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Retrieval of an aspirated voice prosthesis in the awake laryngectomised patient

3 March 2021 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
In this article, the authors describe a simple and effective technique for extracting an aspirated voice prosthesis from within the tracheobronchial tree in the awake laryngectomised patient using the Ambu® aScopeTM 4 Broncho endoscope. Surgical voice restoration remains the dominant...

Hyposalivation: a review of current and future treatments

8 January 2024 | | ENTA - ENT, ENTA - Head & Neck
Hyposalivation remains a stubbornly difficult condition to treat, but novel therapies may not be far away. Saliva has many essential functions, including aiding digestion and swallowing, lubrication, maintaining tooth integrity and antibacterial activity. When patients experience reduced saliva production (hyposalivation),...

First UK Genio Nyxoah bilateral hypoglossal nerve stimulator implant for obstructive sleep apnoea

2 July 2025 | | ENTA - Rhinology / Sinus
Obstructive sleep apnoea remains a very challenging condition to treat, but more options are becoming available. An estimated eight million adults in the UK suffer from obstructive sleep apnoea (OSA) and experience symptoms of troublesome snoring, daytime sleepiness and witnessed...

Radiology of referred otalgia

1 May 2014 | | ENTA - ENT, ENTA - Neurotology, ENTA - Otology
Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

NHS collaboration and partnership with the pharmaceutical and medical devices industries

1 March 2015 | | ENTA - ENT
Historically the relationship between industry and the NHS has been a cautious one. Both sides have typically worked with only partially disclosed agendas, under a pervading fear of finding themselves on the wrong end of a win-lose negotiation. Things have...

Audiological evaluation and management of teenagers with tinnitus

1 January 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
There is a growing interest in investigating, understanding and managing tinnitus in children and adolescents, with several articles on the subject published in journals over the last year. Brian Fligor describes the approaches to consider when discussing tinnitus with teenagers....

Cochlear implant referral: how can we do better?

1 June 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic, ENTA - Auditory Implants, ENTA - ENT, ENTA - Otology, ENTA - Paediatrics
Considerable progress has been made over the last few years in improving access to cochlear implantation (CI) in the UK for children and adults with severe to profound deafness. But we are still not treating children early enough, and we...

A psychophysical perspective on single-sided deafness and its treatment by cochlear implants

1 September 2015 | | ENTA - Audiology - Adult, ENTA - Auditory Implants
Bob Carlyon gives us a psychophysical perspective on the hearing benefits that can and cannot be achieved for patients with single-sided deafness with a cochlear implant, and discusses some of the challenges in maximising the effectiveness of the treatment. He...

Use of a diode laser for the removal of a frontal sinus osteoma

1 November 2015 | | ENTA - Rhinology / Sinus
In this How I Do It, Professor Sergei Karpischenko introduces a gentle method of reduction of mobilised frontal sinus osteoma which has been successfully used in five patients in his university clinic using a diode laser in contact mode. Osteoma...

Botulinum toxin injection in spasmodic dysphonia

1 May 2018 | | ENTA - Laryngology / Swallowing / Voice
Spasmodic dysphonia is a rare neurological voice disorder, which is often missed by the inexperienced ear. There is no laboratory test or investigation to diagnose this condition therefore, it is best diagnosed by listening to the patient’s voice. Laryngeal endoscopy...

Endoscopic CSF leak repair using nasoseptal flap

1 May 2019 | | ENTA - ENT, ENTA - Rhinology / Sinus
Many of us during training or in established practice will have encountered the complication of anterior skull base CSF leak. This can be a challenging problem to deal with and in this article the authors describe their favoured approach. Cerebrospinal...

Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?

7 January 2021 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Otology, ENTA - Vestibular Disorders
Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....