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Developing ENT services in Zambia

7 January 2025 | | ENTA - Otology, ENTA - Rhinology / Sinus, ENTA - Head & Neck
Lufunda Lukama and Matthew Clark. Lufunda Lukama is an ENT surgeon in Zambia. In a country of 19.6 million, he is one of five such specialists. It is not difficult to see the problem that he, and the country as...

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...

Cutting burr otoplasty and conchal setback to correct prominent pinna: a ‘step by step approach’

1 January 2015 | | ENTA - Otology
Prominent ears can cause significant social and psychological effects on an individual. The two most common anatomical defects for a prominent pinna are an underdeveloped anti-helical fold and / or enlarged conchal bowl. In the senior author’s practice over the...

Partial reconstruction of the pinna

1 September 2016 | | ENTA - Otology
Reconstruction of the pinna is one of the most challenging procedures in facial plastic surgery. Although there has been significant progress since one of the earliest recorded descriptions by Sushruta in 600 BC, the complex three-dimensional structure of the pinna...

In conversation with Jane Lea: the journey from athlete to surgeon

8 January 2024 | | ENTA - ENT
Dr Jane Lea is a clinical professor and fellowship director of otology and neurotology at the University of British Columbia. Prior to becoming a doctor, Jane was a semi-professional footballer and represented Canada. As a result of three knee operations,...

Migration and training: a British-Nigerian surgeon’s perspective

1 March 2018 | | ENTA - General
Less than 4% of doctors on the UK’s medical register describe their ethnicity as African or part African, yet there are myriad driving forces behind the migration of medical trainees from Africa to the UK and other developed countries. Ekpemi...

What’s new in laryngology: the next 10 years!

1 May 2018 | | ENTA - Laryngology / Swallowing / Voice
At a time of unprecedented technological advances, Taran Tatla and Jonathan Fishman gaze into the laryngological crystal ball… Introduction The recent explosion in science, technology and innovation takes us into a new era, with the opportunity and capability to transform...

ENT and evidence-based medicine: How do they benefit each other?

1 November 2016 | | ENTA - General
How do we assess evidence, and how should ENT surgeons use EBM? Evidence-based medicine (EBM) is the practice of medicine based upon high quality scientific research. There are several formal definitions of EBM, the most widely quoted being that of...

Minimally invasive techniques for benign salivary gland obstruction

13 June 2017 | | ENTA - Laryngology / Swallowing / Voice
Salivary gland obstruction is a common condition – it is recognised by a complaint of intermittent meal-time swelling of the affected salivary gland and can be accompanied by recurrent infections. Imaging can identify the nature and location of an obstruction...

Progress of head and neck surgery in China over the last 20 years

1 March 2017 | | ENTA - Head & Neck
Although China was late to establish head and neck surgery in comparison to other areas of oncological surgery, with the persistent hard work of head and neck surgeons nationally, it has progressed significantly during the last two decades. Yueying Ma...

Chronic rhinosinusitis management: back to the future?

1 July 2016 | | ENTA - Rhinology / Sinus
Immunology is a dim and distant medical school memory to many ENT surgeons, but the increasingly complex immunology of chronic rhinosinusitis is fascinating (honestly!). Medical management options in CRS no longer just involves saline and steroids, and we need to...

Superior semicircular canal dehiscence: transmastoid obliteration

1 September 2017 | | ENTA - Audiology - Diagnostic, ENTA - Head & Neck, ENTA - Vestibular Disorders, ENTA - Otology
Sometimes patients with dizziness turn out to have slightly more unusual causes of their problem. Thomas Milner and Georgios Kontorinis describe their technique for managing patients who have a diagnosis of superior canal dehiscence as an identified cause of their...