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Can comorbidities predict complications after total laryngectomy? Utility of the Modified Frailty Index (mFI) score

1 July 2018 |
Decision making regarding appropriate treatment for laryngeal cancer is complex. Patients undergoing total laryngectomy experience significant changes in anatomy and physiology and are at risk for significant postoperative complications. These patients represent a group with significant comorbidities. In addition, patients...

Multiple free flaps for head and neck cancer

1 March 2015 | | ENTA - Head & Neck, ENTA - Skull Base Surgery | Complications, Free tissue transfer flaps, Head and neck cancer, Maxilla-mandibular reconstruction, Microsurgical free flaps
Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However despite this,...

Head and neck radiation and the brain

26 November 2018 |
An increasing number of patients with head and neck squamous cell carcinoma and other lesions are treated with high dose radiotherapy. An increase in survival rates is being reported along with a younger patient demographic. The long-term effects of treatment...
The Journal Laryngology & Otology cover

Accuracy of CT scans for cholesteatoma and its complications

7 January 2020 | | ENTA - Otology
Chronic ear disease with cholesteatoma generally requires active surgical management and the requirement for this needs precise assessment. A retrospective study was conducted to evaluate the accuracy of CT scan findings in terms of predicting cholesteatoma and its associated complications...

Wisdom teeth and mandibular osteotomies

3 November 2022 | | ENTA - Head & Neck | intraoperative complications, orthognathic surgery, postoperative complications, sagittal split ramus osteotomy, third molar
This is a systemic review and meta-analysis from Italy and Brazil where they try to clarify the role of wisdom teeth and complications in a sagittal split mandibular osteotomy. Whilst, like many other papers, they outline the quality of evidence...

Erasmus Darwin and the larynx – but why is it where it is and when?

3 May 2022 | | ENTA - Laryngology / Swallowing / Voice
Charles Darwin’s grandfather was not only on to where we all came from by the end of the 18th century, but dared to declare it in verse whilst resident in Lichfield Cathedral Close. This needed exceptional temerity, since not only...

Hearing healthcare in India

1 March 2016 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic
With a population of more than a billion people, and an estimated prevalence of hearing loss of somewhere between 5.9% and 16.5%, depending on which definition you use, India has a significant number of hearing impaired individuals. They are served...

By the people, for the people: a multidisciplinary facial nerve clinic with a difference

30 April 2020 | | ENTA - ENT
Facial nerve palsy is regularly seen in ENT clinics. Underlying diagnoses are excluded, and the patient is often then discharged to ‘see how it goes’, with or without an ophthalmology referral. Here, Catherine Meller describes how she and her team...

Andrew Foster and deaf education

3 March 2021 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric
This article examines the career of deaf African American, Andrew Foster, and his contribution to deaf education in Sub-Saharan Africa. The history of medicine has often been guilty of attributing great revolutions to a single person (usually a white man)...

The impact of vocal care and oral health on laryngeal function and voice

4 March 2025 | | ENTA - Laryngology / Swallowing / Voice
Maintenance of epithelial health relies on a number of measures. We hear about hydration, irritants and biofilms from a team in Helsinki. Oropharyngeal health Vocal hygiene is a commonly used term that refers to the personal daily habits contributing to...

New international collaboration: Young Otolaryngologists of IFOS – ‘YO-IFOS’

1 March 2018 | | ENTA - ENT
The Young Otolaryngologists of IFOS, founded in Paris in 2017, has an ambition to fulfil four key missions at an international level: education, research, networking and congress-related activities. Kate Stephenson tells us more about this exciting initiative. During the recent...

Otology training in low- and middle-income countries: a view from within

5 July 2022 | | ENTA - Otology
It is recognised that hearing loss and ear disease are far more common in less affluent parts of the world, and that those countries are often least able to provide treatment; so how can we prioritise care for these patients?...