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Marshall Chasin: the harmony of music and audiology
Marshall Chasin, synonymous with the science of hearing and the art of music, discusses the techniques and technology he has employed over this career... so far. What’s the difference between your practice now and when you first started out? I...MBE for John FitzGerald
Dr John FitzGerald, Consultant Clinical Scientist and Head of Audiology Services at Norfolk and Norwich University Hospitals (NNUH) NHS Foundation Trust has been made an MBE in the King’s Birthday Honours in June.
Surgeon, Heal Thyself
Once a taboo topic, stress and psychological illness in doctors is now much more widely discussed. This is probably partly due to changing societal attitudes (with more acceptance of the importance of acknowledging mental illness) and changes amongst medics themselves,...
Swallow assessment: is clinical judgement or objective measurement more reliable?
Swallowing difficulties are life threatening and are the most common referral reason to speech and language therapists working with the adult population. Video fluoroscopic examination is a common instrumental tool used to assist in the assessment of the risk of...
Instrument assessment preferable over standard beside swallow to determine prevalence of aspiration
Aspiration does not trigger the protective cough response in some patients. The patient’s response may vary according to fluid viscosities and volume. The authors of this prospective study investigated the prevalence of aspiration and response to aspiration of different viscosities...
What about the older adults?
The authors of this paper propose that significant changes in the delivery of services, including speech and language therapy management of swallowing difficulties, may be required. Among the most common causes of dysphagia in older adults are stroke, progressive neurological...Endoscopic ear surgery in children
The benefits of endoscopes in otologic surgery, which have become increasingly widely appreciated in recent years, are very well suited to the management of paediatric middle ear disease. Although one might imagine that the smaller ear canal of a child...Ultrasonic bone aspirators for internal auditory meatus ‘drilling’ in retrosigmoid vestibular schwannoma resection
In this article, the authors describe the retrosigmoid approach to a vestibular schwannoma, using an ultrasonic bone aspirator as an alternative to the standard drill. Vestibular schwannomas (VS) are benign, usually slow-growing tumours of the vestibular nerve. Management of VS...
Videofluoroscopy: A Multidisciplinary Team Approach
This book places videofluoroscopy in the context of a broader, more holistic approach to the management of patients with dysphagia. It recognises that this is perhaps currently the best available tool to aid our understanding of the physiology of normal...
What can we tell about swallow physiology from a bedside clinical assessment?
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...
