Journal Reviews

Ideal terminology for unexplained paediatric language problems

1 November 2014 | | Speech and Language Therapy, Paediatric ENT, Laryngology / Swallowing / Voice | DSM-5, diagnosis, labels, specific language impairment, terminology

This paper aims to open a discussion about the different labels being used to refer to children’s unexplained language impairments. A wide range of terminology has been applied creating confusion, impeding progress of research and access to appropriate services. For...

Resection margins in head and neck surgery

1 November 2014 | | Maxillofacial Surgery, Head and Neck, Skull Base Surgery | Autofluorescent, Cancer, Frozen, Hypermethylation, Margin, Oral cavity, Resection, Shrinkage

Although an increasing proportion of head and neck malignancies are treated with non-surgical modalities, when surgery is undertaken an incomplete clearance results in significantly worse prognosis. However, the intraoperative assessment of an adequate margin is difficult. The personal practice of...

Vascularised tissue in salvage total laryngectomy

1 September 2014 | | Salvage laryngectomy, free flaps, pedicled flaps, pharyngocutaneous fistula, reconstruction, recurrent laryngeal cancer

Chemoradiation (CRT) has become the mainstay for locally advanced laryngeal cancer since the RTOG 91-11 trial. Unfortunately there is still a substantial demand for salvage laryngectomies, which have a higher complication rate, the most notable being pharyngocutaneous fistula (PCF). Several...

Early habilitation for hearing impairment in children with Down syndrome

1 September 2014 | | Down syndrome, hearing, language, speech, vocabulary

Approximately 40-80% of children with Down syndrome have hearing impairment in addition to speech and language impairment. The commonest cause of hearing impairment in young children is otitis media with effusion. This paper investigated the impact of early hearing loss...