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Botulinum toxin injection in spasmodic dysphonia

1 May 2018 | | ENTA - Laryngology / Swallowing / Voice
Spasmodic dysphonia is a rare neurological voice disorder, which is often missed by the inexperienced ear. There is no laboratory test or investigation to diagnose this condition therefore, it is best diagnosed by listening to the patient’s voice. Laryngeal endoscopy...

The barber-surgeon of Avebury

1 November 2019 | | ENTA - ENT
On a stroll through Neolithic Britain, Seville oranges on a quay in Dundee, marmalade and 14th century coins, Chris Potter unravels the story of a man (a surgeon?) seemingly crushed by a falling 13-tonne stone. But things are not quite...

Specialist teams deliver world-class trauma care

1 July 2014 | | ENTA - ENT
University Hospitals Birmingham NHS Foundation Trust runs the Queen Elizabeth Hospital Birmingham, which is a designated Major Trauma Centre. The Trust holds the contract to treat all UK injured military personnel evacuated from combat zones overseas. More than 1200 of...

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice, ENTA - Thyroid / Parathyroid Surgery
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Hearing rehabilitation after vestibular schwannoma surgery

27 February 2020 | | ENTA - ENT, ENTA - Otology, ENTA - Vestibular Disorders
Hearing rehabilitation is a key focus of the management of patients with vestibular schwannoma. But how do we rehabilitate hearing when the cochlear nerve has been damaged by tumour, irradiation, or resective surgery? Mathieu Trudel, Scott Rutherford and Simon Lloyd...

Pathways for becoming an audiologist in the USA Part 1: the early years

1 January 2019 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
Part 2 of this topic is available here. The Doctor of Audiology degree is required for clinical practice in the USA. In part one of a two-part series, Professor Hall reviews the evolution of academic credentialing for American audiologists, beginning...

The ear-brain connection: the role of cognition in neural speech processing

26 June 2017 | | ENTA - Audiology - Adult, ENTA - Neurotology
Audiologists and other hearing healthcare professionals have become increasingly interested in the importance of cognitive function in the assessment and management of hearing loss, especially in light of evidence suggesting a link between hearing loss and cognitive decline in older...

A new approach to workplace hearing conservation

5 July 2022 | | ENTA - Audiology - Adult
The traditional approach to managing workplace noise has failed - how can we better protect our nation’s hearing using smart hearing protection? Occupational noise-induced hearing loss (ONIHL) is the most common occupational health condition in the world and the most...

Endoscopic CSF leak repair using nasoseptal flap

1 May 2019 | | ENTA - ENT, ENTA - Rhinology / Sinus
Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

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...

The ‘umbrella furling’ deflation technique for cuffed tracheostomy tube - a useful tip for an easier tracheostomy insertion

27 June 2022 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
In this article, the authors describe a quick and effective technique to assist with the maximal deflation of a tracheostomy tube cuff prior to insertion, thus making the process easier with less chance of damage to the cuff and a...

Cocaine-induced ENT pseudo-GPA (CIEpGPA): an underdiagnosed entity

4 March 2025 | | ENTA - Rhinology / Sinus
Cocaine-induced ENT pseudo-GPA is increasingly seen in our ENT clinics. The authors of a new ENT UK guideline offer a concise overview for day-to-day recognition and management. Use of cocaine has steadily increased in Europe since 2010 and now represents...