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Selective upper airway stimulation

1 May 2016 | | ENTA - Laryngology / Swallowing / Voice
Obstructive sleep apnoea (OSA) is one of the most common diseases in industrialised countries and is characterised by an intermittent obstruction of the upper airway during sleep. The standard treatment for OSA is continuous positive airway pressure (CPAP) therapy, which...

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...

Endoscopic Dacryocystorhinostomy

1 September 2014 | | ENTA - Rhinology / Sinus
Epiphora, or abnormal tearing, occurs because of blockage in the lacrimal drainage system, which impairs normal tear channeling into the nose. Dacryocystorhinostomy (DCR) is used to treat patients diagnosed with lacrimal sac or nasolacrimal duct obstruction (NLDO). External DCR was...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

1 July 2016 | | ENTA - Rhinology / Sinus
In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

Sushruta and Indian rhinoplasty

3 March 2021 | | ENTA - ENT, ENTA - Rhinology / Sinus
Vijay Pothula explains rhinoplasty’s roots in ancient Indian Ayurvedic medicine, and how it was introduced to the Western world. In 1794 The Gentleman’s Magazine published a surgical operation which was long established in India but unknown in Europe [1]. A...

Setting up a robotic surgical practice: view from India

4 November 2021 | | ENTA - ENT, ENTA - Head & Neck
Transoral robotic surgery has an established role in head and neck cancer surgery. But how easy is it to set up a service in a resource-constrained environment? Gouri Pantvaidya and Ameya Pai give us a view from the Indian subcontinent....

Dysphagia in complex laryngology – maintaining the balance

4 May 2023 | | ENTA - ENT, ENTA - Laryngology / Swallowing / Voice, ENTA - Speech and Language Therapy
These authors from the speech and language therapy department at Imperial College Healthcare NHS Trust, describe their view of a patient-centred approach to managing dysphagia in complex laryngology. Careful consideration of the balance of airway, voice and swallow, which is...

Per-Ingvar Brånemark: father of osseointegration

3 September 2024 | | ENTA - ENT, ENTA - Otology
The application of osseointegration has been central to the development of both bone-anchored hearing aids and dental implants. But how did it all come about? Per-Ingvar Brånemark (1929–2014). Image Johan Wingborg. Many hearing-impaired patients owe a great debt of gratitude...

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...

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...

Nature or nurture in surgical training

1 November 2014 | | ENTA - ENT
It’s Thursday in the UK, so that means time for another root and branch reform of medical training. If you’re not keen on the Greenaway Report (Shape of Training review) [1], don’t fret there’ll be another one along well before...

IEM – no noise is good noise!

1 September 2016 | | ENTA - Audiology - Adult
Whether you’re an active musician or a music-loving commuter, noise exposure via music is a very real concern. Musician, sound engineer and Puretone Sales Manager, Deke Frickey, looks at where the dangers lie and the best ways to overcome them....