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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...

Salivary duct clipping for drooling

1 November 2017 | | ENTA - Head & Neck
Drooling can be a challenging problem to manage in paediatric ENT. The variety of medical and surgical treatments suggests that there is no gold standard treatment. Nicola Stobbs and Ravi Thevasagayam describe an approach to ligating the salivary ducts. Drooling...

Thyroid cancer – the last decade

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
Professor Ashok Shaha describes the evolution in the treatment of thyroid cancer that he has witnessed over the last decade and the invaluable progress made by himself and others, from their contributions to staging systems and guidelines. Nuances and paradigm...

Selecting and optimising hearing aids for tinnitus benefit: a rough guide

24 May 2017 | | ENTA - Audiology - Diagnostic, ENTA - Tinnitus
Hearing aids have a relatively long history as tinnitus treatment tools. Saltzman and Ersner reported success in suppressing tinnitus with simple hearing aids in a number of cases as early as 1947 [1]. In an early comprehensive approach to tinnitus...

A psychophysical perspective on single-sided deafness and its treatment by cochlear implants

1 September 2015 | | ENTA - Audiology - Adult, ENTA - Auditory Implants
Bob Carlyon gives us a psychophysical perspective on the hearing benefits that can and cannot be achieved for patients with single-sided deafness with a cochlear implant, and discusses some of the challenges in maximising the effectiveness of the treatment. He...

The basis of the bargain: outcomes not inputs

1 January 2018 | | ENTA - Audiology - Diagnostic, ENTA - Audiology - Adult
There are international drivers focusing our attention on measuring outcomes; Anthony Hogan looks at the data to see how we are currently measuring up. Introduction A global paradigm change is impacting on the provision of disability services. At its heart,...

Physiological mechanisms of hyperacusis: an update

1 January 2019 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Tinnitus
Hyperacusis is a heterogeneous and complex clinical entity, and proposals about physiological mechanisms should reflect these issues. Ben Auerbach helps us navigate through present knowledge in this area, and proposes future directions for research. Hyperacusis is a debilitating hearing disorder...

The role of prediction and gain in tinnitus

2 November 2020 | | ENTA - Audiology - Adult, ENTA - Tinnitus
Dr Will Sedley is a Clinical Academic Neurologist who has done groundbreaking work in the field of tinnitus mechanisms. Here, he introduces and explains the concepts of prediction and of gain as they relate to troublesome tinnitus. This article focuses...

Triple semicircular canal occlusion and Meniere’s disease: a rising alternative treatment?

7 January 2021 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Otology, ENTA - Vestibular Disorders
Patients with dizziness form a large part of the workload for ENT surgeons. In the overwhelming majority of cases, management will be medical and successful. However, occasionally some patients present a challenge when they have not responded to conventional treatments....

Isshiki Thyroplasty Type 2

1 September 2015 | | ENTA - Laryngology / Swallowing / Voice
Indication Adductor spasmodic dysphonia is a neurological condition of unknown aetiology. The symptoms are believed to be caused by involuntary contraction of the adductor muscles of the vocal cord as a result of an abnormality of neurotransmitters in the basal...

ENT in this issue... Paediatric Otorhinolaryngology (NovDec18)

7 November 2018
But for the clumsiness of increasing the number of letters in the acronym, ‘ENT’ would have grown to include recognition of the subspecialties of skull base surgery, facial plastic surgery and paediatric ENT surgery, of which management of ENT problems in children has seen perhaps the greatest development.