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Journal of Cranio-Maxillo-Facial Surgery cover image.

Reconstruction with scapular tip following hemimaxillectomy and rehabilitation with dental implants

1 March 2017 | Dental implants, Hemimaxillectomy, Microvascular bone graft, Reconstruction maxilla, Scapula graft, Scapula tip
Post ablative defects in the maxilla can be extremely complex, involve all three dimensions and may result in significant morbidity. Rehabilitation may be difficult with either an obturator or surgical reconstruction with a free fibula, Iliac crest or scapula. This...

Which da Vinci surgical system? Novel flexible, single-port versus current multiport, rigid-arm robotic surgical system

1 July 2018 | | Transoral endoscopic head and neck surgery, oropharyngeal carcinoma, tongue base, transoral robotic surgery
The da Vinci robotic surgical system has transformed how oropharyngeal head and neck surgery can be delivered. The existing da Vinci Si model has challenges: the dimensions of this are larger than would be ideal for head and neck surgery...
Dysphagia journal cover.

Cuff up or cuff down; to occlude or not to occlude? What effect does tracheostomy tube modification have on swallowing outcomes?

3 March 2021 | | ENTA - Laryngology / Swallowing / Voice | Systematic review, Evidence based medicine, Dysphagia, Swallowing, Respiratory medicine, Deglutition, Deglutition disorders, Tracheostomy
Dysphagia is commonly seen in patients with tracheostomy. The current global pandemic has increased interest in the impact of a tracheostomy on swallowing outcomes. This systematic review is therefore a timely addition to the literature and a useful read for...

Effects on the nasal cavity and maxillary sinus after a Le Fort I osteotomy

3 November 2022 | | ENTA - Head & Neck | cone-beam computed tomography, maxillary osteotomy, maxillary sinus, nasal cavity, orthognathic surgery
This paper from Turkey divided 28 patients into three groups: those having a maxillary advancement osteotomy, those with a maxillary advancement and impaction, and those that underwent advancement with a yaw rotation. They found that pure advancement movement of the...
American Journal of Rhinology & Allergy front cover image

How to manage the concha bullosa in FESS

7 July 2020 | | ENTA - Rhinology / Sinus, ENTA - Skull Base Surgery | Lund–Mackay score, SNOT-22, chronic sinusitis, computed tomography, patient-reported outcomes, pneumatized middle turbinate, sinus surgery
It is an interesting concept to assess how much impact the presence of a large concha bullosa (CB) has on both severity of chronic rhinosinusitis (CRS) and also postoperative outcomes after FESS. The authors accept that the paper has limitations...

The potential benefits of having supervision in clinical practice

1 September 2018 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric
Marie Wardle is the Programme Director of the Interpersonal Therapy department in the West Midlands, UK and part of her role is to deliver supervision training courses for therapists in the region. Therapists, whether supporting patients with psychological or physical...

Hyperacusis-related distress and comorbid psychiatric illness

1 May 2019 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Tinnitus
Research suggests that over 50% of patients presenting with hyperacusis also present with some form of psychiatric disorder. With this in mind, Dr Aazh outlines what tools clinicians can use to screen for psychological disorders and what path to take...

The power of mentoring

3 May 2022 | | ENTA - General
What is a mentor, and what are the benefits for mentee and mentor? Emma Stapleton and Rohma Abrar, mentor and mentee respectively, explain. The term ‘mentor’ is derived from Homer’s Odyssey, in which the goddess Athena, disguised as Mentor, guides...

From surgeon to scholar: the remarkable life of Philip Stell

2 May 2025 | | ENTA - Head & Neck
Professor Philip Stell was an extraordinary man: following an astonishingly illustrious career in ENT, he excelled as a medieval historian. With the Philip Stell Prize due to be awarded in May, his friend Pat Bradley looks back at his remarkable...

Direct-to-consumer hearing devices: a need to combine cosmetic appeal with device capabilities

1 July 2019 | | ENTA - Audiology - Adult
How safe and desirable are direct-to-consumer amplification devices? A team has put a range of devices through their paces and compared them to a standard NHS hearing device. Why do most individuals who would benefit from hearing aids not try...

MDT clinics for adults with learning disabilities and hearing loss

30 April 2020 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric
Healthcare providers can have limitations and challenges providing optimum care for patients with intellectual disabilities. Siobhan Brennan and Susanna Goodhart highlight key professionals and carers who may be instrumental when trying to deliver good management and care along with other...

Nasal septal perforation repair

1 March 2018 | | ENTA - Rhinology / Sinus
Nasal septal perforation repair has traditionally been a great challenge. Many surgical techniques are described, however the success rate of closure has often been poor. Experience from the use of pedicled vascularised mucosal flaps in skull base surgery has been...