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Evaluation of secondary otalgia

This Turkish prospective study of 200 patients looked at the pain characteristics of secondary otalgia related to temporomandibular disorders (TMD) and cervical region disorders (CRD), and how they can affect diagnostics. Patients were included if they were >18 years of...

Tramadol soaked nasal packs for post-septoplasty analgesia

Having had a septoplasty a number of years ago for the potential treatment of snoring, I was intrigued by this paper which compared the analgesic effect of tramadol-soaked and lignocaine-soaked nasal packs following septoplasty. In my practice, I have always...

‘Pen’doscope - writing in a reduction in healthcare delivery costs

Optimal management of cleft lip and palate requires a multidisciplinary team approach to treatment, with the goal being maintenance of facial growth and improvement in speech and hearing, in addition to closure of the cleft. This can be especially challenging...

The search for the holy grail of rhinosinusitis: another step towards phenotyping in CRS wNP?

For many years, scientists and clinicians have been trying to understand the infinite variability within the term ‘rhinosinusitis’ using radiology, basic science, epidemiology and then using their insights to solve the riddle of management: how to explain why some patients...

Choline PET-CT: an accurate diagnostic tool for the detection of parathyroid adenoma?

Hyperparathyroidism (HPT) is an endocrine disorder characterised by an increase in the secretion of parathyroid hormone (PTH), with a resulting increase in calcium plasma levels, which can cause renal lithiasis, fractures, and osteoporosis, the most frequent symptoms of the disease....

Platelet-rich plasma to reduce post-tonsillectomy haemorrhage and pain

Minimising haemorrhage and promoting healing of raw areas are cornerstones for uneventful and speedy recovery after tonsillectomy. In this single-blinded prospective experimental study, application of platelet-rich plasma to one side tonsillar bed has been compared to the other side in...

Can you hear the speech disorder?

Dysarthria is often the first or most pronounced feature of a Parkinson’s disease (PD) presentation, yet may be difficult to discern from normal ageing changes that impact voice and speech. Thus, it is important to be able to differentiate in...

Learning from reimplantation

The Irish implant centre in Dublin undertook a retrospective study of their reimplantation cases to look at what lessons could be learnt. Device failures fall into two classes: hard and soft failures. Hard failures are implant malfunction or altered performance....

Salivary pepsin – a simple test for LPR?

A diagnosis of laryngopharyngeal reflux (LPR) can be made on the basis of characteristic symptoms and nasendoscopy findings. Objective tests exist for this condition; for example, 24-hour dual-channel pH-metry which is considered to be the gold standard. Such tests are,...

Doing it for the men: diversifying the speech and language therapy profession

It is known that many health professions are dominated by females, particularly the allied health professions, such as speech and language therapy. This is more pronounced in the US than in the UK, Australia and other countries. The authors of...

Counting up discourse

Speech and language researchers and health professionals alike strive to measure communication abilities using relevant and psychometrically sound tools. Discourse measures are potential tools which reflect everyday communication more accurately than other more traditional measures. However, time has been a...

Back to the future: aphasia therapy post stroke

When speech and language therapist first started working with people with stroke-related aphasia, they employed a general stimulation approach, the same with every patient they met. In the '70s this changed, and a more tailored approach was developed whereby therapists...