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Predicting swallowing outcomes post radiotherapy for head and neck cancer

A videofluroscopic swallow study (VFSS), also known as modified barium swallow (MBS) offers a dynamic view of swallow biomechanics and associated swallowing physiology. The authors of this paper investigated whether quantitative timing and displacement measures of key structures involved in...

Pretend placements: simulation is as good as the real thing

Clinical placements are now, more than ever during the COVID-19 pandemic, a huge time and personnel commitment. Recently, allied health students have had huge changes to their placements, often undertaking them entirely remotely. This article describes a novel method of...

Adenotonsillectomy day-case discharge criteria: a systematic review

In this paper, Gowda et al review the literature aiming to answer a long-standing question regarding the criteria for same-day discharge of paediatric patients post adenoidectomy and/or tonsillectomy performed for treatment of obstructive sleep apnoea (OSA). Following PRISMA consensus, they...

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...

Does speech and language therapy provide value for money?

Within the NHS (and outside it), managers, commissioners and consumers will consider value for money as a key component in making a decision about whether to pay for speech and language therapy (or any other service for that matter). Yet...

Cochlear implantation in enlarged vestibular aqueduct patients

In this systematic review, the authors describe the complications and outcomes of cochlear implantation in patients with enlarged vestibular aqueduct (EVA). The authors reviewed five major databases and included 4035 patients from 34 studies. Of these, 853 patients (21.14%) had...

Therapeutic alliance: more than the ‘nice person’ effect

Therapeutic relationship is considered a key component of many healthcare interventions, including speech and language therapy. Yet definitions and descriptions of what this concept comprises are ambiguous and sparse. This scoping review used the Joanna Briggs Institute guidelines to guide...

How to tell if a bone anchored hearing device is working?

Bone anchored hearing aids are becoming increasingly more commonplace with more than 120,000 users worldwide. These devices are based on the principle of direct bone conduction, where sound is transmitted directly through the skull via a titanium implant to the...

Circular economy approach to reducing your carbon footprint in your ENT operating room

Although our operating rooms consume significant resources, some simple changes can have considerable impact in reducing greenhouse gas emissions. Here are 10 such simple things we can do. Waste is one of the largest contributors to a hospital’s carbon footprint,...

Commentary: dementia, hearing loss, and the danger of professional rabbit holes

The Lancet, a world-leading general medical journal, has a global impact. Its commissioned report into dementia prevention, intervention and care has been cited over 6000 times and has further been reviewed and updated in 2020 and now 2024. Here, Profs...

In conversation with Chrysa Spyridakou, Robert Nash, Emma Clement, Nish Mehta and Anne GM Schilder

Jaclyn Tan interviews members of the London-based multidisciplinary hearing team, about their insights to auditory neuropathy spectrum disorder, and their vision for the future management of this challenging range of conditions. Auditory neuropathy spectrum disorder (ANSD) describes a wide range...

Maxillofacial and neck surgery in Iraq and Afghanistan

Introduction Over the past 150 years, military personnel wounded in action had a survival rate of approximately 80% [1]. During the current conflicts in Iraq and Afghanistan, those servicemen wounded in action have a 90.4% survival rate [2]. During the...