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Risk factors in free flap failure

1 January 2018 | | free flap failure, head and neck, risk factors
This is a retrospective analysis from China of 881 free flaps over nearly four years, 49 of which were ‘taken back’, 26 of which were lost, giving a 97% success rate. The commonest cause of flap failure was venous thrombosis....

Identifying clinically useful salivary substitutes

1 September 2016 | | Dry mouth, Dwell time, Gingiva, Mid infrared spectroscopy, New method, Oral care, Salivary substitutes, Sjorgren’s syndrome, Xerostomia
This in vitro study analysed the efficacy of salivary substitutes used in the treatment of xerostomia following head neck irradiation. The researchers applied the products under evaluation onto a synthetic surface and onto cellular gingival models. The products were then...
The Journal Laryngology & Otology cover

How effective are our two-week-wait guidelines in picking up head and neck cancer?

7 January 2020 | | ENTA - Head & Neck, ENTA - Otology
With a 30% increase in the incidence of head and neck cancer since 1999 in the UK, it is important that the two-week wait referral guidelines safely encompass all risk factors but also render these urgent referrals based on signs...

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...

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...

A person-centred approach to telehealth

1 March 2017 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
“The time when telehealth was a remote, abstract concept has come to an end”. Deborah Ferrari and Lise Lotte Bundesen discuss how to advance person-centred care in hearing rehabilitation through online tools and training. The time when telehealth was a...

Simulation: human factors scenario training

1 January 2014 | | ENTA - General
It is said that surgical training has suffered as a result of a combination of factors – through the introduction of work time restrictions such as the European Working Time Directive (EWTD) [1], a limit on the number of years...

Hearing about genes

1 May 2015 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Otology, ENTA - Speech and Language Therapy
I have been fortunate in my career to travel as an invited lecturer at many hospitals, universities and professional societies around the world. I have spoken to audiology societies, otolaryngology societies, and university communication disorders programmes in Europe, Asia, Africa,...

Securing the future of ENT in the UK

1 November 2017 |
A career in otolaryngology is fascinating, fulfilling and fun, but how do we convince our potential successors? Jay Doshi, Asad Qayyum, Bradley Storey and Tom Milner outline the fantastic efforts to showcase ENT throughout the UK. Student and foundation doctors...

The future of hearing care and the role of audiology

1 March 2016 | | ENTA - Audiology - Adult, ENTA - Audiology - Paediatric, ENTA - Otology
The Clinical Director of Cincinnati Children’s Hospital Medical Center and President-elect of the American Academy of Audiology reviews the status of the present day audiologist’s remit, and discusses the changes we can expect with the changing demographic and behaviour of...

Canine hearing testing and the role of otoacoustic emission tests

1 May 2018 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic, ENTA - Audiology - Paediatric
Otoacoustic emissions testing is an accepted method of hearing testing in humans, but have you ever considered the situation in dogs? This article discusses deafness and hearing testing in dogs and the current role of OAE testing in this species....

Can we prevent chronic rhinosinusitis?

1 November 2017 | | ENTA - Rhinology / Sinus
The old adage ‘prevention is better than cure’ is considered by Professor Hopkins in respect to chronic rhinosinusitis, a condition affecting around 10% of the adult population and associated with huge impact on quality of life and economic cost. A...