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Long-term results of injection laryngoplasty with polydimethylsiloxane (Vox) for unilateral vocal fold paralysis

9 October 2017 | | Endoscopic injection laryngoplasty, Injection laryngoplasty, Polydimethylsiloxane, Speech therapy, Vocal fold paralysis
Polydimethylsiloxane (PDMS) is widely used for vocal cord injections to treat patients with a vocal cord palsy. It is commercially available as the Vox implant system. Alternative compounds that can be employed include hyaluronic acid and calcium hydroxyapatite (Radiesse Voice)....

Long-term swallowing function in bilateral vocal cord immobility

1 May 2017 | | Aspiration, Bilateral vocal fold immobility, Dysphagia, Feeding, Gastrostomy tube, Pediatric, Swallow function, Vocal fold paralysis
Vocal cord immobility is the second most common abnormality of the larynx in the paediatric population. The team from New York aimed to characterise the long-term swallowing function in a cohort of patients with bilateral vocal cord immobility over a...

In-office KTP laser excision of a vocal process granuloma

1 July 2016 | | Dysphonia, In-office surgery, KTP laser, Vocal process granuloma
The KTP laser is increasingly being used in an outpatient setting – particularly in North America – to treat various laryngeal pathologies including papillomas, leukoplakia, dysplasia and vascular lesions. This article reports the use of the KTP laser in the...

Beware the skinny patient…

1 July 2018 | | Arytenoid dislocation, BMI, Cricoarytenoid joint three-dimensional reconstruction, High-resolution computed tomography, Risk factor
The adverse health impacts of an excessive BMI are well known. This study highlights one laryngeal pathology for which a low BMI appears to be a significant risk factor. The records of 28 patients treated for arytenoid cartilage dislocation were...

Suspect the unsuspecting in thyroid cancer

1 July 2018 | | Thyroid cancer, Invasive thyroid cancer, Aerodigestive tract invasion
This article reminds readers of how often invasive thyroid disease can appear, as the symptomatology is minimal. Noticeable airway symptoms appear after 50% of the airway is involved and surgeons can often fall in the unsuspecting trap of discovering locally...
Otolaryngologic Clinics journal cover image

What to do if adenotonsillectomy does not cure sleep apnoea in children?

30 April 2020 | | ENTA - Paediatrics
This article reviews the management of children with persistent obstructive sleep apnoea (OSA) following adenotonsillectomy (AT). Risk factors for patients to have persistent disease include obesity, being Afro-Caribbean and existing co-morbidities such as craniofacial and neuromuscular disorders. Initial assessment of...

History of photography in otorhinolaryngology in the 19th Century

1 September 2015 | | ENTA - ENT
In this final article of the History of ENT edition, João Clode introduces us to the history of medical photography in the 19th century, giving us some fascinating early examples of otorhinolaryngology photographs. Medical photography – the early years The...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

1 September 2016 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

Muscle tension dysphagia: an underdiagnosed problem

4 May 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
In this article, the authors introduce the description of swallowing problems which have been recently attributed to muscle tension dysphagia (MTDg). The authors are clear that this is a diagnosis of exclusion, and it is important to rule out other...

Guillotines from Joseph‑Ignace Guillotin to Greenfield Sluder

3 November 2023 | | ENTA - ENT
Joseph‑Ignace Guillotin. The politician and physician Joseph-Ignace Guillotin (1738-1814) was so disgusted by brutal head and shoulder injuries sustained in ‘failed attempts’ by drunken axe-wielding executioners during the French Revolution that he and surgeon Antoine Louis (1723-1792) advocated not only...

The pioneers of endoscopy and the sword swallowers

3 March 2021 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Adolf Kussmaul drew inspiration from an unlikely source to further the development of endoscopy… The early pioneers of airway endoscopy and oesophagoscopy were bedevilled by two major and seemingly insurmountable problems. One was the paucity of light sources, with reliance...

Chronic cough hypersensitivity syndrome

1 May 2015 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
We all have patients who give us a ‘heartsink’ feeling; for many of us, the coughing patient is exactly such a situation. In this overview, Bhaskar Ram and Sangeeta Maini outline their approach to diagnosis. Declan Costello, Editor. Introduction Chronic...