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Accurately diagnosing reflux to direct personalised treatment
Laryngopharyngeal reflux (LPR) frequently causes severe extra-gastrointestinal symptoms – such as a persistent cough, vocal problems, asthma or difficulty swallowing – that can be easily confused with a common cold and allergies.Diabetes and hearing loss: a review
As hearing health professionals we often ask, especially in older patients, if they have diabetes; but what is the link? How is it manifested and should it change current practice? Alec Lapira reviews the changing evidence. Early attempts to establish...History of ESPO
Martin Bailey, Secretary-General of ESPO, narrates the story of a society which has promoted and supported the development of paediatric otolaryngology in Europe. In the early 1950s, pioneers in paediatric otorhinolaryngology became active in European countries such as Poland, Hungary,...
Visual distraction helps patients tolerate flexible laryngoscopy
With the arrival of flexible fibreoptic laryngoscope some 35 years ago, the examination of the laryngopharynx has become remarkably easier and saves immense time and costs since the days of mirror examination when this examination was not truly satisfactory in...
Evaluation of secondary otalgia
This Turkish prospective study of 200 patients looked at the pain characteristics of secondary otalgia related to temporomandibular disorders (TMD) and cervical region disorders (CRD), and how they can affect diagnostics. Patients were included if they were >18 years of...
Swallow this: management of dysphagia post-stroke
We know that between 50% and 80% of people who have had a stroke present with swallowing difficulties that may be associated with even a small lesion of the cortical or subcortical brain regions. This article provides an up-to-date overview...
Surgery plus radiotherapy keeps the helical keloid scar away
Keloid scars lead to significant psychological and cosmetic morbidity. As the pinna is a key component of facial cosmesis, pinna keloid scar formation can be aesthetically displeasing. Their stubbornness and high recurrence rate can be challenging to treat. This department,...Living with Usher syndrome
“Usher people often still have sharp, clear central vision. It is the corner of their eye that is missing. This is why the Usher person often does not feel or look blind. In the early days they may not even...Why is a Raven like a writing desk? Some reflections on countertenors and castrati
The countertenor voice has seen a resurgence in popularity in the last 50 years. Nicholas Clapton is one of the foremost performers and teachers of his generation, and he tells us here about the link between countertenors and the (fortunately...
Imaging Handbook on Anatomy of Cochlea
Imaging Handbook on Anatomy of Cochlea by Neeraj Suri is a specialised medical text that serves as a comprehensive guide for radiologists, otolaryngologists and cochlear implant surgeons in training. In the initial chapters, this book also provides a brief review...
Talking to the animals
People with communication difficulties have an increased risk of mood and anxiety disorders. This often means that speech and language therapists must actively engage in counselling as part of their intervention. It is not surprising, therefore, that the active components...
