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Botulinum toxin injection for bilateral recurrent laryngeal nerve paralysis

1 May 2016 | | Bilateral recurrent laryngeal nerve paralysis, Bilateral vocal fold paralysis, Botox, Cricothyroid muscle injection
All traditional surgical treatments for bilateral recurrent laryngeal nerve (RLN) paralysis are essentially a balance between maximising airway patency and ensuring adequate phonation / airway protection. This paper highlights the potential role of botulinum toxin (Botox) injection into the cricothyroid...

Management of olfactory dysfunction

4 November 2025 | | ENTA - Rhinology / Sinus
An evidence-based update on olfactory dysfunction: who to image, how to test and what works – OT, CRS surgery, biologics and PRP. Olfactory dysfunction (OD) is highly prevalent, affecting more than 20% of the adult population with a clear age-related...

Adult Rhinosinusitis Clinical Practice Guideline update

4 September 2025 | | ENTA - Rhinology / Sinus
This is a summary of the ‘Clinical Practice Guideline: Adult Sinusitis’ from the American Academy of Otolaryngology-Head and Neck Surgery Foundation. This is an update of the 2015 version. Evidenc-based statements: 1a. Differential diagnosis of acute rhinosinusitis: Clinicians should distinguish...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

1 July 2016 | | ENTA - Rhinology / Sinus
In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

In conversation with Prof Metin Önerci

30 April 2020 | | ENTA - Rhinology / Sinus
Prof Valerie Lund caught up with friend and colleague, Prof Dr Metin Önerci, to discuss his various positions in rhinology, the FOAM programme with which he is involved, and rhinology in Turkey and the Balkan and the Central Asian region....

The Annual Meeting of the Israeli Society of Otolaryngology – Head and Neck Surgery 2023

1 March 2023 -3 March 2023
The board of the Israeli Society of Otolaryngology-Head and Neck Surgery. Dr Shay Schneider, Department of Otolaryngology – Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel....

Olfaction in CRS

3 November 2022 | | ENTA - Rhinology / Sinus
Conventional teaching tells us that hyposmia in chronic rhinosinusitis is due to mechanical obstruction of the olfactory cleft. But it might be that the story is slightly more complicated than that. Olfactory dysfunction is a common feature of chronic rhinosinusitis...

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...

Running a post-COVID smell clinic

1 July 2021 | | ENTA - Rhinology / Sinus
Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

Timing of surgery in chronic rhinosinusitis: does it matter?

1 July 2016 | | ENTA - Rhinology / Sinus
While many patients with chronic rhinosinusitis respond to medical treatment, some do not. The next step for these patients is surgery, but how soon should this be offered? Sooner rather than later seems to be the answer, as Claire Hopkins...

The MACRO Trial: defining best management of chronic rhinosinusitis

7 January 2026 | | ENTA - Rhinology / Sinus
A major UK trial in The Lancet finds ESS provides greater symptom relief than long-term macrolides for adults with CRS, supporting earlier surgery and fewer antibiotics. The MACRO Programme was established in 2016 when the UK National Institute of Health...

The future of inner ear drug delivery

1 May 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Otology
The techniques for delivering drugs to the inner ear system are evolving. Jeffrey Harris considers the myths, the facts and the potential for drug delivery innovations and how they can improve tomorrow’s hearing outcomes. The inner ear’s delicate membranous structure,...