Full Text Journal Articles by
Author Neil Tolley

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Emergency airway training: "Who are you going to FONA?"

Sanjana Bhalla, Issa Beegun, Chris Hogan, Zaid Awad, Neil Tolley,

OBJECTIVES:To demonstrate face and content validity of a home-made simulation model as a training tool for front of neck access (FONA) procedures. DESIGN:This was a prospective evaluation study, in which experienced otolaryngologists and trainees were recruited to complete 3 tasks using our FONA model. SETTING:The study was completed during regular ... Read more >>

Clin Otolaryngol (Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery)
[2020, :]

Cited: 0 times

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Cost-effectiveness of fiberoptic laryngoscopy prior to total thyroidectomy for low-risk thyroid cancer patients.

Evan Walgama, Gregory W Randolph, Carol Lewis, Neil Tolley, Wendy Sacks, Yufei Chen, Allen S Ho,

BACKGROUND:Flexible fiberoptic laryngoscopy is performed prior to thyroid surgery to evaluate the function of the recurrent laryngeal nerve. We assess the cost-effectiveness of preoperative laryngoscopy prior to total thyroidectomy for a low-risk thyroid cancer patient without dysphonia. METHODS:A decision tree analysis was performed from a third-party payer perspective. We assessed ... Read more >>

Head Neck (Head & neck)
[2020, :]

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COVIDTrach; the outcomes of mechanically ventilated COVID-19 patients undergoing tracheostomy in the UK: Interim Report 22nd May 2020

, Nick JI Hamilton,

COVIDTrach is a UK multidisciplinary collaborative project that aims to evaluate the outcomes of tracheostomy in COVID-19 patients. It also examines the implementation of national guidance in COVID-19 tracheostomies and the incidence of COVID-19 infections amongst those health care workers involved in the procedure. An invitation to participate in ... Read more >>

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Tracheostomy in the COVID-19 era: global and multidisciplinary guidance.

Brendan A McGrath, Michael J Brenner, Stephen J Warrillow, Vinciya Pandian, Asit Arora, Tanis S Cameron, José Manuel Añon, Gonzalo Hernández Martínez, Robert D Truog, Susan D Block, Grace C Y Lui, Christine McDonald, Christopher H Rassekh, Joshua Atkins, Li Qiang, Sébastien Vergez, Pavel Dulguerov, Johannes Zenk, Massimo Antonelli, Paolo Pelosi, Brian K Walsh, Erin Ward, You Shang, Stefano Gasparini, Abele Donati, Mervyn Singer, Peter J M Openshaw, Neil Tolley, Howard Markel, David J Feller-Kopman,

Global health care is experiencing an unprecedented surge in the number of critically ill patients who require mechanical ventilation due to the COVID-19 pandemic. The requirement for relatively long periods of ventilation in those who survive means that many are considered for tracheostomy to free patients from ventilatory support and ... Read more >>

Lancet Respir Med (The Lancet. Respiratory medicine)
[2020, 8(7):717-725]

Cited: 7 times

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Cochlear Implant Reliability: On the Reporting of Rates of Revision Surgery.

Graham O'Neill, Neil S Tolley,

The aim of this study was to determine the magnitude of the risks associated with cochlear implantation. Results from a pool of thirty clinical studies involving cochlear implantation in over 6300 children were obtained from an internet search. The relevant data were transformed to a common time base (patient time) ... Read more >>

Indian J Otolaryngol Head Neck Surg (Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India)
[2020, 72(2):257-266]

Cited: 1 time

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Cochlear Implant Reliability: Reporting of Device Failures.

Graham O'Neill, Neil S Tolley,

The aim of this study was to investigate the adequacy of the reporting of cochlear implant device failures. Data from a parallel study involving over 6300 children [1] was used to calculate the instantaneous failure rate for explantations. We found that this is comparable to what manufacturers term 'Cumulative Failure ... Read more >>

Indian J Otolaryngol Head Neck Surg (Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India)
[2020, 72(3):326-328]

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Assessing Changes in Airflow and Energy Loss in a Progressive Tracheal Compression Before and After Surgical Correction.

Qiwei Xiao, Raul Cetto, Denis J Doorly, Alister J Bates, Jan N Rose, Charlotte McIntyre, Andrew Comerford, Gitta Madani, Neil S Tolley, Robert Schroter,

The energy needed to drive airflow through the trachea normally constitutes a minor component of the work of breathing. However, with progressive tracheal compression, patient subjective symptoms can include severe breathing difficulties. Many patients suffer multiple respiratory co-morbidities and so it is important to assess compression effects when evaluating the ... Read more >>

Ann Biomed Eng (Annals of biomedical engineering)
[2020, 48(2):822-833]

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Specialty Showcase Days: Can Specialist Careers Workshops Improve The Consideration Of ENT For Medical Students?

