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Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Type 1 thyroplasty using a novel and inflatable implant from APrevent® VOIS

Unilateral vocal cord immobility severely impacts voice, swallowing, and airway functions. A novel approach offers adjustable medialisation for improved patient outcomes. Unilateral vocal cord immobility (UVCI) can cause significant disability to voice, swallowing, and airway functions. Patients with UVCI may...

Targeted focal parathyroidectomy

Leanne Hamilton and Louise Clark describe their technique for helping to localise parathyoid adenomas. Surgically this can be difficult, so careful preoperative evaluation using imaging as described can help minimise difficulties intraoperatively when identifying the parathyroid adenoma. Preoperative imaging has...

Sialendoscopy

Recent advances in endoscopic technology allow the ENT surgeon to access the salivary gland ductal system for both diagnostic and therapeutic reasons. In this article the authors share their experiences with using this technology, both as a standalone procedure and...

In conversation with Nick Jones

“I admit to having felt vulnerable and anxious about exposing my work to scrutiny, and I still do.” From nasal reconstruction to poetry composition: retired rhinologist, Nick Jones - author of new poetry collection, Encounter - tells us more about...

Management considerations for limited usable hearing unilaterally in the paediatric population

How can we best support children with limited usable hearing in one ear? This article discusses the latest approaches. Limited usable hearing unilaterally (LUHU) is an emerging term and has been suggested to replace the historical term ‘single-sided deafness (SSD)’....

The connection between hearing loss and cognitive decline: current perspectives

Editorial clarification This article reviews research exploring associations between hearing impairment, cognitive decline and dementia. While evidence shows a dose-dependent relationship, it is important to note that association does not prove causation, and current research does not definitively show if...

Making the case for multidisciplinary ENT vasculitis clinics

How can combined ENT vasculitis clinics improve diagnosis, treatment and ongoing care for patients with AAV? This article outlines a multidisciplinary approach. Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) are a group of rare autoimmune conditions characterised by inflammation of small-...

Dispelling myths about audiologic counselling: part one

In the first of a two-part series (see Part 2 here), Drs Clark and English explore common misconceptions in audiologic counselling and highlight the power of empathy and person-centred care. As patients sit before us, they experience any number of...

Experience on the front line

21st January 2021 Back to basics Yesterday I went right back to where my medical career began. I grew up in Germany, bilingual. A prerequisite to studying medicine in Germany is that applicants have to spend two months working as...

Practising surgery in a war zone: an interview with Dr Volodymyr Melnyk

It is now nine months since the full-scale Russian invasion of Ukraine commenced in late February 2022, with Putin announcing a “special military operation” to “denazify and demilitarise” Ukraine. The rest of the world, however, saw it for what it...

Progress of head and neck surgery in China over the last 20 years

Although China was late to establish head and neck surgery in comparison to other areas of oncological surgery, with the persistent hard work of head and neck surgeons nationally, it has progressed significantly during the last two decades. Yueying Ma...