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2822 results found

Complication rates for grommet insertion in H&N cancer patients

Otitis Media (OM) can be the direct result of H&N malignancy itself or secondary to treatment of malignancy. Both surgery and radiotherapy can cause lasting changes to the physiologic function of the ET, middle ear, tympanic membrane and ear canal....

Fungal rhinosinusitis

Allergic fungal rhinosinusitis (AFRS) has been defined by the following characteristics: presence of nasal discharge, nasal obstruction, decreased sense of smell or facial pressure for 12 weeks, mucin within the sinus cavity containing fungal hyphae and degranulating eosinophils, endoscopic evidence...

Sustainability guidelines to reduce single-use items in ENT outpatients

ENT surgery generates significant waste, with single-use instruments and packaging as key contributors. This article outlines recommendations on sustainable practice that can be adopted into ENT departments. Climate change is one of the greatest threats to human health in the...

Globalisation, interconnectivity and unintended consequences

Drs Mom and Lea have thrown down the gauntlet, challenging us all to openly assess the global impact we have as countries, societies, surgeons and individuals. Being a surgeon is not all about surgery. How we respond will define our...

The future of audiology rehabilitation? Smartphone apps to collect real-world experiences and support clinical decision-making

Ecological momentary assessment (EMA) is gaining momentum in the world of connected hearing healthcare and real-world assessment. Barbra Timmer explains how EMA will play a key role in transforming the information that clinicians use in decision-making and measuring outcomes. Did...

Partial reconstruction of the pinna

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...

Voice after posterior cordotomy: we think voice is bad, patients think it’s better!

Bilateral vocal fold immobility (BVFI) is a condition that can affect voice with an impact on quality of life (QOL). Surgical trauma from damage to bilateral recurrent laryngeal nerves, such as from previous thyroid, parathyroid, or mediastinal surgery are common...

Narrow band imaging in the management of carcinoma of unknown primary

This was a retrospective study to assess the utility of narrow band imaging (NBI) in the detection of a primary site in carcinoma of unknown primary (CUP). Patients with CUP who underwent transoral robotic surgery (TORS) and preoperative imaging with...

Management of post-tonsillectomy bleeding with nebulised TXA

In the last 20 years, rates of adult tonsillectomy have fallen in the order of 50%. The flipside to this, is that the number of admissions of patients with acute tonsilitis is more than double the reduction in tonsillectomy rates....

Getting It Right First Time in ENT

Andrew Marshall, a Consultant ENT Surgeon at Nottingham University Hospitals NHS Trust, visited 126 departments across England before publishing his recent ENT surgery national report for the Getting It Right First Time (GIRFT) programme. Here, he explains how identifying unwarranted...

Well drilling vs. subperiosteal pocket for cochlear implants – comparison of operative time, complications and cost-effectiveness

The choice of method for securing the receiver/stimulator (R/S) package during cochlear implant surgery is usually dependant on several factors, but primarily surgeon preference. The initial recommendation from manufacturers was to drill a bony well (WD technique) and use bony...

Launch of ENT Masterclass Cyber Textbook 6th Edition

The 6th edition of the ENT Masterclass Cyber Textbook of Operative Surgery has been published and is completely free to access online. It is a carefully curated virtual library of surgical videos from leading experts across the globe. All sections...