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Audiology in this issue... Paediatric Audiology Gamechangers (NovDec18)
Fifty years ago, the National Conference on Education of the Deaf followed up on the Babbidge Report of 1965, recognising the failure of oralism in deaf education. Because young, deaf children at that time did not have access to sound, they could not develop speech and language. Further, because children were identified at two years or later, early intervention was only a dream.
The lateral neck cystic mass – diagnostic dilemma. Can HPV status help?
Solitary cystic masses in the lateral neck can present a significant diagnostic dilemma as they can be metastases from tumours of the oro or nasopharynx. This retrospective paper detailed all patients presenting to a university hospital in Germany, from September...
Beware of GPA as a cause of subglottic stenosis
Up to 92% of patients with granulomatosis with polyangiitis (GPA) have concurrent ENT manifestations of the disease. Whilst we are familiar with sinonasal and middle ear presentations of GPA, subglottic stenosis (SGS) is another important and potentially life threatening manifestation....
Concussion and isolated mandible fractures – are we asking the right questions?
Concussion and isolated mandible fractures – are we asking the right questions? The mandible is one of the most commonly fractured craniofacial bones. A significant force is required to bring this about. Hence the authors hypothesised that concussion after a...
CRS vs. migraine: which is the culprit in most headaches?
‘Sinus headache’ is a common diagnosis according to patients and primary care physicians, but relatively infrequent in the eyes of otolaryngologists. This study examines 104 patients with a primary headache syndrome (PHS) and 130 patients with CRS, looking at SNOT-22...
Variations in obstructive level with increasing depth of sedation in DISE
This study highlights some of the controversies surrounding DISE (Drug Induced Sedation Endoscopy, or otherwise known as sleep nasendoscopy in the UK). On one hand it provides some evidence that the BIS (BiSpectral Index), recordings of patients while they are...Innovation in medical product technologies
There is a point in all innovation projects where the clinician has exhausted their knowledge and needs expert help to create a prototype. Mark Prince, Design Engineer, discusses this phase of the project and how engineers’ analytical thinking brings a...
Humour to improve clinician - patient interactions
This study examined the role of humour employed by the speech language graduate student during their one-on-one therapy sessions with people with aphasia (PWA). The students used humour to soften the errors made by the clients; to equalise interactional power;...The modern management of Ménière's disease
In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...
