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Developing ENT and audiology services in Southern Africa

3 November 2022 | | ENTA - Audiology - Adult, ENTA - ENT
Much has been said of the paucity of ENT and its related services in low- and middle-income countries. This article from a retired paediatric otolaryngologist discusses the progress that has been made locally to redress these health inequalities. He has...

Monkey business

4 September 2025 | | ENTA - Rhinology / Sinus, ENTA - Laryngology / Swallowing / Voice
Professor Sir Donald Harrison (DFNH) had a strong interest in comparative anatomy of the larynx, which was supported by a close relationship with the London Zoo who provided specimens from any mammals in the collection that died and had undergone...

Laryngeal papillomatosis

1 May 2018 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Laryngeal papillomatosis remains one of the most frustrating conditions seen by laryngologists. Sam Majumdar gives us an overview of the current science and clinical practice. Human papilloma virus is a small (> 8kb) double stranded DNA virus with approximately 200...

Endotypes in chronic rhinosinusitis: clinical relevance

3 May 2024 | | ENTA - Rhinology / Sinus
Identifying endotypes enables personalised therapies that target specific pathophysiological processes, potentially resulting in better treatment outcomes for patients. The contemporary model of chronic rhinosinusitis (CRS) pathogenesis revolving around endotype, in combination with an expanding toolbox of diagnostics and therapeutics, enables...

Robotic surgery for squamous cell cancer: the new frontiers

4 November 2021 | | ENTA - Head & Neck
Although the da Vinci platform was FDA approved for early-stage oropharyngeal cancers, the indications have expanded. In this article, John Hardman explains how surgeons, with greater understanding of the strengths and limitations of robotic surgery, have systematically set out to...

Thyroid cancer – the last decade

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
Professor Ashok Shaha describes the evolution in the treatment of thyroid cancer that he has witnessed over the last decade and the invaluable progress made by himself and others, from their contributions to staging systems and guidelines. Nuances and paradigm...

Addressing ear and hearing care through task sharing: the Malawian experience

27 February 2020 | | ENTA - Audiology - Diagnostic, ENTA - ENT, ENTA - Otology
How can ear and hearing care be addressed in a setting with limited resources? Wakisa Mulwafu, Chris Prescott and Johan Fagan present an innovative model for training ear surgery technicians to perform endoscopic myringoplasty under local anaesthesia on a large...

Clinical utility and practical interpretation of the video head impulse test

1 November 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Vestibular Disorders
The head impulse test (HIT) is an essential bedside test to detect peripheral vestibular deficits. The video head impulse test (vHIT) is a new tool quantifying the HIT. In this article Maria Heuberger and colleagues point out the clinical utility...

A practical approach to tinnitus

1 January 2016 | | ENTA - Audiology - Adult, ENTA - Tinnitus, ENTA - Otology
Tinnitus is the perception of sound without an external source. The estimated prevalence in adults is between 10-15% [1]. In patients with significant tinnitus, prompting them to seek medical attention, 50% will have improved to mild or no tinnitus by...

Upper airway endoscopy: achieving a balanced service whilst minimising the conflict of sustainability

3 September 2024 | | ENTA - Head & Neck
Nasal endoscopes present a unique challenge in balancing sustainability and practicality. Both disposable and reusable scopes may have distinct roles in modern practice. Flexible endoscopy of the upper aerodigestive tract is an essential technique that facilitates detailed assessment of the...

Development of a new negative-pressure ventilatory support device: Exovent

3 September 2021 | | ENTA - ENT, ENTA - Otology
The pandemic has driven innovation in ways that we have not seen for many decades. Intensive care medicine and ENT have been at the forefront of these advances, and our good friends David Howard (never one to put his feet...

Audiology in this issue...Amplification 2019

1 July 2019 |
Gareth Smith, MSc, AuD, Consultant Clinical Scientist (Audiology), Southend University Hospital, UK. E: Gareth.Smith@southend.nhs.uk In previous areas of the Audiology Features Section, this theme would have been called ‘Hearing Aids’. With the increased interest in ‘over-the-counter’ or ‘direct-to-consumer’ devices, we...