Background Patients with severe-to-profound hearing loss may benefit from management cochlear implants. These patients need a referral to implant team for further assessment and possible surgery. The pathway result in varied access healthcare. This study aimed explore patterns whether there were any socioeconomic or ethnic associations the likelihood of referral. primary outcome was determine factors influencing assessment. secondary identify impacting healthcare professionals had discussed...

Middle ear optical coherence tomography (OCT) imaging in patients has not previously been directly compared with a standard of care clinical 3-dimensional technology, such as computed (CT). To qualitatively compare the capabilities middle OCT CT normal and pathological ears on representative slices coregistered datasets. This case series included 3 ears: 1 ear, affected by traumatic injury, cholesteatoma. The were imaged both high-resolution temporal bone CT. Participants drawn from patient...

Abstract Background Epistaxis can be life-threatening. Simple first aid management stem bleeding. This study compared knowledge of methods epistaxis between the general public and healthcare workers. Method A cross-sectional 100 workers 103 adult members was conducted at a large London teaching hospital. Respondents completed survey assessing on nasal pinching site, head tilt appropriate adjunct treatment use for epistaxis. Results Twenty-four per cent 68 with 25.2 37.9 answered correctly...

Healthcare contributes more than 1% of all domestic waste in the United Kingdom (UK), with operating theatre alone accounting for approximately 50% hospital waste. In November 2022, UK Surgical Royal Colleges issued an Intercollegiate Climate Emergency Declaration and called urgent action. We review production recyclability surgical instrument packaging used a common ear, nose throat procedure (thyroidectomy) suggest strategies to make this surgery sustainable,. These can be generalised...

A 67-year-old woman presented with a 1-week history of left otalgia and 1-day odynophagia, pain extending into the face neck, productive cough. Flexible nasendoscopy showed features supraglottitis, swollen arytenoids pooling saliva in piriform fossae. Laboratory investigations revealed mildly raised C reactive protein. CT scan neck supported diagnosis supraglottitis pharyngitis, thickening mucosa fossae oropharynx. Standard treatment was instigated, but on day 4 admission, vesicular rash...

Glandular fever, otherwise termed infectious mononucleosis, is a common cause of severe pharyngitis in adolescents and young adults. It associated with acute Epstein-Barr virus infection. recognised that the context glandular some antibiotics, notably ampicillin amoxicillin, may lead to severe, generalised rashes involve …

The purpose of this study was to determine the feasibility novel technique intra-cavitary saline-aided ultrasound (US) guided transoral biopsy or excision retropharyngeal nodes.We followed IDEAL 2a framework develop technique. Procedures were performed between July 2020 and 2022 at a tertiary head neck center.Five patients in total underwent an ultrasound-guided node. They seven procedures them: three robotic surgery (TORS) procedures, fine needle aspirations (FNA) and/or core one US...

A woman in her 50s had a 10-year history of right thyroid nodule and underwent regular ultrasound review for this period time. In the latest scan, it revealed 3 cm with suspicion malignancy (U4). She was referred to our hospital assessment. complained

Objectives To assess how otological surgery resumed following the UK’s first wave of COVID-19 pandemic and what challenges clinicians faced when operating. Design A multi-centre prospective audit elective emergency Participants 1130 cases from 79 hospital sites across UK (excluding Northern Ireland). Data was collected over three, 4-week periods 15th June to 6th September 2020. Main outcome measures Which operations were being performed in England, Scotland Wales? What use personal...

Importance: Middle ear OCT imaging in patients has not previously been directly compared to a standard of care clinical 3D technology such as CT. This represents the first comparison and provides new insight into OCT's capabilities, strengths limitations. Objective: To qualitatively compare capabilities middle CT normal pathological ears on representative slices co-registered datasets. Design, Setting, Participants: One ear, one affected by traumatic injury with cholesteatoma were imaged...

Objective Betahistine has not been proven to be superior placebo in the BEMED study, a multicenter, double-blind, randomized, controlled trial. Our study aimed establish prescribing practices of clinicians England relation betahistine and assess if there any change since publication Study Design Retrospective clinician survey. Patients All patients who were prescribed from primary care. Main Outcome Measure Total quantity total actual cost. Results The average monthly was 11,143,253 tablets...

Abstract Background Excessive flexion of the neck and upper back from severe kyphosis thoracic spine may limit treatment options for head cancer (HNC). Methods We describe an innovative approach to transoral robotic surgery (TORS) in a patient with oropharyngeal squamous cell carcinoma (OPSCC) who was unsuitable definitive radiotherapy. Results Detailed discussion management pathway, perioperative considerations, surgical challenges is presented. TORS lateral oropharyngectomy successfully...

A 14-month-old girl initially presented to the Accident and Emergency (A&E) department following a choking episode subsequent vomiting. The child left before being seen but re-presented morning with stridor, drooling, increased work of breathing. chest lateral neck soft tissue X-ray performed in A&E revealed an ingested button battery oesophagus. oesophagoscopy was 22 mm removed from oesophagus at level cricopharyngeus muscle, no immediate complications. Following extubation, patient...

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Abstract Aim In November 2022, the three UK Surgical Royal Colleges had issued an Intercollegiate Climate Emergency Declaration acknowledging that “climate change and anthropogenic environmental degradation pose a major threat to both human health planetary health”. We reviewed waste production recyclability of surgical instrument packaging used in common ENT procedure (thyroidectomy) suggest strategies improve make surgery more sustainable. Method prospectively audited from 20...

To assess compliance with guidance produced by the UK body representing all ENT Surgeons (ENT UK) and British Society of Otology (BSO) on restarting otological surgery after first wave COVID-19 pandemic. Safety was assessed recording surgical complica- tions transmission SARS-CoV-2 during this period.