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Journal of Laryngology & Otology cover image.

How to improve olfaction and enhance quality of life after laryngectomy

3 July 2023 | | ENTA - Head & Neck, ENTA - Rhinology / Sinus
Total laryngectomy diverts airflow away from the nose and, hence, olfaction is greatly impaired. Undoubtedly, this affects quality of life in terms of loss of taste and flavour. Surgery and devices to re-establish airflow into the nose can be difficult...

Diagnosis and Treatment of Voice Disorders – Fourth Edition

1 March 2017 | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
This is one of a very few large comprehensive laryngology texts, now in its fourth edition. The editors and the various authors of the chapters are specialists with international reputations in their respective fields. In this edition, the text has...
Journal of Voice cover image.

Speech analysis via mobile phone – is there an app for that?

2 November 2020 | | ENTA - Laryngology / Swallowing / Voice | Voice, Voice app, Voice application, mHealth
Experienced ENT surgeons will often be able to discern the likelihood of significant laryngeal pathology in a patient referred with dysphonia by the sound of their voice during the initial history-taking phase of a consultation. With the move earlier in...
Acta Oto-Laryngologica cover

Does use of pectoralis muscle myocutaneous flap (PMMCF) reduce postoperative pharyngocutaneous fistula complication after salvage laryngectomy?

7 July 2020 | | Radiotherapy, chemoradiotherapy, pectoralis major myocutaneous flap, pharyngeal interposition graft, pharyngocutaneous fistula, salvage total laryngectomy
Salvage laryngectomy for recurrent laryngeal carcinoma following failed radiotherapy or chemoradiotherapy is associated with high postoperative complication rate. The primary aim of this paper was to assess whether use of muscle myocutaneous flap (PMMCF) as an interposition graft reduces the...

Risk factors for post laryngectomy fistula

1 March 2016 | | Meta-analysis, Pharyngocutaneous fistula, Risk factor, Total laryngectomy
This is a meta-analysis looking at the postoperative pharyngocutaneous fistula rates following total laryngectomy. The authors ended up with 34 studies with about 2500 patients. The most striking finding was that preoperative radiotherapy was a significant risk factor as well...

A medical student’s perspective on the future of obstructive sleep apnoea management

17 June 2021 | | ENTA - Rhinology / Sinus, ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Obstructive sleep apnoea remains an immensely challenging condition to treat. Many treatments have been used over the years, but no single management strategy has proven significantly better than the others. We hear about some technological innovations in the field of...

The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation

1 January 2017 | | ENTA - Neurotology, ENTA - Otology
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...

Imaging tinnitus

1 May 2014 | | ENTA - Audiology - Adult, ENTA - ENT, ENTA - Tinnitus
Tinnitus is a common sensation with a reported prevalence of 7-32%. The British National Study of Hearing recorded that 10% of adults suffered from prolong spontaneous tinnitus, and approximately a quarter of these are subsequently referred to hospital for investigation...

Surgical management of sleep disordered breathing

1 May 2015 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Rhinology / Sinus
Snoring and sleep-disordered breathing are often described as multi-level problems, and different surgical procedures are required to treat the various sites of airway narrowing and/or collapse. Jonathan Hobson gives us an eloquent run-through the various options available to the ENT...

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

1 March 2016 | | ENTA - ENT, 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....

Timing of surgery in chronic rhinosinusitis: does it matter?

1 July 2016 | | ENTA - ENT, ENTA - Rhinology / Sinus
While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

Olfaction in CRS

3 November 2022 | | ENTA - ENT, ENTA - Rhinology / Sinus
Conventional teaching tells us that hyposmia in chronic rhinosinusitis is due to mechanical obstruction of the olfactory cleft. But it might be that the story is slightly more complicated than that. Olfactory dysfunction is a common feature of chronic rhinosinusitis...