James Arwyn-Jones, Sanjana Bhalla, Vikas Acharya, Issa Beegun, Zaid Awad, Neil Tolley,

Objective:We hypothesize that poor consideration of specialist surgery is due to a lack of exposure to information about careers and practice itself. Ear, Nose, and Throat (ENT) surgery is given little weight in medical school curricula, despite ENT problems being extremely common. Our objective is to assess whether a specialty ... Read more >>

Adv Med Educ Pract (Advances in medical education and practice)
[2019, 10:877-884]

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The complexities of nasal airflow: theory and practice.

Graham O'Neill, Neil Samuel Tolley,

The objective of this study was to investigate the effects of nasal valve area, valve stiffness, and turbinate region cross-sectional area on airflow rate, nasal resistance, flow limitation, and inspiratory "hysteresis" by the use of a mathematical model of nasal airflow. The model of O'Neill and Tolley (Clin Otolaryngol Allied ... Read more >>

J. Appl. Physiol. (Journal of applied physiology (Bethesda, Md. : 1985))
[2019, 127(5):1215-1223]

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Autofluorescence in Parathyroidectomy: Signal Intensity Correlates with Serum Calcium and Parathyroid Hormone but Routine Clinical Use is Not Justified.

Aimee DiMarco, Ravi Chotalia, Ruth Bloxham, Charlotte McIntyre, Neil Tolley, F Fausto Palazzo,

BACKGROUND:The inability to identify the pathological gland at surgery results in failure to cure hyperparathyroidism in 2-5%. The poorly understood characteristic of parathyroid tissue to manifest autofluorescence (AF) under near-infrared (NIR) light has been promoted as an intraoperative adjunct in parathyroid surgery. This study sought to explore potential clinical correlates ... Read more >>

World J Surg (World journal of surgery)
[2019, 43(6):1532-1537]

Cited: 2 times

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TORS for OSA: a practice, pitfalls and literature review.

Amro Hassaan, Aaron Trinidade, Bhik Kotecha, Neil Tolley,

PURPOSE:Trans-oral robotic surgery (TORS) is increasingly employed in obstructive sleep apnoea (OSA) management. Objective outcomes are generally assessed through polysomnography. Pre-operative magnetic resonance imaging (MRI) can be a useful adjunct in objective upper airway assessment, in particular the tongue base, providing useful information for surgical planning and outcome assessment, though ... Read more >>

Int J Health Care Qual Assur (International journal of health care quality assurance)
[2019, 32(2):488-498]

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Seventeen Cases of Primary Hyperparathyroidism in Pregnancy: A Call for Management Guidelines.

Aimee Natasha DiMarco, Karim Meeran, Ioannis Christakis, Vinpreet Sodhi, Catherine Nelson-Piercy, Neil Samuel Tolley, Francesco Fausto Palazzo,

Context:The risks of primary hyperparathyroidism (pHPT) to pregnant women and their fetuses appear to increase commensurate with serum calcium levels. The management strategy for pHPT must be adapted in pregnancy and should reflect the severity of hypercalcemia. However, no guidelines exist to assist clinicians. Methods:The experience of a high-volume multidisciplinary ... Read more >>

J Endocr Soc (Journal of the Endocrine Society)
[2019, 3(5):1009-1021]

Cited: 2 times

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An Investigation of Reliability of the Sunderland Tracheosophageal Voice Perceptual Scale.

Margaret M Coffey, Neil Tolley, David Howard, Mary Hickson,

BACKGROUND:The Sunderland Tracheosophageal Voice Perceptual scale (SToPS) is the only perceptual rating scale designed specifically for tracheosophageal voice [Hurren et al.: Clin Otolaryngol. 2009 Dec; 34(6): 533-8]. OBJECTIVE:To investigate the inter rater reliability of the SToPS when analyzing alaryngeal voice. METHODS:Prospective evaluation of inter rater reliability of the SToPS based ... Read more >>

Folia Phoniatr Logop (Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP))
[2019, 71(1):16-23]

Cited: 0 times

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International neuromonitoring study group guidelines 2018: Part II: Optimal recurrent laryngeal nerve management for invasive thyroid cancer-incorporation of surgical, laryngeal, and neural electrophysiologic data.

