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Addressing ear and hearing care through task sharing: the Malawian experience

27 February 2020 | | ENTA - Audiology - Diagnostic, ENTA - Otology
How can ear and hearing care be addressed in a setting with limited resources? Wakisa Mulwafu, Chris Prescott and Johan Fagan present an innovative model for training ear surgery technicians to perform endoscopic myringoplasty under local anaesthesia on a large...

Hearing rehabilitation after vestibular schwannoma surgery

27 February 2020 | | ENTA - Otology, ENTA - Vestibular Disorders
Hearing rehabilitation is a key focus of the management of patients with vestibular schwannoma. But how do we rehabilitate hearing when the cochlear nerve has been damaged by tumour, irradiation, or resective surgery? Mathieu Trudel, Scott Rutherford and Simon Lloyd...

The future of facial plastics and rhinoplasty

1 November 2017 | | ENTA - Rhinoplasty
Interest in facial plastic surgery and in particular rhinoplasty has never been greater. From his wealth of experience in the field, Professor Palma outlines the potential problems of this increasing popularity and how they may be addressed, areas on which...

The role of objective measures and imaging to optimise cochlear implant outcomes

1 September 2017 | | ENTA - Audiology - Auditory Implants, ENTA - Otology
Should we be using new or novel objective measures and imaging to assist with our cochlear implant patients? Debi Vickers and Shak Saeed describe current clinical techniques and present advances that have the potential to optimise outcomes. Introduction It is...

Type 1 thyroplasty using a novel and inflatable implant from APrevent® VOIS

4 July 2024 | | ENTA - Laryngology / Swallowing / Voice
Unilateral vocal cord immobility severely impacts voice, swallowing, and airway functions. A novel approach offers adjustable medialisation for improved patient outcomes. Unilateral vocal cord immobility (UVCI) can cause significant disability to voice, swallowing, and airway functions. Patients with UVCI may...

Mastoid surgery for cholesteatoma

5 January 2022 | | ENTA - Otology
Landmark Paper: Toner JG, Smyth GDL. Surgical Treatment of Cholesteatoma: a comparison of three techniques. Am J Otol 1990;11(4):247-9. Canal wall up or canal wall down? Chris Aldren discusses the landmark paper that attempted to provide a definitive answer for...

Being a doctor abroad – comparing the Greek healthcare system with the NHS

3 July 2023 | | ENTA - General
Healthcare systems and training programmes vary significantly across the world. By learning about other healthcare systems, we can identify blind spots in our own system and continue to improve training. Sofia Anastasiadou, an ENT Registrar in South West England, describes...

Themistocles Gluck – the true father of laryngectomy

7 May 2021 | | ENTA - Laryngology / Swallowing / Voice
Most head and neck surgeons and ENT-specialists may know that the first laryngectomy for cancer was performed by Billroth on 31 December 1873. Billroth´s assistant, Vincenz Czerny, had outlined the operation in experimental surgery on dogs in 1870. Three years...

Imaging in hyperparathyroidism

1 May 2014 | | ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
Following their caudal migration at eight weeks of development, the parathyroid glands normally locate posterolaterally to the upper pole of the thyroid gland at the level of the cricoid cartilage (superior parathyroid glands arising from the fourth branchial pouch and...

New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

1 September 2020 | | ENTA - Laryngology / Swallowing / Voice
Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...

The role of the maxillo-facial surgeon in the management of skull base malignancy

1 June 2014 | | ENTA - Maxillofacial Surgery, ENTA - Skull Base Surgery
Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Emerging robotic systems for head and neck surgery

4 November 2021 | | ENTA - Head & Neck
As of December 2020, seven robotic surgical systems have received approval for use in different jurisdictions, and many more task-specific robots are in the pipeline. Jack Faulkner takes us through what’s on the horizon for head and neck cancer surgery....