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Does Tranexamic acid reduce intraoperative bleeding during FESS?

1 March 2019 | | Rhinology / Sinus | Tranexamic acid, endoscopic sinus surgery, meta-analysis, operative bleeding, operative time, systematic review
Intraoperative bleeding during FESS can reduce visibility and obscure important landmarks. This can result in longer operative times, increase risks of complications and even lead to incomplete surgery. Tranexamic acid is a drug which prevents fibrinolysis and stabilises blood clots....

Iatrogenic vocal fold paralysis – the time to recovery

1 January 2019 | | Voice/dysphonia, idiopathic paralysis, neurolaryngology, vocal fold paralysis
Iatrogenic vocal fold paralysis can result from stretching, compression or complete transection of recurrent laryngeal or vagus nerves. These injuries are a significant source of concern for patients and clinicians alike. The question is how long should we wait for...

KTP laser ablation for early glottic cancer

1 September 2018 | | Laryngeal cancer, early glottic cancer, laser, outcomes, radiation therapy
TLM for glottic carcinoma has historically been performed with a carbon dioxide (CO2) laser. A much smaller literature base has examined the use of potassium titanyl phosphate (KTP) laser in this context. This retrospective chart review aims to fill that...

Postoperative radiation in early stage oropharyngeal squamous cell cancer (OPSCC)

1 September 2018 | | Oropharyngeal carcinoma, T1N1, T2N0, adjuvant radiotherapy, postoperative radiotherapy, survival
There is significant variation in treatment strategies for OPSCC between units. This is largely due to unanswered questions which continue to exist beyond the published literature. We know that human papilloma virus status has a significant influence on prognosis but...

The newest robot from da Vinci – what can it offer for hypopharyngeal cancer surgery?

1 March 2018 | | da Vinci Sp, hypopharyngeal cancer, hypopharynx, transoral endoscopic head and neck surgery, transoral robotic surgery
The standard existing da Vinci surgical robot (the Si model) has been much maligned for not being optimally designed for transoral access and endoscopic manoeuvrability in head and neck surgery. This preclinical work from Holsinger and his team looks at...

Anaesthesia under fire

1 November 2019 | | ENT
Kate Prior is an anaesthetist who has, quite literally, been there, done that. In this article she manages to use words on a page to bring to life some of the conditions and challenges she faced as a member of...
The Laryngectomee Guide front cover image

The Laryngectomee Guide

27 February 2020 | | ENT, Laryngology / Swallowing / Voice
As a Macmillan Head and Neck Specialist Nurse, I was very pleased to be asked to review this book, The Laryngectomee Guide, by Itzhak Brook, MD. It is fair to say that for most laryngectomy patients, life does go on...

The ‘umbrella furling’ deflation technique for cuffed tracheostomy tube - a useful tip for an easier tracheostomy insertion

27 June 2022 | | ENT, Head and Neck, Laryngology / Swallowing / Voice
In this article, the authors describe a quick and effective technique to assist with the maximal deflation of a tracheostomy tube cuff prior to insertion, thus making the process easier with less chance of damage to the cuff and a...

Vocal cord dysfunction and dysfunctional breathing: an evolving clinical paradigm

1 September 2016 | | ENT, Laryngology / Swallowing / Voice
Patients frequently present to the ENT department with breathing difficulties. The entity of ‘vocal cord dysfunction’ (also known as paradoxical vocal cord movement, inducible laryngeal obstruction, and many other names) is increasingly well recognised. Ravi Thevasagayam gives us an overview....

The pioneers of endoscopy and the sword swallowers

3 March 2021 | | ENT, Laryngology / Swallowing / Voice
Adolf Kussmaul drew inspiration from an unlikely source to further the development of endoscopy… The early pioneers of airway endoscopy and oesophagoscopy were bedevilled by two major and seemingly insurmountable problems. One was the paucity of light sources, with reliance...

Retrieval of an aspirated voice prosthesis in the awake laryngectomised patient

3 March 2021 | | ENT, Laryngology / Swallowing / Voice
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...

Themistocles Gluck – the true father of laryngectomy

7 May 2021 | | Laryngology / Swallowing / Voice
Most head and neck surgeons and ENT-specialists may know that the first laryngectomy for cancer was performed by Billroth on 31 December 1873. Billroth´s assistant, Vincenz Czerny, had outlined the operation in experimental surgery on dogs in 1870. Three years...