Che-Wei Wu, Gianlorenzo Dionigi, Marcin Barczynski, Feng-Yu Chiang, Henning Dralle, Rick Schneider, Zaid Al-Quaryshi, Peter Angelos, Katrin Brauckhoff, Jennifer A Brooks, Claudio R Cernea, John Chaplin, Amy Y Chen, Louise Davies, Gill R Diercks, Quan Yang Duh, Christopher Fundakowski, Peter E Goretzki, Nathan W Hales, Dana Hartl, Dipti Kamani, Emad Kandil, Natalia Kyriazidis, Whitney Liddy, Akira Miyauchi, Lisa Orloff, Jeff C Rastatter, Joseph Scharpf, Jonathan Serpell, Jennifer J Shin, Catherine F Sinclair, Brendan C Stack, Neil S Tolley, Sam Van Slycke, Samuel K Snyder, Mark L Urken, Erivelto Volpi, Ian Witterick, Richard J Wong, Gayle Woodson, Mark Zafereo, Gregory W Randolph,

The purpose of this publication was to inform surgeons as to the modern state-of-the-art evidence-based guidelines for management of the recurrent laryngeal nerve invaded by malignancy through blending the domains of 1) surgical intraoperative information, 2) preoperative glottic function, and 3) intraoperative real-time electrophysiologic information. These guidelines generated by the ... Read more >>

Laryngoscope (The Laryngoscope)
[2018, 128 Suppl 3:S18-S27]

Cited: 3 times

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International neural monitoring study group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal.

Rick Schneider, Gregory W Randolph, Gianlorenzo Dionigi, Che-Wei Wu, Marcin Barczynski, Feng-Yu Chiang, Zaid Al-Quaryshi, Peter Angelos, Katrin Brauckhoff, Claudio R Cernea, John Chaplin, Jonathan Cheetham, Louise Davies, Peter E Goretzki, Dana Hartl, Dipti Kamani, Emad Kandil, Natalia Kyriazidis, Whitney Liddy, Lisa Orloff, Joseph Scharpf, Jonathan Serpell, Jennifer J Shin, Catherine F Sinclair, Michael C Singer, Samuel K Snyder, Neil S Tolley, Sam Van Slycke, Erivelto Volpi, Ian Witterick, Richard J Wong, Gayle Woodson, Mark Zafereo, Henning Dralle,

This publication offers modern, state-of-the-art International Neural Monitoring Study Group (INMSG) guidelines based on a detailed review of the recent monitoring literature. The guidelines outline evidence-based definitions of adverse electrophysiologic events, especially loss of signal, and their incorporation in surgical strategy. These recommendations are designed to reduce technique variations, enhance ... Read more >>

Laryngoscope (The Laryngoscope)
[2018, 128 Suppl 3:S1-S17]

Cited: 4 times

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Robotics in otorhinolaryngology - head and neck surgery.

George Garas, Neil Tolley,

A look at the past, present and future. ... Read more >>

Ann R Coll Surg Engl (Annals of the Royal College of Surgeons of England)
[2018, 100(Suppl 7):34-41]

Cited: 0 times

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Evaluating the effect of different voice prostheses on alaryngeal voice quality.

Margaret M Coffey, Neil Tolley, David Howard, Mary Hickson,

OBJECTIVE:To investigate the difference between voice prostheses in terms of voice quality as experienced by patients and as judged by expert raters. METHODS:Subjects had up to six voice prostheses placed in a random order. A voice sample was elicited for each patient on each prosthesis. Auditory perceptual voice analysis of ... Read more >>

Laryngoscope (The Laryngoscope)
[2018, 128(11):2460-2466]

Cited: 0 times

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AHNS Series: Do you know your guidelines? Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons.

Brendan C Stack, Neil S Tolley, Twyla B Bartel, John P Bilezikian, Donald Bodenner, Pauline Camacho, Jeremy P D T Cox, Henning Dralle, James E Jackson, John C Morris, Lisa Ann Orloff, Fausto Palazzo, John A Ridge, David Scott-Coombes, David L Steward, David J Terris, Geoffrey Thompson, Gregory W Randolph,

BACKGROUND:Revision parathyroid is challenging due to possible diagnostic uncertainty as well as the technical challenges it can present. METHODS:A multidisciplinary panel of distinguished experts from the American Head and Neck Society (AHNS) Endocrine Section, the British Association of Endocrine and Thyroid Surgeons (BAETS), and other invited experts have reviewed this ... Read more >>

Head Neck (Head & neck)
[2018, 40(8):1617-1629]

Cited: 1 time

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Robotic Parathyroid Surgery: Current Perspectives and Future Considerations.

