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Better conversations for children with Autism and peers for now and for their futures

There are around 700,000 people with diagnosed Autism Spectrum Disorder (ASD) in the UK, according to 2011 census figures. A key diagnostic feature in ASD are difficulties in social interactions and conversations, social-emotional responses and relationships. The authors of this...

Persistent dysphonia due to cricothyroid muscle dystonia – should we be requesting laryngeal EMGs for non-resolving ‘functional’ dysphonia?

This article is an interesting report of a case of persistent voice problems affecting a 43-year-old physician that significantly compromised her ability to converse and communicate at work. Specifically, she had a fluctuating voice quality that would ‘choke off’, combined...

Neurological idiopathic disease: a shared journey for NASA and medicine

Whilst Southampton can’t really be described as an extreme environment, experiments carried out in the city have certainly been taken out of this world. Robert Marchbanks discusses one of the associations between Southampton, The International Space Station and tympanic membrane...

Rapid Audiogram Interpretation: A Clinician’s Manual

This book is a manual and a workbook to systematically understand and interpret an audiogram for those who are new to audiometry such as residents, trainees and students. It is a worthy reference guide even to well-established practising clinicians. The...

Proliferative Verrucous Leukoplakia; which one is this one?

Oral leukoplakia has the potential for malignant change and it may frequently require histological analysis and a period of regular clinical observation. The majority of oral leukoplakia remains constant but there is a subset that progress to carcinoma. The authors...

Serum biomarkers for CRSwNP

This cross-sectional comparative study looked at 50 patients with nasal polyps who, at the time of diagnosis, also had a blood test evaluating serum total IgE, IL-17 and Pentraxin-3. The study assesses whether these blood markers are useful in the...

Review of pituitary tumour pathology

This is an excellent review article covering the pathology of pituitary adenomas (PA) as well as rare sellar lesions like lymphocytic hypophysitis that require aggressive treatment. The authors have preserved the 2017 World Health Organization (WHO) classification of PA and...

Algorithm for malignant otitis externa

Timely detection and effective management of this potentially fatal condition cannot be overemphasised. This study presents 16 cases over 12 months in a tertiary referral centre. Most patients had diabetes and others were immunocompromised due to radiotherapy, immunosuppressive medication or...

Lingual tonsils and obstrucive sleep apnoea syndrome (OSAS)

Obstructive sleep apnoea can be due to narrowing of the retrolingual space by hypertrophic lingual tonsils. The authors studied 11 patients (five males and six females with a mean age of 44.3 years and a mean BMI of 28.6). All...

Medical Speech-Language Pathology: A Practitioner’s Guide

Medical Speech-Language Pathology: A Practitioner’s Guide is an informative and comprehensive guide to differential diagnosis, assessment and management of communication and swallowing disorders in the medical setting, which includes consideration of adult patients from early diagnosis to end of life....

Extrapolating lessons from vestibular schwannoma management

This paper presents a delightfully simple and sensible hypothesis for the management of benign schwannomas in the head and neck region. They have taken the approach used for the management of vestibular schwannomas and used the same principles to assess...

Playing hide and seek with parathyroid glands

This article focuses on revision surgery with respect to parathyroid glands. Clearly the stakes are higher with respect to the patients’ risks, but also with respect to the revision surgeon in finding the offending gland in scar tissue, where someone...