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Temporal bone trauma

1 July 2014 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Skull Base Surgery
Introduction Temporal bone injuries represent one of the more complex management problems presenting to the otolaryngologist. This is largely due to difficulties in assessment and the frequent delays in referral, often as a result of other injuries demanding more immediate...

Aetiology, investigation and acute management of sudden sensorineural hearing loss

1 September 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
The cause of a single sided sensorineural hearing loss has a wide variety of aetiologies. This review, by Edwin Halliday, looks specifically at the differential diagnostic causes of a sudden sensorineural hearing loss, the relevant investigations and the management should...

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...

Elasticated retraction in head and neck surgery – a trainee’s perspective

1 May 2017 | | ENTA - ENT, ENTA - Head & Neck
The effectiveness of surgical technique and satisfactory outcome is greatly dependent on good surgical exposure. Retraction requires adequate traction and counter-traction of tissues in order to expose the tissue or organ under scrutiny for the surgeon. This is a universal...

New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

1 September 2020 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...

Endoscopic airway interventions in children

6 January 2023 | | ENTA - ENT, ENTA - Paediatrics
Open surgery for paediatric airway pathologies such as subglottic stenosis was hailed as revolutionary when many of today’s paediatric ORL specialists were in training. Equipment, facilities and training has moved on and the high-quality optics in modern endoscopes, coupled with...

Music and cochlear implants

5 June 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Auditory Implants, ENTA - ENT, ENTA - Otology, ENTA - Paediatrics
Introduction The introduction of multichannel cochlear implants (CIs) in the early 1980s provided children and adults with severe and profound hearing losses with greatly improved speech perception skills. In this paper, however, I am going to focus on an area...

The ‘bus stop’ incision for bone-anchored hearing aid placement: a step-by-step approach to soft tissue preparation

1 January 2017 | | ENTA - Neurotology, ENTA - Otology
There have been many descriptions of soft tissue preparation in the era when subcutaneous tissue was routinely removed with the Nijmegen technique [1] or with the dermatome [2]. More descriptions continue to evolve with the advent of tissue preservation techniques,...

Head and neck cancer and PET-CT

1 May 2014 | | ENTA - ENT, ENTA - Head & Neck
Positron emission tomography-computed tomography (PET-CT) is an imaging technique in which abnormalities of tissue metabolism are precisely superimposed onto the anatomy. It relies on the premise that malignant cells are more metabolically active compared with non-malignant cells. On this basis,...

A medical student’s perspective on the future of obstructive sleep apnoea management

17 June 2021 | | ENTA - Rhinology / Sinus, ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Obstructive sleep apnoea remains an immensely challenging condition to treat. Many treatments have been used over the years, but no single management strategy has proven significantly better than the others. We hear about some technological innovations in the field of...

First UK hypoglossal nerve stimulation implant in the treatment for moderate to severe OSA

25 April 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Obstructive sleep apnoea has been treated in many different ways over the years. We hear from Yakubu Karagama about one of the latest surgical developments. Introduction Obstructive sleep apnoea (OSA) is by far the most common sleep disorder, affecting all...

COVID-19 innovations

7 July 2020 | ENTA - Audiology - Diagnostic, ENTA - ENT, ENTA - Otology
The coronavirus pandemic has mobilised medical innovators in an amazing way. We take a look at just a few of the hundreds of innovative products and techniques that have been developed and used in the last few weeks. Some of...