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Management of infantile haemagiomas of the airway
This paper reviews the diagnosis and management of infantile haemagiomas (IH) affecting the airway. Approximately half of infants with this condition would also have cutaneous haemagiomas which are usually in the beard distribution. IH could affect any parts of the...
Does CPAP help diabetes?
This meta-analysis and review of the literature examines the long-held belief that CPAP treatment improves glucose levels in patients with OSA. As usual in these cases, thousands of articles were initially flagged up in the search with only six RCTs...
A time-saving method for faster cancer diagnosis and treatment
One of the main impediments in achieving UK Government cancer diagnosis and treatment targets is lack of diagnostic capacity. An increase in head and neck cancers by 50% in the last five years has put on additional strain. In this...
Can laryngeal sensitivity testing predict aspiration and pneumonia in dysphagic patients?
The laryngeal adductor reflex (LAR) is characterised by brief vocal cord closure in response to laryngeal stimulation. It is important in swallowing physiology as it represents a mechanism for airway protection. The authors of this study examined whether the absence...
Help or hinder: how and why do SLTs make clinical decisions around swallowing?
Dysphagia is a relatively common consequence of stroke, with estimates between 50% and 60% of people presenting with swallowing dysfunction following stroke. It is associated with pneumonia, malnutrition and dehydration which in turn lead to increased length of hospital admission,...
Suspect the unsuspecting in thyroid cancer
This article reminds readers of how often invasive thyroid disease can appear, as the symptomatology is minimal. Noticeable airway symptoms appear after 50% of the airway is involved and surgeons can often fall in the unsuspecting trap of discovering locally...
Is medical therapy without surgical treatment sufficient in treating peritonsillar abscess?
Standard treatment of peritonsillar abscess (PTA) has typically involved both medical therapy and surgical drainage either in the form of needle aspiration, or incision and drainage. However, is medical without surgical treatment sufficient? The authors suggest that medical therapy without...
Is it worth paying for group therapy?
Group therapy for post-stroke communication difficulties has been described in the research literature for more than 50 years and is generally considered an efficacious approach. Yet these authors express concern that the American Medicare system is less willing to fund...
We all need to support the human rights of people with communication difficulties
This article starts by reminding us of the Universal Declaration of Human Rights (United Nations, 1948) of which article 19 stated: ‘‘Everyone has the right to freedom of opinion and expression; this right includes freedom to hold opinions without interference...
Can the threshold for drain removal after selective lateral neck dissection be safely raised to an output volume of less than 100 mL in a 24-hour period?
Closed-suction drains are routinely used by most head and neck surgeons after selective lateral neck dissections (SLNDs). A recent survey of more than 360 head and neck surgeons found that more than 60% use a criterion of less than 30...
Long term morbidity of extended medial maxillectomy for inverted papilloma
This Italian review paper looks at five-year morbidity after extended endoscopic medial maxillectomy in 59 patients in a university teaching hospital setting. All patients underwent an extended approach medial maxillectomy for inverting papilloma, this included removal of the entire medial...
