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Endolymphatic duct, a bit more than what meets the eye

It is theorised that the endolymphatic duct (ED) and the endolymphatic sac (ES) system play a role in both the production and absorption of endolymph. This system could be responsible for development of endolymphatic hydrops (EH). Recently, the presence of...

Should we leave a reconstructed auricle exposed?

Microtia results in psychological and functional morbidity and total auricle reconstruction offers the affected individual a more cosmetically pleasing ear. The art of dressing postoperatively can be heterogenous between surgeons. This single-centre retrospective study based in China compared complication rate...

Quinsy and culture

Peritonsillar abscesses are frequently encountered in clinical practice. Standard treatment includes empirical medical treatment and drainage. This study aimed at evaluating the value of culture and sensitivity testing of the aspirate in guiding antibiotic treatment. Patients received empirically amoxycillin, amoxycillin...

One-stage laryngotracheal reconstruction in young infants

Airway inadequacy is a significant problem in young infants and may go undetected until inflammatory conditions trigger acute episodes, some of which require a tracheostomy. In addition to breathing difficulties, feeding problems are also common. This study involves 11 children...

Congenitally anosmic patients do have fewer olfactory foramina

It has been previously established that patients with Kallman’s syndrome (very much associated with anosmia) have a similar number of cribriform plate foramina when compared to controls. As non-invasive CT assessment of the cribriform plate is now possible in cadavers,...

Endolymphatic pressure disturbances precede endolymphatic hydrops on MRI in definitive Ménière’s disease

The diagnosis of Ménière’s disease is clinical, and the authors tried to verify if endolymphatic hydrops (EH) could be demonstrated on MRI. In this prospective study, they analysed 3D3T FLAIR MRI images of 32 ears with definitive Ménière’s disease (DMD)...

Say what you don’t mean: cognitive difficulties in Parkinson’s can worsen intelligibility

Hypokinetic dysarthria, seen in 70–90% of people with Parkinson’s, causes reduced range of movement during speech production, reduced volume, rate, pitch and intelligibility. This study aimed to explore the role of higher cognitive function in speech production by asking 20...

Hot off the press: new clinically relevant research methodologies for speech and language therapy

Interpretive Description (ID) is a qualitative research framework developed to address the limitations in other qualitative methods that are not epistemologically able to take applied fields, such as clinical professions, into consideration. This framework, often described as a method, has...

Let’s talk brains: review of care pathways for communication management post brain tumour

One in five people with a brain tumour have speech and language difficulties such as aphasia – a language impairment that can result in difficulties using and understanding words and sentences and participating in conversations. This paper describes a scoping...

Temporal bone fractures in children – are we doing enough?

This is a retrospective study which assessed clinical presentation and prognosis in 91 children under the age of 18 who developed temporal bone fractures from trauma, the commonest of which was falls from heights followed by motor vehicle accident. The...

The doctor – pharmaceutical company relationship

‘Which drug rep is taking us out tonight?’ We have heard this phrase uttered at conferences since meetings began, but as Dylan said ‘those times they are a changing’ thanks to the Association of the British Pharmaceutical Industry (ABPI) and...

Rehabilitation of unilateral sensorineural hearing loss: bone vs air conduction

The re-routing of sound from the deafened ear to the hearing ear has been the mainstay of rehabilitation for SSD for many years. Both hearing aid and bone conduction technology have undergone significant advances over the past decade. This article...