling the mystery of hyperacusis with pain

1 January 2019 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Tinnitus
When a person says that sound causes them pain, how can we understand this, and determine what processes are involved? Bryan Pollard navigates us through what is presently known. Pain has long been underrepresented – and often, completely overlooked –...

Multifrequency tympanometry

1 March 2019 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic
There are many good reasons to start using multifrequency tympanometry as opposed to a traditional, single 226Hz probe tone. Here, Leigh Martin of Interacoustics discusses the uses and benefits. Tympanometry is a core test in the audiologist’s test battery. In...

The preventative audiologist

5 July 2022 | | ENTA - Audiology - Adult
Rob Shepheard has been championing the role of ‘the preventative audiologist’ for many years. In this article, he explores how that can be achieved.

The ear, nose and throat anaesthesia practice of Dr John Snow (1813-58)

3 November 2022 | | ENTA - ENT
News of the first successful public demonstration of general anaesthesia in Boston, Massachusetts in October 1846 reached Britain in mid-December of that year. James Robinson, a London dentist, gave the first anaesthetic in the United Kingdom when, on 19 December,...