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305 results found

Intraoperative nerve monitoring: 2017

1 July 2017 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice, ENTA - Thyroid / Parathyroid Surgery
Having written the definitive text on laryngeal nerves, Gregory Randolph and Dipti Kamani describe the benefits of intraoperative neural monitoring and, importantly, how to proceed if the nerve is pathologically involved or there is loss of signal. Over the years,...

Near-miss in otolaryngology head and neck surgery

1 September 2018 | | ENTA - General
It is recommended by John Fenton that we as a specialty need to embrace the concept of, take responsibility for and learn from all near-miss events, rather than our traditional haphazard approach of an occasional educational anecdote or case report....

KTP laser in the office

1 March 2016 | | ENTA - Laryngology / Swallowing / Voice
KTP laser surgery offers a new way of selectively targeting microvasculature within laryngeal lesions and leaving normal surrounding tissues like epithelium and lamina propria intact – and thus preserving physiological phonation. This kind of selective photoangiolysis can be performed in...

Taking life by the throat

5 July 2022 | | ENTA - Laryngology / Swallowing / Voice
Patients suffering with problems with their voice, airway and/or swallowing can find their symptoms immensely distressing, and their care places a huge burden on healthcare systems. We hear from a world-leading laryngologist on current and future directions. Field of interest...

Coblation tongue channelling

1 May 2015 | | ENTA - Laryngology / Swallowing / Voice, ENTA - Rhinology / Sinus
After uvulopalatoplasty, the tendency is to focus on the tongue base as the next anatomical area to address in the management of snoring and sleep-disordered breathing. In this article, Glen Burgess describes the technique of tongue channelling, to reduce the...

ENT leadership

1 September 2014 | | ENTA - ENT
Challenges The first challenge is to agree what we mean by the term leadership because there are many different ways in which the term is used. What is, however, a consensus is that the key distinction between leadership and management...

Destination unknown

4 May 2023 | | ENTA - Laryngology / Swallowing / Voice
We as doctors do not always know the answer. Associate Professor Jacqueline Allen guides us through the importance of acceptance of this uncertainty and its complex mental journey. She highlights that, as clinicians, we must embrace the unknown and be...

New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

1 September 2020 | | ENTA - Laryngology / Swallowing / Voice
Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...

Development of a new negative-pressure ventilatory support device: Exovent

3 September 2021 | | ENTA - Otology
The pandemic has driven innovation in ways that we have not seen for many decades. Intensive care medicine and ENT have been at the forefront of these advances, and our good friends David Howard (never one to put his feet...

Muscle tension dysphagia: an underdiagnosed problem

4 May 2023 | | ENTA - Laryngology / Swallowing / Voice
In this article, the authors introduce the description of swallowing problems which have been recently attributed to muscle tension dysphagia (MTDg). The authors are clear that this is a diagnosis of exclusion, and it is important to rule out other...

Hidden genetic disorders in children that may present to the otolaryngologist

1 November 2014 | | ENTA - Genetics, ENTA - Paediatrics
Background Among the many hundreds of children presenting to the otolaryngology clinic are a few whose symptoms are due to an underlying genetic condition. In most cases the underlying syndrome is obvious and has already been diagnosed, such as the...