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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...
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...

Sialendoscopy assisted excision of parotid stones

1 March 2016 | | Parotid gland sialolithiasis, Sialendoscopic-transcutaneous, Sialendoscopic-transoral
This is a retrospective paper from China that looks to assess the efficacy and safety of sialendoscopy with a combined transoral or transcutaneous approach for the removal of parotid stones. Sialolithiasis is known to be a cause for obstructive parotid...
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...

Successful laser treatment of a laryngeal cause of dizziness

1 January 2019 | | Benign larynx tumor, Bradycardia and larynx, CO(2) laser, Laryngeal vascular malformation, Laryngocardiac reflex, Superior laryngeal nerve block, Supraglottic mass
Dizziness is often considered to be a condition that is best managed by physicians or otologists. This case report describes an unusual cause of presyncope successfully treated by a laryngologist. The patient in question was a 45-year-old member of the...

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...

Discovery in the genetics of complex disease: Otitis media

1 November 2014 | | ENTA - ENT, ENTA - Genetics, ENTA - Otology
Otitis media (OM), a common disease of childhood, is considered to be a complex trait with multiple genetic and environmental factors expected to contribute to a child’s risk of developing recurrent acute OM (rAOM; ≥3 episodes in 6 months or...

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...

Sleep apnoea in children with craniofacial syndromes

1 May 2015 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Paediatrics, ENTA - Rhinology / Sinus
Whilst snoring and obstructive sleep apnoea are relatively common diagnoses in paediatric ENT, children with craniofacial syndromes take the problem to the next level. Robert Nash and Michelle Wyatt describe the Great Ormond Street multidisciplinary approach to treating this complex...

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....

Endoscopic ear surgery in children

1 May 2016 | | ENTA - ENT, ENTA - Otology, ENTA - Paediatrics
The benefits of endoscopes in otologic surgery, which have become increasingly widely appreciated in recent years, are very well suited to the management of paediatric middle ear disease. Although one might imagine that the smaller ear canal of a child...

Endoscopic middle ear surgery for cholesteatoma treatment

1 May 2016 | | ENTA - ENT, ENTA - Otology
A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...