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In conversation with Chrysa Spyridakou, Robert Nash, Emma Clement, Nish Mehta and Anne GM Schilder

2 September 2022 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - ENT, ENTA - Otology
Jaclyn Tan interviews members of the London-based multidisciplinary hearing team, about their insights to auditory neuropathy spectrum disorder, and their vision for the future management of this challenging range of conditions. Auditory neuropathy spectrum disorder (ANSD) describes a wide range...

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...

A quick and simple approach to correcting the deviated nasal septum

1 January 2018 | | ENTA - Rhinology / Sinus
Nasal septal surgery is a very common procedure that we tend to learn as junior trainees. Most of us still find that we have a lot to learn with every deviated septum that we encounter. There is a range of...

Random-pattern skin flaps: part 4 - transposition flaps

2 September 2022 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Rhinology / Sinus
In the final part of our series on local skin flaps (see Part 1, Part 2 and Part 3) in ENT, the authors describe the usefulness of the transposition-type flap and highlight some examples. Rotational advancement flap Useful for defects...

Vocal cord paralysis: an update

1 May 2018 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
The management of unilateral vocal cord paralysis has changed in the last few years: this has largely come about as a result of improvements in technology, meaning that medialisations are quicker and easier to perform than previously. This article will...

Developments in diagnostic approaches for acutely dizzy patients

27 February 2020 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Otology, ENTA - Vestibular Disorders
The acutely dizzy patient can be a diagnostic and management dilemma for emergency departments and general practitioners, with many patients consequently having delayed access to specialised assessment and treatment. David Jay tells us about HINTS, a bedside test that can...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

1 March 2017 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

Reducing hierarchy for individuals and teams across ENT

3 May 2022 | | ENTA - ENT
Alexander Pope said that “to err is human”, but medical errors can have serious consequences. How can better communication minimise the risk of them occurring in the first place? Allowing all members of the surgical team to feel empowered to...

Temporal bone trauma

1 July 2014 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Skull Base Surgery
Introduction Temporal bone injuries represent one of the more complex management problems presenting to the otolaryngologist. This is largely due to difficulties in assessment and the frequent delays in referral, often as a result of other injuries demanding more immediate...

Sleep apnoea in children with craniofacial syndromes

1 May 2015 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Paediatrics, ENTA - Rhinology / Sinus
Whilst snoring and obstructive sleep apnoea are relatively common diagnoses in paediatric ENT, children with craniofacial syndromes take the problem to the next level. Robert Nash and Michelle Wyatt describe the Great Ormond Street multidisciplinary approach to treating this complex...

Coblation tongue channelling

1 May 2015 | | ENTA - ENT, 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...

Innovation in medical product technologies

2 November 2020 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Rhinology / Sinus
There is a point in all innovation projects where the clinician has exhausted their knowledge and needs expert help to create a prototype. Mark Prince, Design Engineer, discusses this phase of the project and how engineers’ analytical thinking brings a...