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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,...

Specialist teams deliver world-class trauma care

1 July 2014 | | ENTA - General
University Hospitals Birmingham NHS Foundation Trust runs the Queen Elizabeth Hospital Birmingham, which is a designated Major Trauma Centre. The Trust holds the contract to treat all UK injured military personnel evacuated from combat zones overseas. More than 1200 of...

Rhinology: what does the future hold?

1 May 2017 | | ENTA - Rhinology / Sinus, ENTA - General
David Kennedy surveys the past, the present and the future of rhinology practice and research. An evolution of understanding in rhinology The dramatic growth of clinical and translational research within the field of rhinology in recent years is illustrated by...

Singing after laryngectomy: Shout at Cancer

1 September 2016 | | ENTA - Laryngology / Swallowing / Voice
Thomas Moors is an ENT junior doctor with a background in music and singing. Combining these interests, he has set up a charity to help patients who have had a laryngectomy. He has achieved considerable public attention, and he tells...

Discovery in the genetics of complex disease: Otitis media

1 November 2014 | | 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...

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...

William Hunter’s work on the anatomy of the human ear

1 September 2015 | | ENTA - Otology
The Hunterian Society offers an annual award for an essay and presentation on a subject of relevance to John or William Hunter, or medicine in the 18th Century. This article is based on Emma Stapleton’s 2014 winning essay, which was...

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENTA - Head & Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

Endoscopic middle ear surgery for cholesteatoma treatment

1 May 2016 | | 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...

Recalcitrant chronic rhinosinusitis: What to do next?

1 July 2016 | | ENTA - Rhinology / Sinus
Whilst the majority of patients with chronic rhinosinusitis (CRS) will significantly improve with treatment, we are sometimes left with a ‘hard-core’ of nasal cripples who fail to improve despite our best efforts. How can we deal with these patients? Valerie...

Targeted focal parathyroidectomy

1 July 2019 | | ENTA - Head & Neck
Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

In conversation with Nick Jones

1 May 2017 | | ENTA - Rhinology / Sinus
“I admit to having felt vulnerable and anxious about exposing my work to scrutiny, and I still do.” From nasal reconstruction to poetry composition: retired rhinologist, Nick Jones - author of new poetry collection, Encounter - tells us more about...