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What can we tell about swallow physiology from a bedside clinical assessment?

1 September 2016 | | Clinical, Deglutition, Deglutition disorders, Examination, Physiology
Knowledge about swallowing physiology has greatly increased with the use of instrumental assessments such as videofluoroscopy (VFS). The authors of this paper performed an analysis of data obtained from 60 stroke patients who were assessed via a clinical swallow examination...

Cochlear implantation in SSD

1 July 2016 |
There are currently several trials for cochlear implantation (CI) in single-sided deafness (SSD) being undertaken to answer some of the questions this paper from New York raises. Who is best suited to receive one? What are their outcomes and how...

Salivary gland blues…

1 March 2016 |
Intravenous methylene blue is a well-described method to assist in intraoperative localisation of parathyroid glands. The technique does come with challenges as anybody will know who has had to run adjacent to a theatre-bound trolley to ensure that the infusion...

Smaller gauge voice prosthesis is effective in secondary trans-oesophageal puncture

1 November 2015 |
Placement of voice prosthesis at the time of trachea-oesophageal puncture is well described using 20-French prostheses. There is debate about the optimal size of the prosthesis with work in the 1980s and 1990s supporting larger prostheses. The rationale was that...

The multidisciplinary voice clinic

30 April 2020 | | ENT, Laryngology / Swallowing / Voice
In his inimitable way, Nick Gibbins tells us why the voice clinic is the highlight of his week – and his very own field of dreams. The voice clinic has come a long way in the last 40 years. The...

New ventilation technique FCV: improvement for patient, anaesthetist/intensivist and surgeon

1 September 2020 | | ENT, Laryngology / Swallowing / Voice
Per-oral surgical access to the larynx can be hampered by the presence of an endotracheal tube. Various systems have been developed for tubeless ventilation, but these all carry a risk of aerosolisation of secretions with obvious inherent risks. We hear...

The Surgical Skills Centre in BACO 2018: pride of place

1 January 2018 | | ENT
Simulation in medical training is gaining prominence with every passing year, and BACO will have a large space showcasing this area. We hear from the organisers. In recognition of the developing importance of simulation in surgical training, BACO 2018 has...

Ear wax: the good, the bad, and the ugly

2 March 2022 | | Audiology - Adult, Otology
With ear wax removal being a core part of ENT and audiology services, Seth Schwartz gives us his dos and don’ts. We have all seen cartoons where a character pulls enough wax out of their ears to make a candle....

Changing the face of global health: short-term surgical trips

8 October 2020 |
With the growth of global health awareness, global surgery has emerged as a key focus area. This article examines short-term surgical trips (STSTs) as one of the ways used to address some of the gaps in global surgery. It demonstrates...

In this issue...Inner Ear Therapeutics

2 September 2022 |
Emma Stapleton, MBChB, FRCS (ORL-HNS), Consultant Otolaryngologist, Cochlear Implant and Skull Base Surgeon, Manchester Royal Infirmary, UK. E: emmastapleton@doctors.org.ukTwitter: @otolaryngolofox Ralph Holme, Director of Research and Insight, RNID, UK. Ralph. E: Holme@rnid.org.uk W: www.rnid.org.uk For Mar/Apr 2022, we sang the...

Celebrating deaf identity through art: the ‘Hearing Care for ALL’ Virtual Gallery Project

4 September 2023 | | Audiology - Adult
Dr Dalia Tsimpida tells us about the art initiative she created in the midst of the pandemic to promote ear and hearing care, and celebrate the vibrant and diverse world of deaf identity. In the face of the COVID-19 pandemic,...

Developing medical devices for children: opportunities and challenges

1 March 2014 | | ENT, Paediatric ENT
The development of medical devices for infants and children lags significantly behind the development of devices for adults. While in the United States the Food and Drug Administration (FDA) has set up incentives for developing child age-specific pharmaceuticals, there is...