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1066 results found

Middle ear reconstruction in children: why, when and how

Every ear in every child is different. Rob Nash discusses the rationale behind reconstructive ear surgery in children and his philosophy on timing and techniques of reconstruction. It is rare for middle ear pathologies to be life threatening. Indeed, it...

Cochlear implantation for single-sided deafness and asymmetric hearing loss

Continuing our sub-theme of cochlear implantation candidacy, Richard Irving and Raghu Kumar review the principles and benefits of cochlear implantation in individuals who have an asymmetric hearing loss. It is well known that cochlear implantation improves auditory capacity, and in...

American Thyroid Association Thyroid Cancer Management Guidelines: utilising risk stratification to optimise patient care

The steep rise in thyroid surgery around the globe, has led to the development of risk stratification to define the indications for surgery and the extent of surgery as well as adjuvant therapies for papillary carcinoma, to avoid over treatment....

Bipolar microdebrider turbinoplasty

There are a variety of ways to reduce the bulk of hypertrophied turbinates. Kimberley Lau and Showkat Mirza describe their technique which can be used in difficult cases and with minimal morbidity. As ever, one aim should be to avoid...

Random-pattern skin flaps: part 1 – advancement flaps

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...

Awake transnasal laryngeal and pharyngeal biopsy in the unsedated patient

In an attempt to improve the efficiency and flow of patients through a busy ENT clinic, technology now allows the ENT surgeon to consider biopsies in the outpatient setting on a more regular and controlled basis. This can avoid the...

Retrieval of an aspirated voice prosthesis in the awake laryngectomised patient

In this article, the authors describe a simple and effective technique for extracting an aspirated voice prosthesis from within the tracheobronchial tree in the awake laryngectomised patient using the Ambu® aScopeTM 4 Broncho endoscope. Surgical voice restoration remains the dominant...

A global online fellowship in head and neck surgery and oncology

The International Federation of Head and Neck Oncologic Societies (IFHNOS) offers an online fellowship training programme for advanced trainees wishing to subspecialise in head and neck surgery and oncology. Emma Stapleton speaks with the Chairman of the Board of Directors...

The totally implantable cochlear implant

*The authors are in alphabetical order – both authors are first authors on this publication A groundbreaking fully implantable cochlear implant marks the start of a new era in hearing restoration – discreet, continuous and free from external hardware. The...

How sight shapes sound: cross-modal plasticity and cochlear implantation

Visual cues support auditory recovery after cochlear implantation, with evidence showing cross-modal plasticity enhances speech perception and rehabilitation outcomes. Traditionally, clinical guidance around cochlear implantation has been shaped by a key concern: that reliance on visual communication, particularly speechreading, might...

Video-augmented consent in thyroid surgery

Short, procedure-specific thyroid surgery videos improve patient understanding, standardise risk discussions and support informed consent. Background Informed consent is an important principle which underpins modern surgical practice. Patients are given information regarding their medical condition, discussion of the proposed treatment,...

Operating abroad

I have always taken the view that one is better operating in a familiar environment, with scrub-nurses and anaesthetists that one knows, to say nothing of the equipment required and, most importantly ensuring the most appropriate pre- and postoperative care...