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Operatives Techniques in Otolaryngology journal cover image.

Advancing the tongue in OSA surgery

1 May 2016 | | Genioglossus, genioglossal, OSA, sleep surgery
This article further delineates the options for hypopharyngeal OSA and describes the technique of genioglossus advancement to improve the tension in the tongue base. The authors take the reader through the relevant anatomy appropriate to the procedure and describe the...
Dysphagia journal cover image.

Predicting swallowing outcomes post radiotherapy for head and neck cancer

7 January 2021 | | ENTA - Laryngology / Swallowing / Voice | Cancer, Deglutition, Deglutition disorders, Displacement, Dysphagia, Radiation, Timing
A videofluroscopic swallow study (VFSS), also known as modified barium swallow (MBS) offers a dynamic view of swallow biomechanics and associated swallowing physiology. The authors of this paper investigated whether quantitative timing and displacement measures of key structures involved in...
Otolaryngology Clinics journal cover image.

Is there a limitation for excising parapharyngeal tumours transorally?

5 November 2021 | | ENTA - Head & Neck | Endoscope-assisted surgery, Minimally invasive, Parapharyngeal space tumors, Salivary neoplasm, Salivary tumors, TORS, Transoral robotic surgery, Transoral surgery
The parapharyngeal space is a complex anatomical space bounded medially by the oropharynx and laterally by the mandible. It is conceptualised as an inverted pyramid extending from base of skull above to the hyoid bone below. The space is divided...
The Laryngoscope journal cover image.

Does frailty lead to changes on quantitative measures of videofluoroscopic swallowing assessment?

4 November 2025 | | ENTA - Laryngology / Swallowing / Voice
In recent years, studies have considered the relationship between frailty and swallowing and demonstrated that decreased skeletal muscle mass correlates with decreased swallowing function. This study investigated this relationship by using quantitative measurement of three individual components of swallowing assessed...
Clinical Otolaryngology journal cover image.

Steroids for vocal cord mucus retention cysts

1 January 2019 |
This is an interesting paper that describes the use of intralesional steroid injections to treat vocal cord mucus retention cysts. The gold standard is microlaryngoscopy and excision of the lesion. In patients who may be unable to undergo surgery, this...

Robotic surgery for squamous cell cancer: the new frontiers

4 November 2021 | | 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...

A practical approach to tinnitus

1 January 2016 | | ENTA - Audiology - Adult, ENTA - Tinnitus, ENTA - Otology
Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...

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 future of head and neck cancer surgery

1 March 2019 | | ENTA - Head & Neck
Neil Sharma paints an exciting picture of the future of head and neck surgery with nanobots and robot augmented humans – science fiction or reality? Time will tell. ‘May you live in interesting times’ reads the old Chinese curse. The...

Giacomo Puccini’s laryngeal cancer

1 September 2015 | | ENTA - Laryngology / Swallowing / Voice
Giacomo Puccini, one of the best known composers of all time, was diagnosed with laryngeal cancer and died from the disease in 1924. In this article, Rosario Marchese-Ragona and Alessandro Martini describe Puccini’s experience of the disease with quotes from...

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

1 March 2016 | | 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....

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENTA - Head & Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...