Asit Arora, George Garas, Neil Tolley,

Robotic parathyroidectomy represents a novel surgical approach in the treatment of primary hyperparathyroidism when the parathyroid adenoma has been pre-operatively localised. It represents the "fourth generation" in the evolution of parathyroid surgery following a process of surgical evolution from cervicotomy and 4-gland exploration to a variety of minimally invasive, open ... Read more >>

ORL J. Otorhinolaryngol. Relat. Spec. (ORL; journal for oto-rhino-laryngology and its related specialties)
[2018, 80(3-4):195-203]

Cited: 2 times

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Robotic Thyroid Surgery: Current Perspectives and Future Considerations.

Patrick Aidan, Asit Arora, Balazs Lorincz, Neil Tolley, George Garas,

Robotic transaxillary thyroidectomy, pioneered in South Korea, is firmly established throughout the Far East but remains controversial in Western practice. This relates to important population differences (anthropometry and culture) compounded by the smaller mean size of thyroid nodules operated on in South Korea due to a national thyroid cancer screening ... Read more >>

ORL J. Otorhinolaryngol. Relat. Spec. (ORL; journal for oto-rhino-laryngology and its related specialties)
[2018, 80(3-4):186-194]

Cited: 3 times

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Double Blind Study Investigating the Effect of Different Voice Prostheses on Ease of Swallowing and Residue Post Laryngectomy.

Margaret M Coffey, Neil Tolley, David Howard, Mary Hickson,

Voice prostheses have been examined for their effect on voice production but there is little datum on their effect on swallow function. This study investigated the difference between six commonly available voice prostheses in terms of swallowing. Laryngectomy patients had up to six voice prostheses placed in a random order ... Read more >>

Dysphagia (Dysphagia)
[2018, 33(5):616-626]

Cited: 0 times

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An Investigation of the Post-laryngectomy Swallow Using Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing (FEES).

Margaret M Coffey, Neil Tolley, David Howard, Michael Drinnan, Mary Hickson,

This study investigates the post-laryngectomy swallow. Presence and degree of residue on the post-laryngectomy swallow as observed on videofluoroscopy and FEES is described. In addition, videofluoroscopy and FEES are assessed for reliability and inter-instrument agreement. 30 laryngectomy subjects underwent dysphagia evaluation using simultaneous videofluoroscopy and FEES. These were reviewed post-examination ... Read more >>

Dysphagia (Dysphagia)
[2018, 33(3):369-379]

Cited: 1 time

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Quality of life in differentiated thyroid cancer.

Charlotte McIntyre, Thomas Jacques, Fausto Palazzo, Kate Farnell, Neil Tolley,

The incidence of thyroid cancer has increased significantly over the last ten years and conversely the mortality has decreased. With 85% of patients with thyroid cancer surviving for ten years or longer it is increasingly important to study the quality of life in these patients and identify which aspects of ... Read more >>

Int J Surg (International journal of surgery (London, England))
[2018, 50:133-136]

Cited: 0 times

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Redefining the stress cortisol response to surgery.

Bernard Khoo, Piers R Boshier, Alexander Freethy, George Tharakan, Samerah Saeed, Neil Hill, Emma L Williams, Krishna Moorthy, Neil Tolley, Long R Jiao, Duncan Spalding, Fausto Palazzo, Karim Meeran, Tricia Tan,

Cortisol levels rise with the physiological stress of surgery. Previous studies have used older, less-specific assays, have not differentiated by severity or only studied procedures of a defined type. The aim of this study was to examine this phenomenon in surgeries of varying severity using a widely used cortisol immunoassay.Euadrenal ... Read more >>

Clin. Endocrinol. (Oxf) (Clinical endocrinology)
[2017, 87(5):451-458]

Cited: 8 times

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Is transoral robotic surgery a safe and effective multilevel treatment for obstructive sleep apnoea in obese patients following failure of conventional treatment(s)?

George Garas, Anthousa Kythreotou, Christos Georgalas, Asit Arora, Bhik Kotecha, Floyd C Holsinger, David G Grant, Neil Tolley,

A best evidence topic was written according to a structured protocol. The question addressed was whether TransOral Robotic Surgery (TORS) is a safe and effective multilevel treatment for Obstructive Sleep Apnoea (OSA) in obese patients following failure of conventional treatment(s). A total of 39 papers were identified using the reported ... Read more >>

Ann Med Surg (Lond) (Annals of Medicine and Surgery)
[2017, 19:55-61]

Cited: 3 times

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