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The modern management of Ménière's disease

1 November 2015 | | ENTA - ENT, ENTA - Vestibular Disorders
In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

Bipolar microdebrider turbinoplasty

1 September 2019 | | ENTA - ENT, ENTA - Rhinology / Sinus
There are a variety of ways to reduce the bulk of hypertrophied turbinates. Kimberley Lau and Showkat Mirza describe their technique which can be used in difficult cases and with minimal morbidity. As ever, one aim should be to avoid...

Digital otoscopy with AI diagnostic support: making diagnosis of ear disease more accessible

2 June 2020 |
Following Carolina Leal’s interview with Prof De Wet Swanepoel on the HearScope system, Spotlight on Innovation asked Dr Jenny Nesgaard Pedersen to review the new AI feature in HearScope system’s capabilities. In the last decade, artificial intelligence (AI) and machine...

Acupuncture for tonsillectomy pain in children

1 January 2015 | | ENTA - Laryngology / Swallowing / Voice, ENTA - Paediatrics
The challenge: tonsillectomy pain Tonsillectomy is a uniform surgical insult which results in a 10-day recovery for children. Severe pain can occur which can give rise to poor oral fluid intake, dehydration and potentially the need for intravenous fluid resuscitation....

Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging

1 May 2014 | | ENTA - ENT, ENTA - Otology
Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....

Intratympanic treatments for subjective idiopathic tinnitus

24 May 2017 | | ENTA - Audiology - Adult, ENTA - ENT, ENTA - Otology, ENTA - Tinnitus
Direct application of medication into the ear is long established, going back as far as written records. In the modern era, greater understanding of aural anatomy revealed that drugs instilled in the middle ear could potentially diffuse into the cochlea...

What’s new in implantable devices? New indications in cochlear implantation

1 May 2016 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Auditory Implants, ENTA - ENT, ENTA - Otology, ENTA - Paediatrics
For over 40 years, cochlear implant procedures have steadily increased. Outcomes for patients are improving as a result of modified surgical techniques, a wider portfolio of electrode arrays, advances in programming strategies, access to improved technology and a better understanding...

Surgical management of congenital nasal pyriform aperture stenosis

1 May 2014 | | ENTA - Paediatrics, ENTA - Rhinoplasty
Introduction Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of neonatal upper airway obstruction which was first described by Douglas in 1952 [1]. The first radiological description of CNPAS was described by Ey et al in 1988 [2]....

Changing perceptions in head and neck cancer management caused by quality of life issues

1 September 2010 | | ENTA - Head & Neck, ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Sir Felix Semon was an outstanding clinician and exceptional laryngologist. The money raised by donations from his colleagues on his retirement in 1909 was used to establish the London University’s Semon Lecture. Semon’s Obituary in the BMJ, reads: “In Semon's...

Practical training courses for otolaryngology trainees

1 March 2017 | | ENTA - ENT
In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

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...

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...