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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...

Why is a Raven like a writing desk? Some reflections on countertenors and castrati

1 September 2016 | | ENTA - Laryngology / Swallowing / Voice
The countertenor voice has seen a resurgence in popularity in the last 50 years. Nicholas Clapton is one of the foremost performers and teachers of his generation, and he tells us here about the link between countertenors and the (fortunately...

Military otolaryngology and its impact on civilian trauma care

1 July 2014 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice, ENTA - Otology
Over the centuries, military conflicts and wars have caused both death and injuries and led to improvements in the care of the combat wounded. Military otolaryngologist-head and neck surgeons have been at the forefront of these developments and advances. War...

The role of the respiratory physician in sleep medicine

1 May 2015 | | ENTA - Rhinology / Sinus
ENT surgeons may feel that they are the first point of referral for the majority of patients with snoring and possible obstructive sleep apnoea, but in reality a significant number of patients with sleep-disordered breathing (of any cause) are seen...

Migraine related vertigo

1 November 2015 | | ENTA - Vestibular Disorders
Migraine is one of the commonest conditions an otologist will have to manage with up to half of migraineurs displaying vestibular symptoms. David Selvadurai provides an overview and management plan for this increasingly well recognised disorder. Migraine is a common...

American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care

1 March 2016 | | ENTA - Head & Neck
The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....

Establishing a hearing service and ear hospital in Nepal: the Ear Aid Nepal experience

1 March 2016 | | ENTA - Audiology - Adult
Following the earthquake that devastated Nepal in April 2015, the year ended on a positive note with the opening of an ENT hospital in Pokhara. Mike Smith, a UK-born ENT surgeon has been the driving force behind the conception and...

Impact of outer ear problems in Northern Ethiopia: experiences of a global outreach clinic

2 March 2022 | | ENTA - Audiology - Adult, ENTA - Otology
Outer ear disease is one of the commonest reasons for attending the ENT clinic in Ethiopia, just as in the UK. Very little has been published on the experiences of ENT clinics in Ethiopia. Here Yilkal Tassew, Seid Temam and...

Retrieval of an aspirated voice prosthesis in the awake laryngectomised patient

3 March 2021 | | ENTA - Laryngology / Swallowing / Voice
In this article, the authors describe a simple and effective technique for extracting an aspirated voice prosthesis from within the tracheobronchial tree in the awake laryngectomised patient using the Ambu® aScopeTM 4 Broncho endoscope. Surgical voice restoration remains the dominant...

The delivery of ENT services in Mongolia: what are its obstacles?

1 January 2019 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
Globally, the burden of ENT disease is great. Disabling hearing loss (DHL) for example, is reported to affect half a billion people worldwide. The majority of afflicted individuals live in lower and middle-income countries (LMIC) [1]. This article, a collaboration...

Spotlight on Africa: paediatric ENT focus

1 May 2019 | | ENTA - Paediatrics
Sub-Saharan Africa (SSA) carries 24% of the global disease burden but employs only 3% of the world’s health workers [1]. Unique workforce considerations exist in SSA including a paucity of skilled health professionals and fluctuant political climates [1,2]. Shazia Peer...

Virtual educational outreach in the COVID-19 era

7 January 2021 | | ENTA - Head & Neck
Existing surgical outreach programmes to developing countries have been severely curtailed by the COVID-19 pandemic. This has impacted on opportunities for otolaryngologists from the USA and from other developed countries to contribute to education and training of otolaryngologists in developing...