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Evidence based guidelines for ONS treatment in occipital neuralgia

1 January 2016 |
Occipital neuralgia (ON) can flummox otolaryngologists especially when it follows mastoid surgery. The paroxysms of sharp, electrical pain originating from the occiput can extend along the posterior aspect of the scalp and even up to the mastoid. Although the aetiology...

Does stress and anxiety worsen idiopathic sudden hearing loss outcomes?

1 September 2018 | | Sudden hearing loss, correction of hearing impairment, patient admission, personal satisfaction
There have been suggestions that the natural course of the idiopathic sudden sensorineural hearing loss (ISSNHL) is not affected by intensive therapy. There is speculation as to whether unknown factors affect the treatment prognosis. This is a retrospective study of...

Management of infantile haemagiomas of the airway

1 September 2018 | | Airway, Hemangioma, Laser, Management, Propranolol, Subglottic, Surgery
This paper reviews the diagnosis and management of infantile haemagiomas (IH) affecting the airway. Approximately half of infants with this condition would also have cutaneous haemagiomas which are usually in the beard distribution. IH could affect any parts of the...

Assessment and management of dysphagia in the elderly

1 March 2019 | | ENTA - Laryngology / Swallowing / Voice, ENTA - Otology
This article covers dysphagia in older patients, which is an important topic due to an ageing population, and a relatively common symptom that we see in clinic. Dysphagia could be due to presbyphagia secondary to changes in head and neck...
Otolaryngology - Head and Neck Surgery journal cover

Sphenopalatine ganglion block in endoscopic sinus surgery reduces intra and post-operative morbidity

1 September 2019 | | ENTA - Rhinology / Sinus | adverse effect, bleeding, endoscopic sinus surgery, meta-analysis, postoperative pain, sphenopalatine ganglion block
The authors present results of a meta-analysis to investigate the role of sphenopalatine ganglion block (SPGB) in reducing postoperative pain in endoscopic sinus surgery (ESS). An electronic database search (Pubmed, SCOPUS, Google Scholar, Embase, and the Cochrane Register of Controlled...

How rare is vocal fold paralysis after spinal and epidural anaesthesia – should we be more concerned?

6 November 2024 | | ENTA - Laryngology / Swallowing / Voice
The authors present an unusual case of right vocal fold paralysis. Their patient was a 38-year-old woman who experienced new onset dysphonia following neuraxial anaesthesia (NA) for a caesarean section. Flexible nasendoscopy showed a right VFP with fixation in the...

From the editor Mar/Apr 2025

4 March 2025 |
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 For Ent & Audiology News Mar/Apr 2025, we feature a wonderful interview with one of the most respected and...

From the editor Jul/Aug 2025

1 July 2025 |
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 Regular readers will know that we have been publishing supplements in different specialties every four months; these give us...

Nature or nurture in surgical training

1 November 2014 | | ENTA - ENT
It’s Thursday in the UK, so that means time for another root and branch reform of medical training. If you’re not keen on the Greenaway Report (Shape of Training review) [1], don’t fret there’ll be another one along well before...

Bishop Berkeley and the Freireich experimental hypothesis

2 July 2025 | | ENTA - General
Our resident reporter at large tells us about two of his heroes, both of whom have quite clear merits and foibles. My patients just keep on getting better. You may well point out that under the care of a clinician...

Why is a Raven like a writing desk? Some reflections on countertenors and castrati

1 September 2016 | | ENTA - Laryngology / Swallowing / Voice
The countertenor voice has seen a resurgence in popularity in the last 50 years. Nicholas Clapton is one of the foremost performers and teachers of his generation, and he tells us here about the link between countertenors and the (fortunately...

Military otolaryngology and its impact on civilian trauma care

1 July 2014 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice, ENTA - Otology
Over the centuries, military conflicts and wars have caused both death and injuries and led to improvements in the care of the combat wounded. Military otolaryngologist-head and neck surgeons have been at the forefront of these developments and advances. War...