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Choosing instrumental assessments of swallowing for children
Swallowing disorders in children are increasingly common due to advances in medical care allowing them to survive prematurity or complex health conditions. Careful assessment of eating and drinking is necessary to ensure that children are managed both safely and with...Mindfulness meditation: how personal experience of managing severe pain contributes to understanding tinnitus management
In this interesting article the author describes the potential benefit of mindfulness in the management of tinnitus, using a case report to illustrate this.This may well be an additional direction we can suggest for our patients. Mindfulness is a word...
Dysplasia at the margins of laryngeal cancer specimens following laser resection – is conservative management appropriate?
Transoral laser microsurgery (TOLM) remains the cornerstone of treatment for early laryngeal squamous cell carcinomas. Whilst the hope is always to achieve a complete surgical excision with clear margins, it is sometimes the case that on histological analysis, disease is...A brief history of adenoidectomy - a glowing report of the post nasal space
The traditional adenoid curette more closely resembles a medieval torture device than an instrument of cure. Therefore it is not much of a surprise to learn that it has changed little since its invention almost 150 years ago. During that...
Canal wall down with obliteration of cavity for paediatric cholesteatoma
The authors present evidence that canal wall down (CWD) surgery with primary obliteration is an effective way to treat paediatric cholesteatoma. Fifty-eight ears were operated on and follow-up was for five years on average. Residual cholesteatoma rate was 9.9% with...Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging
Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....
Who finds it hard to swallow?
Early identification of dysphagia in inpatients on acute stroke wards has been recommended as best practice guidelines in many countries. However, several institutions fail to use formal dysphagia screening protocols and rely on informal detection by nurses and doctors. This...Skull bone reconstruction using 3D-printed titanium implant
ENT surgeons’ role in advanced skull base resection and reconstruction continues to grow; this article explores how 3D printing aids planning and repair of complex defects. The integrity of the craniofacial skeleton is essential for both functional and aesthetic reasons....
Adult Audiology Casebook (2021)
Diagnostic audiology is one of my passions so, naturally, the title of this book was an attractive proposition for the clinician in me – and I wasn’t disappointed! It is seldom that you will learn so much in both the...Otology training in low- and middle-income countries: a view from within
It is recognised that hearing loss and ear disease are far more common in less affluent parts of the world, and that those countries are often least able to provide treatment; so how can we prioritise care for these patients?...
Octreotide in the medical management of chyle fistula post neck dissection
Chyle leak, although rare (1% and 2.5%), is a well-documented complication following surgical dissection of the neck. Although the left side of the neck is the most common site, chyle fistulas have been reported in the right side of the...
