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Annals of Otology, Rhinology & Laryngology journal cover image.

Poking the bear: learning to drain quinsy on a mannequin head

3 September 2024 | | ENTA - Head & Neck, ENTA - Laryngology / Swallowing / Voice
Simulation in medicine has gained significant traction in both undergraduate and postgraduate training over the last couple of decades or so – the benefits to all involved are clear. The airline industry models for human factors and crew resource management...

Did you ever meet Draffin on your travels?

2 September 2022 | | ENTA - ENT
Draffin’s rods or bipods are a well-known ENT instrument. Before their invention in 1951, the attendant anaesthetist or nurse was obliged to support the mouthgag during tonsillectomy. Their originator, David Alexander Draffin (born in 1917 in Ballybey, Co Monaghan), was...
Journal of Laryngology & Otology cover image.

A faster way to manage patients with swallowing disorders with enhanced role of speech and language therapists

2 July 2025 | | ENTA - Laryngology / Swallowing / Voice
Allied health professionals (AHPs) make up the third largest clinical workforce in the NHS. They represent a diverse group of registered professions who play a vital role in the health service, working across various settings and with all age groups....

How trainees can make major contributions to practice

1 November 2017 | | ENTA - ENT, ENTA - Rhinology / Sinus
At a time when many of our trainees feel poorly supported and disheartened, the formation of a National ENT Trainee Research Network (Integrate) has been a major advance, enabling them to develop and execute research projects directly relevant to clinical...

The process of medical innovation

2 November 2020 | | ENTA - ENT
You’ve got an amazing idea for a new device. It is going to change how your speciality of surgery is practised. It will lead to better operative results and lower risks to patients – that’s amazing, can I see it?...

Random-pattern skin flaps: part 1 – advancement flaps

3 September 2021 | | ENTA - ENT, ENTA - Otology
In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...

NHS collaboration and partnership with the pharmaceutical and medical devices industries

1 March 2015 | | ENTA - ENT
Historically the relationship between industry and the NHS has been a cautious one. Both sides have typically worked with only partially disclosed agendas, under a pervading fear of finding themselves on the wrong end of a win-lose negotiation. Things have...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

1 May 2015 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Rhinology / Sinus
Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Singing after laryngectomy: Shout at Cancer

1 September 2016 | | ENTA - ENT, 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...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
The management of thyroid malignancy and extent of surgery is controversial, especially considering the limitations of preoperative diagnosis. Neil Tolley provides guidance and reminds us of our responsibility not to over-treat. In the UK, 16% of thyroidectomies are performed for...

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...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENTA - ENT
James Bates and Chris Frerk are both passionate about how human factors science can improve safety in healthcare and have co-authored this article describing how communication, ergonomics and other non-technical skills are making operating theatres safer. There is no doubt...