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Neurosurgery Clinics journal cover

Peripheral nerve stimulation for chronic refractory pain

1 September 2019 | | Rhinology / Sinus | Chronic pain, Neurosurgery, Pain, Peripheral nerve stimulation
Peripheral nerve stimulation (PNS) plays an important role in treating chronic refractory pain syndromes that manifest in limited distributions and overlap with areas of neurologic innervation. The process is generally thought to capitalise on the inhibition and activation of pain-related...

Valsalva manoeuvre treatment of otitis media with effusion in adults

1 May 2019 | | Neurotology, Otology | Adult otitis media with effusion, Valsalva maneuver
Otitis media with effusion (OME) is common in children but has a low prevalence in adults. There is some evidence to advocate middle ear inflation as a successful treatment for children with OME. This form of treatment is also recommended...

Cochlear implantation in children with congenital long QT syndrome

1 March 2019 | | Audiology - Paediatric, Auditory Implants | Cochlear implantation, Congenital long QT syndrome, Jervell and Lange-Neilsen syndrome
Jervell and Lange-Neilsen syndrome is a condition where sensorineural deafness coincides with inherited abnormalities of the heart, resulting in prolonged ventricular repolarisation, frequently shown on an ECG with a prolonged QT interval. These children can present at implant centres for...

Evidence for diagnostic role of narrow band imaging in the outpatient setting for head and neck squamous cell carcinoma

1 November 2017 | | chronic laryngitis, dysplasia, endoscopy, head and neck cancer, narrow band imaging, premalignant lesions, squamous cell carcinoma
Narrow band imaging (NBI) uses light in the blue and green spectrum to differentiate areas of carcinoma from normal or inflammatory tissue. This tertiary referral head and neck unit in Spain used white light endoscopy as initial screening for all...

Long-term results of injection laryngoplasty with polydimethylsiloxane (Vox) for unilateral vocal fold paralysis

9 October 2017 | | Endoscopic injection laryngoplasty, Injection laryngoplasty, Polydimethylsiloxane, Speech therapy, Vocal fold paralysis
Polydimethylsiloxane (PDMS) is widely used for vocal cord injections to treat patients with a vocal cord palsy. It is commercially available as the Vox implant system. Alternative compounds that can be employed include hyaluronic acid and calcium hydroxyapatite (Radiesse Voice)....

RSM Laryngology & Rhinology: the year ahead

4 November 2022
As the president of the RSM’s Laryngology & Rhinology Section for the 2022-23 academic year, my aim is to centre the education programme around our trainees, with a real emphasis on inspiring the future generation of ENT surgeons.

Gender-affirming voice surgery

4 September 2023 | | ENT, Laryngology / Swallowing / Voice
Professor Ahmed Geneid is a laryngologist and phoniatrician at Helsinki University Hospital and a founding member of the International Association of TransVoice Surgeons. Here, he presents the intricacies and nuances of gender-affirming voice surgery after own hospital’s 30 years of...

An update on laryngeal reinnervation

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
Laryngeal paralysis remains very difficult to treat, but reinnervation offers many attractions. Laryngeal paralysis presents a unique and varied problem that requires a patient centred approach and a range of treatment options depending on laryngeal and patient factors. There is...

Vocal cord paralysis: an update

1 May 2018 | | ENT, Laryngology / Swallowing / Voice
The management of unilateral vocal cord paralysis has changed in the last few years: this has largely come about as a result of improvements in technology, meaning that medialisations are quicker and easier to perform than previously. This article will...

Simulation: human factors scenario training

1 January 2014 | | ENT
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...

Foreign object removal from the ear or nose

1 July 2014 | | ENT
The range of nasal and aural foreign bodies that present to accident and emergency (A&E) departments, emergency rooms and minor injury units is limited only by the imagination. Aetiology and epidemiology statistics point to patients being predominantly children in the...

A brief history of adenoidectomy - a glowing report of the post nasal space

12 November 2019 | | ENT
The traditional adenoid curette more closely resembles a medieval torture device than an instrument of cure. Therefore it is not much of a surprise to learn that it has changed little since its invention almost 150 years ago. During that...