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Fibre-delivered transoral laser surgery – description of a novel technique

4 November 2025 | | ENTA - Laryngology / Swallowing / Voice, ENTA - Head & Neck
Transoral flexible laser surgery refers to the use of a fibre-delivered laser for laryngeal procedures via direct laryngoscopy. We hear of a novel innovation. The continuous development of instruments to perform endoscopic procedures for treatment of laryngotracheal pathology – among...

Supporting music listening through cochlear implant services – experience from a UK adult clinic on supporting musical engagement

3 September 2021 | | ENTA - Audiology - Auditory Implants, ENTA - Otology
The perception and enjoyment of music is central to many people’s lives. Harriet Crook (herself a cochlear implant recipient) tells us about important work in this area for people using hearing aids and CIs. There is now a wealth of...

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

30 April 2020 | | ENTA - Neurotology, ENTA - Otology, ENTA - Head & Neck
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...

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

27 February 2020 | | ENTA - Audiology - Diagnostic, 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...

An overview of human factors in ENT and anaesthesia

1 November 2019 | | ENTA - General
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...

Improving cochlear-implant performance in the short- and medium-term

1 September 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic, ENTA - Audiology - Auditory Implants, ENTA - Otology, ENTA - Paediatrics
Can bespoke cochlear implant programming strategies reduce the variability seen in patient performance with an implant? Bob Carlyon reviews the current situation and gives us a glimpse of the future. Although many cochlear implant (CI) patients understand speech well in...

Achieving consensus on candidacy for cochlear implantation

1 September 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Audiology - Auditory Implants, ENTA - Otology
The British Cochlear Implant Group’s candidacy working group recently ran a national exercise, working towards a consensus on candidacy for cochlear implantation in the UK. Padraig Kitterick and Debi Vickers were instrumental in this exercise, and in the article below,...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | 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...

Are ENT patients who research their symptoms online better informed?

1 September 2017 | | ENTA - General
All our patients look up their symptoms online before they visit us, don’t they? And patients who do so are better informed than those who don’t, right? Well, that’s not actually the case… The ‘information era’ More information is now...

Simulation: human factors scenario training

1 January 2014 | | ENTA - General
It is said that surgical training has suffered as a result of a combination of factors – through the introduction of work time restrictions such as the European Working Time Directive (EWTD) [1], a limit on the number of years...

Tone deafness and perfect pitch

1 September 2016 | | ENTA - Audiology - Adult, ENTA - Laryngology / Swallowing / Voice, ENTA - Otology
If you think you are tone deaf, do not despair. Singing tuition should help but it is probably too late to hope to develop perfect pitch. Consultant otolaryngologist and keen musician, Chris Aldren, discusses the complex and fascinating subject of...

Thyroid ultrasound elastography: does nodule stiffness predict malignancy?

1 May 2014 | | ENTA - Thyroid / Parathyroid Surgery
Approximately 50% of the general population has a thyroid nodule while 5-15% of these are malignant [1]. A major challenge, therefore, is how to detect the malignant nodules for appropriate, timely treatment and avoid unnecessary, costly investigations for the remainder....