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Clival chordoma recurrence
Chordomas are generally slow growing and are histologically considered low grade tumours. Their high recurrence rate even after postoperative radiation renders them difficult to treat. This is particularly true for clival chordomas whose deep anatomic location and proximity to vital...
Hearing protectors and speech perception
This study tested 31 subjects using hearing protectors by maintaining a constant intensity level for the speech signal while varying background noise levels. The goal was to use this test to detect speech perceptual abilities under different hearing protectors –...
Neck Rejuvenation
The May issue of this popular facial plastic journal is dedicated to detailed discussion of surgical and non-surgical procedures for rejuvenation of the neck. Following descriptions of relevant neck and face anatomy, techniques are discussed for neck and face rejuvenation....
Role of non-echo planar diffusion weighted magnetic resonance imaging in detection of cholesteatoma
Whilst the method of canal wall down and same-session reconstruction is emerging to be more popular, canal wall up procedures are still performed. In either, it is necessary to ensure eradication of cholesteatoma or detect its recurrence. The reliability of...
Sing it, say it, sort it: singing for Parkinson’s disease
Parkinson’s disease (PD) occurs in 1% of the population aged over 60. Changes in voice and speech are among the earliest and most prevalent symptoms of PD; reduced vocal intensity, monopitch, monoloudness, breathy and hoarse voice quality, imprecise articulation, vocal...
Your voice and your personality
Variations of vocal effort are a normal adaptation to difficult communication situations. However, persistence of these abnormal strategies can lead to various functional dysphonias. In this experiment, the authors tested 41 females aged 18-52. The subjects were asked to instruct...
Radiological diagnosis of mastoiditis in patients screened for acoustic neuroma
Magnetic resonance imaging is the ‘gold standard’ for screening patients suspected to have acoustic neuroma. Various abnormalities are picked up through this investigation, one of which, not uncommonly reported, is mastoiditis. This requires referral to otolaryngology and further evaluation. In...
Surgery for snoring
The prevalence of sleep-disordered breathing is rapidly increasing. There is variable evidence for surgical treatments for snoring currently. This Belgian study was a retrospective review of 84 patients who underwent surgery for snoring between May 2011 and December 2015. A...
Does pregabalin help with post-tonsillectomy pain?
This is a small double-blind randomised controlled trial conducted on tonsillectomy and lateral pharyngoplasty operations. Both of these operations are terrifically painful, and I am sure most of us are looking for a way of reducing the suffering for our...
SpeechEasy® for stuttering
In this article, the authors describe their experiences with an altered auditory feedback (AAF) device: SpeechEasy® during a random clinical trial. AAF has been reported in other laboratory studies to reduce stuttering events without influencing the rate, intensity or frequency...
Stimulation for a good night’s sleep
This article was an interesting read. It is an update from the authors’ original paper printed in the NEJM in 2014 regarding the results of an implantable pulse generator (IPG) for stimulating the hypoglossal nerve in response to respiration. This...
