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Otolaryngology & Head and Neck Surgery cover

Predicting outcomes in rhinology using fluid dynamic models

4 May 2021 | | ENTA - Rhinoplasty, ENTA - Rhinology / Sinus
This article discusses the rhinological applications of computational fluid dynamics (CFD) – a method derived from engineering applications, such as aerodynamics. Its appeal is that it can provide simulated data on airflow velocity, pressure, resistance, temperature, humidity, heat flux and...
International Journal of Speech-Language Pathology cover image.

Quick and valid: a new measure of aphasia

4 May 2021 | | ENTA - Speech and Language Therapy | aphasia, conversation, evaluation, participation, quality of life, severity
Aphasia can be caused by a stroke, brain injury or dementia. It is defined as a language disorder that impacts the domains of speaking, understanding, reading and writing. Given the impact on quality of life and conversation, there is a...
American Journal of Rhinology & Allergy cover image.

How best to follow up a sinonasal cancer?

3 November 2022 | | ENTA - Rhinology / Sinus | imaging, nasal endoscopy, recurrence, sinonasal cancer, sinonasal malignancies, surveillance
Sinonasal malignancies are rare tumours and, in the UK, are usually treated in tertiary treatment centres but may well be followed up long term in the patient’s local hospital, so advice on how best to manage these patients is invaluable....
Dysphagia journal cover image.

Videofluoroscopic swallowing studies: balancing risks and benefits

3 July 2023 | | ENTA - Laryngology / Swallowing / Voice
Videofluoroscopic swallow studies (VFSS) are an important part of the diagnostic toolkit and arguably the current gold-standard for assessing swallow biomechanics and diagnosing dysphagia. However, the procedure does involve exposure to radiation, and any clinician requesting this should be able...

Thyroid dysfunction and Meniere’s disease: is there a relationship?

1 July 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Vestibular Disorders
The set of symptoms described as Meniere’s disease may have several causative factors. Timothy Hain and Patthida Maroongroge look for a relationship in the literature between Meniere’s disease and hypothyroidism. Meniere’s disease (MD) affects around two in 1000 people and...

Unexplained dizziness in elderly patients

27 February 2020 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Otology
How do we explain unexplained dizziness in elderly patients? How far should we go with investigations? And most importantly, how should we manage this challenging and expanding group of patients whose balance affects their safety? Richard Ibitoye and Diego Kaski...

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...

The tip in rhinoplasty

1 July 2019 | | ENTA - Maxillofacial Surgery, ENTA - Rhinology / Sinus, ENTA - Rhinoplasty
Getting the tip right (both its position and its shape) is vital in rhinoplasty. George Marcells eloquently gives us his perspective on how to get it right. “Many surgeons overly concentrate on the profile at the expense of the frontal...

'If music be the food of love, play on'

1 September 2016 | | ENTA - General
Christopher Aldren Consultant Otolaryngologist, Wexham Park Hospital, UK. Chris playing at Cambridge garden party 2003. Chris with wife and sons Tom and Alex in family quartet. Chris leading the Doctors Orchestra at the Cadogan Hall in London. Christopher Aldren, Consultant...

Hyposalivation: a review of current and future treatments

8 January 2024 | | ENTA - Head & Neck
Hyposalivation remains a stubbornly difficult condition to treat, but novel therapies may not be far away. Saliva has many essential functions, including aiding digestion and swallowing, lubrication, maintaining tooth integrity and antibacterial activity. When patients experience reduced saliva production (hyposalivation),...

An update on laryngeal reinnervation

1 May 2018 | | ENTA - Laryngology / Swallowing / Voice
Laryngeal paralysis remains very difficult to treat, but reinnervation offers many attractions. Laryngeal paralysis presents a unique and varied problem that requires a patient centred approach and a range of treatment options depending on laryngeal and patient factors. There is...

Patient-centred and accelerating progress: two organisations changing the landscape for rare skull base tumours

4 March 2026 | | ENTA - Head & Neck, ENTA - Skull Base Surgery: Anterior
Patient-led organisations are transforming care for rare skull base tumours by connecting patients, clinicians and researchers to accelerate diagnosis, support and scientific progress. A skull base tumour diagnosis is a difficult time for any patient, but it is made more...