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Cochlear implantation for single-sided deafness and asymmetric hearing loss

1 September 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric, ENTA - Auditory Implants, ENTA - ENT, ENTA - Otology
Continuing our sub-theme of cochlear implantation candidacy, Richard Irving and Raghu Kumar review the principles and benefits of cochlear implantation in individuals who have an asymmetric hearing loss. It is well known that cochlear implantation improves auditory capacity, and in...

Mastoid fistula closure

3 September 2024 | | ENTA - Otology
This article describes a clear and useful technique for the repair of a troublesome mastoid fistula. The clear instructions make this easy to apply in daily practice. Mastoid fistula is a rare condition whereby an abnormal connection develops between a...

Random-pattern skin flaps: part 1 – advancement flaps

3 September 2021 | | ENTA - ENT, ENTA - Otology
In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...

Surgical management of congenital nasal pyriform aperture stenosis

1 May 2014 | | ENTA - Paediatrics, ENTA - Rhinoplasty
Introduction Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of neonatal upper airway obstruction which was first described by Douglas in 1952 [1]. The first radiological description of CNPAS was described by Ey et al in 1988 [2]....

Development and review of a blended service in response to COVID-19

7 January 2021 | | ENTA - Covid-19, ENTA - Audiology - Adult
The COVID-19 pandemic has required healthcare services globally to show both resilience and ingenuity in redesigning services to meet the ever-changing needs of our patients. We hear about the redevelopment of clinical pathways within an hearing implant service, and the...

What has NAIROS taught us about septoplasty?

30 October 2024 | | ENTA - Rhinology / Sinus, ENTA - Rhinoplasty
Septoplasty is a commonly performed procedure worldwide for nasal obstruction associated with a deviated nasal septum. In the UK, with long waiting lists for septoplasty, there is a large and unexplained variation in the incidence of this procedure between individual...

Transnasal oesophagoscopy (TNO)-guided secondary tracheoesophageal puncture (TEP) under local anaesthesia

7 January 2025 | | ENTA - Laryngology / Swallowing / Voice
Here, the authors describe a convenient use of the transnasal oesophagoscope to create a new tracheoesophageal puncture in the outpatient clinic setting. Tracheoesophageal puncture (TEP) with voice prosthesis insertion is a reliable and effective technique for surgical voice restoration (SVR)...

BACO 2015: Meet the Key Brits

1 July 2015 | | ENTA - ENT
The triennial BACO is always a feast of academic and social activity – and BACO 2015 promises to be as busy as ever. We hear from three of the key British speakers who are making big contributions to this year’s...

Advances in vestibular function testing

1 November 2015 | | ENTA - ENT, ENTA - Vestibular Disorders
Vestibular function testing has historically been limited by difficulties in testing individual parts of the vestibular apparatus. Jas Sandhu describes new tests available to clinicians that address this problem. Advances in vestibular function testing Vestibular function testing has historically been...

Update on the development of an implantable vestibular prosthesis

1 November 2015 | | ENTA - Auditory Implants, ENTA - ENT, ENTA - Vestibular Disorders
Cochlear implants have revolutionised the management of profound hearing loss. Might vestibular implants be the future for the treatment of bilateral vestibular failure? James Johnston and Neil Donnelly explore. The vestibular system is highly complex, integrating visual, labyrinthine and proprioceptive...

Surgical challenges in advanced or recurrent thyroid malignancy

1 July 2017 | | ENTA - ENT, 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...

An update on laryngeal reinnervation

1 May 2018 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Laryngeal paralysis remains very difficult to treat, but reinnervation offers many attractions. Laryngeal paralysis presents a unique and varied problem that requires a patient centred approach and a range of treatment options depending on laryngeal and patient factors. There is...