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SLEEP AND BREATHING cover image

An alternative device for obstructive sleep apnoea

7 January 2020 | | ENTA - Laryngology / Swallowing / Voice | Apnea–hypopnea index, Intermittent negative air pressure, Intraoral device, Obstructive sleep apnea syndrome, Oral pressure therapy, Sleep-disordered breathing
Continuous positive airway pressure (CPAP) is the first-line treatment for obstructive sleep apnoea (OSA), primarily due to the vast amount of short-term evidence in the medical literature it has accrued. The enduring obstacle to CPAP from becoming a treatment option...

Stapedotomy in osteogenesis imperfecta

7 January 2020 | | ENTA - Audiology - Adult, ENTA - Thyroid / Parathyroid Surgery, ENTA - Otology
Osteogenesis imperfecta (OI) is a rare connective tissue disease caused by a defect in collagen structure. Hearing loss is a characteristic feature of OI. It typically presents with conductive hearing loss initially, followed by a superimposed sensorineural component later in...

Treatment of incus lysis with hydroxyapatite bone cement

27 February 2020 | | ENTA - Audiology - Adult, ENTA - Auditory Implants, ENTA - Otology
Middle ear implants provide a suitable alternative for some patients with a certain degree of sensorineural or mixed hearing loss, not wanting a hearing aid. Vibrant SounBridge® (VSB) middle ear implant (MEI), of Med-El®firm, is one such implant. In this...

Doing it for the people: how to do speech and language therapy

27 February 2020 | | ENTA - Speech and Language Therapy | clinical behaviour, person-centred, qualitative research, stroke rehabilitation
This review article distils 58 studies, collating information from people with aphasia, their families and clinical speech and language therapists summarising the seven habits of highly effective aphasia therapists. Habit 1: Effective therapists invest time in and prioritise relationships with...

Treating voice disorders in singers

3 September 2021 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
There are few ENT surgeons who have as much insight into singers’ problems as Nick Gibbins. A good knowledge of working patterns, repertoire and the physiology of ‘vocal athletes’ is essential. He shares a few thoughts with us. When deciding...

Mastoid surgery for cholesteatoma

5 January 2022 | | ENTA - ENT, ENTA - Otology
Landmark Paper: Toner JG, Smyth GDL. Surgical Treatment of Cholesteatoma: a comparison of three techniques. Am J Otol 1990;11(4):247-9. Canal wall up or canal wall down? Chris Aldren discusses the landmark paper that attempted to provide a definitive answer for...

Prednisolone and/or acyclovir for Bell’s palsy

5 January 2022 | | ENTA - ENT, ENTA - Head & Neck
Landmark Paper: Sullivan FM, Swan IRC, Donnan PT, et al. Early treatment with prednisolone or acyclovir in Bell’s Palsy. N Engl J Med 2007;357(16):1598-607. Facial nerve paralysis as a consequence of Bell’s palsy can result in devastating long-term effects on...

How the earwig got its name

2 March 2022 | | ENTA - ENT, ENTA - Otology
What are earwigs, and how are they connected with the ear? Amr Abdelhamid explains the etymology, myths and beliefs behind the pesky creature with the otological name. Earwigs are harmless insects of the order Dermaptera that are amongst the most...

Hearing implant devices: new expectations during IFOS 2023 ENT World Congress, Dubai

3 November 2022 | | ENTA - ENT, ENTA - Auditory Implants, ENTA - Otology
We hear from one of the senior members of the IFOS Executive Board about the aspects of IFOS that he is looking forward to – and, in particular, his focus on implantable hearing devices. From 17 to 21 January 2023,...

Young ESPO’s thoughts about ESPO and the future of paediatric ORL

6 January 2023 | | ENTA - ENT, ENTA - Paediatrics
ESPO, and paediatric ORL in general, has a long tradition of encouraging our younger colleagues. This has led to innovative developments in clinical work, in research endeavours and in how paediatric ORL educational events are run. This article outlines some...

Wisdom and the cochlear implant clinician

5 January 2022 | | ENTA - Audiology - Adult, ENTA - Auditory Implants
Helen Cullington provides the clinician’s perspective on the challenges faced in building artificial intelligence into cochlear implant clinics. She highlights the importance of including the clinician with their wisdom and experience to help make sense of the patterns of data....

In conversation with Arup Senapati – the dancing doctor

9 November 2020 | | ENTA - Covid-19
When Arup Senapati broke out a cheery dance at work, he had little idea it would go viral on social media. Sunil Dutt caught up with him to talk about life, dance, and COVID-19 Click below to see the video...