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Risk factors for pharyngocutaneous fistula after laryngectomy

1 January 2016 | | carcinoma, cutaneous fistula, laryngeal neoplasms, laryngectomy, meta-analysis, postoperative complications, squamous cell carcinoma
Pharyngocutaneous or salivary fistula is a feared complication following laryngectomy, causing significant morbidity, prolonged hospital inpatient stay / cost and mortality. Previous radiotherapy / chemoradiotherapy is a well recognised risk factor and leads many surgeons to recommend onlay pectoralis major...

The theory of everything (tonsil)?

1 November 2015 |
Tonsil sepsis can manifest as acute tonsillitis, a peritonsillar abscess (PTA) or rarely as an intra-tonsillar (ITA) abscess. Whilst the management of these conditions is familiar to ENT surgeons from early in training, perhaps little attention has been paid to...
JPRAS journal cover image.

Coupler microvascular anastomoses: how good?

1 November 2014 | | ENTA - ENT, ENTA - Maxillofacial Surgery, ENTA - Skull Base Surgery
This paper is written by a group of reconstructive surgeons and a school of computing. The study used computational fluid dynamics to model blood flow through idealised sutured and coupled vessels, to investigate if differing anastomotic techniques affect intravascular blood...
American Journal of Rhinology & Allergy cover image.

Early DCR may be better than delayed in acute dacrocystitis?

3 September 2024 | | ENTA - Rhinology / Sinus
Traditionally, acute dacrocystitis has been treated conservatively with antibiotics, analgesia and warm compresses, with surgery reserved for later when the infection has subsided. This meta-analysis looks at early vs. late endonasal dacrocystorhinostomy (DCR) in the treatment of acute dacrocystitis, looking...

Mentorship and its role in surgical training

1 March 2019 | | ENTA - ENT
Is there a principle which could help address multiple challenges in surgical training? One which has potential to improve recruitment and retention of staff to our specialty, quality of patient care and surgeon morale? Harry Spiers, an Academic Foundation Doctor...

Have we reached our limits in endoscopic skull base surgery?

1 November 2017 | | ENTA - Skull Base Surgery
As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...

Awake transnasal laryngeal and pharyngeal biopsy in the unsedated patient

27 February 2020 | | ENTA - Laryngology / Swallowing / Voice, ENTA - Rhinology / Sinus
In an attempt to improve the efficiency and flow of patients through a busy ENT clinic, technology now allows the ENT surgeon to consider biopsies in the outpatient setting on a more regular and controlled basis. This can avoid the...

Nasal sidewall reconstruction

2 July 2025 | | ENTA - Rhinoplasty
Expert reconstruction of nasal sidewall defects requires careful selection of techniques across nasal layers, balancing aesthetics, structural support and patient needs. When reconstructing a nasal skin defect, a variety of factors should be taken into account in order to achieve...

In conversation with Professor Anne Schilder

1 January 2016 | | ENTA - ENT
Flying the flag for research in ENT, hearing and balance Anne Schilder is an NIHR Research Professor and leads the evidENT team at the Ear Institute at University College London. She also holds a Chair in Paediatric ENT at UCL...

Targeted focal parathyroidectomy

1 July 2019 | | 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...

Jarrod Homer and Stuart Winter: Development of the sixth edition of the UK multidisciplinary head and neck cancer guidelines

4 March 2025 | | ENTA - Head & Neck
Head and neck cancer care is a complex and constantly evolving field. What’s new and how are national guidelines on the subject produced? We spoke to Professors Homer and Winter, the lead authors of the most recent edition of the...

Jarrod Homer and Stuart Winter: Development of the sixth edition of the UK multidisciplinary head and neck cancer guidelines

4 March 2025 | | ENTA - Head & Neck
Head and neck cancer care is a complex and constantly evolving field. What’s new and how are national guidelines on the subject produced? We spoke to Professors Homer and Winter, the lead authors of the most recent edition of the...