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1654 results found

What about the older adults?

1 September 2019 | | ENTA - Speech and Language Therapy
The authors of this paper propose that significant changes in the delivery of services, including speech and language therapy management of swallowing difficulties, may be required. Among the most common causes of dysphagia in older adults are stroke, progressive neurological...
Dysphagia cover

Assessing post-extubation dysphagia on the intensive care unit

1 November 2019 | | ENTA - Speech and Language Therapy | ICU-ASD, ICU-AW, Neuromuscular, Non-instrumental, Sepsis, Swallowing disorder
The incidence of post-extubation dysphagia (PED) is reported to be about 12% in the general ICU population and around 18% in patients admitted to ICU as emergencies. PED was found to be an independent predictor of 28-day and 90-day mortality....

Surgical management of refractory osteoradionecrosis

27 February 2020 | | ENTA - Head & Neck | Osteoradionecrosis, free flap, management, mandibular, surgery
This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. A total of 36 segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used,...

Hierarchy of orthognathic surgical stability

27 February 2020 | | ENTA - Head & Neck | orthognathic surgery, overview of systematic reviews, recurrence, stability, systematic review
This study was designed as “an overview” of secondary studies and analysed 15 articles. Two procedures were considered highly unstable: a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...

Nothing about us without us: a how-to guide

2 September 2022 | | ENTA - Speech and Language Therapy | SLP, participatory design, qualitative methods, technology, telehealth
Participatory design is an approach that is built around collaboration with users through a process of coproduction, design and creation. Most interventions are designed with the expert clinician researcher as the starting point, who looks at theory, evidence and their...

Helmets make a difference in bicycle injuries

4 March 2024 | | ENTA - Head & Neck | Bicycling, Head protective devices, Helmets, Maxillofacial injuries, Traffic accidents
This is a meta-analysis of maxillofacial injuries arising from riding a bicycle. The incidence of maxillofacial fractures in cycling accidents varies from 3-20% and, whilst the effectiveness of helmets in preventing traumatic brain injuries is well known, their protective effect...

Staying safe during endoscopic ear surgery

1 May 2016 | | ENTA - ENT, ENTA - Otology
There is growing interest in using rigid endoscopes rather than traditional operative microscopes to perform transcanal middle ear surgery. Rigid endoscopy provides a high resolution, wide-angle view of the tympanic cavity through minimally invasive surgical portals. In this article, Elliott...

Chronic rhinosinusitis management: back to the future?

1 July 2016 | | ENTA - ENT, 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...

Systemic agents in thyroid cancer

1 July 2017 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Thyroid / Parathyroid Surgery
For those patients who have disseminated or unresectable thyroid cancer, Dr Arabella Hunt and Dr Kate Newbold review systemic treatments, their differences, toxicities and outcomes. Thyroid cancer is the most common endocrine malignancy. It is subdivided into differentiated (papillary, follicular...

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

1 May 2018 | | ENTA - ENT, 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...

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...

A medical student’s perspective on the future of obstructive sleep apnoea management

17 June 2021 | | ENTA - Rhinology / Sinus, ENTA - ENT, ENTA - Laryngology / Swallowing / Voice
Obstructive sleep apnoea remains an immensely challenging condition to treat. Many treatments have been used over the years, but no single management strategy has proven significantly better than the others. We hear about some technological innovations in the field of...