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From aaargh to zzzzz: the ABC of paediatric anaesthesia

1 November 2019 | | ENTA - ENT
Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

Sugammadex

1 November 2019 | | ENTA - ENT
Scott Russell is an anaesthetist with an almost unrivalled experience of complex head and neck surgery, and has seen all manner of new ideas come and go. However, in this article he describes a new pharmaceutical agent that is already...

Anaesthesia for excision of vestibular schwannomas

27 February 2020 | | ENTA - ENT, ENTA - Otology
The ‘shared airway’ relationship between ENT surgeons and anaesthetists is well documented. But ENT surgery and anaesthesia interact in numerous other ways, particularly in complex skull base surgery. What do our anaesthetic colleagues want us to know about vestibular schwannoma...

Developing principles of swallow rehabilitation using novel animal modelling

3 September 2024 | | ENTA - Laryngology / Swallowing / Voice
Never let it be said that we don’t cover a wide range of topics. Camilla Dawson tells us about the crossover between swallowing in seals and in humans. Rehabilitation of swallow is complex, informed by anatomical and physiological systems and...

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...

Evidence-based practice: management of sudden sensorineural hearing loss

1 November 2016 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
What is the current evidence for medical management of sudden sensorineural hearing loss? Jessica Choong and Stephen O’Leary present a review of the current evidence of treatments options. Sudden sensorineural hearing loss (SSNHL) causes significant distress and, in many cases,...

A place for everything and everything in its place: the practicalities of randomised clinical trials

1 November 2016 | | ENTA - Audiology - Adult
Will this pill cure tinnitus? Bonnie Millar describes one trial that has investigated the possibility whilst describing the path of drug trials in the UK. Background In the last quarter of 2014, a clinical trial (QUIET-1; ClinicalTrials.gov Identifier: NCT02315508) commenced...

Unexplained dizziness in elderly patients

27 February 2020 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Otology
How do we explain unexplained dizziness in elderly patients? How far should we go with investigations? And most importantly, how should we manage this challenging and expanding group of patients whose balance affects their safety? Richard Ibitoye and Diego Kaski...

Pinnaplasty for prominent ears

9 September 2020 | | ENTA - ENT, ENTA - Paediatrics
Pinnaplasty is a challenging yet rewarding procedure for which many different techniques have been described. In this article the authors describe their favoured technique, including the important postoperative care. Prominent ears can be a source of significant psychological distress in...

Endoscopic stapes surgery

14 April 2021 | | ENTA - ENT, ENTA - Otology
Traditionally middle ear surgery, including stapes surgery, has been performed using the operating microscope. In this article the authors describe their experience with endoscopic middle surgery and share some of its advantages. Trans-canal endoscopic ear surgery (TEES) is now a...

Non-absorbable synthetic material for middle fossa repair using a combined transmastoid/middle fossa approach

4 May 2023 |
Repair of CSF leaks can be a challenging technical undertaking. In this article, the authors describe their use of a synthetic material to help with the successful repair of these leaks from the middle cranial fossa. Erosion of the middle...

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),...