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Balloon dilatation is an effective adjunct

This is a good study design, sufficiently powered, comparing medical management to balloon sinus dilatation. All patients had failed medical management and were thoroughly assessed preoperatively with Lund-Mackay score confirming abnormal CT findings, SNOT 20 index score, chronic sinusitis score...

Shoulder function in patients undergoing neck dissection: its effects on work and leisure activities

Shoulder dysfunction is common after neck dissection and includes shoulder pain, limited abduction and scapular winging. Modifications of the radical neck dissection were designed to limit morbidity, however, even with accessory nerve-sparing neck dissections, shoulder dysfunction can be seen. Shoulder...

What the people want and need: emerging service for communication needs in Ghana

There is a significant shortfall in rehabilitation service for people with communication difficulties across Majority World countries. It is known that many people in these countries are likely to seek help from a variety of sectors including western healthcare, religious...

Assessment of audiological needs

A thorough assessment of audiological needs is crucial for a successful audiological rehabilitation. This study concentrated on creating the Québec Audiological Assessment Protocol for Younger and Older Adults (QAAP-YOA) that could be easily adopted in audiological clinics. The authors used...

Nothing about us without us: a how-to guide

Participatory design is an approach that is built around collaboration with users through a process of coproduction, design and creation. Most interventions are designed with the expert clinician researcher as the starting point, who looks at theory, evidence and their...

Justice for all: role of registered intermediaries

The United Nations’ Agenda for Sustainable Development 2015 advocates equal access to justice for all. In recognition of this, a number of countries have introduced a new professional role; a registered intermediary in England, Wales and NI. The registered intermediary...

Invest in parents: motivation is key

Home practice is a key component in promoting generalisation of what is learned in speech and language therapy sessions to the real world. Yet time constraints, stress, ambivalence toward practice and increased care demands when a child has a disability...

WRMD in otolaryngology

Work-related musculoskeletal disorders (WRMD) are now front and centre in the practice of otolaryngology head and neck surgery, with many surgeons suffering pain, disability and shortened career spans. Common WRMDs include degenerative lumbar spine disease, rotator cuff pathology, degenerative cervical...

Drooling: what is it like to be unable to manage your own saliva?

Drooling in Parkinson’s is associated with less frequent and inefficient swallowing, resulting in a build-up of saliva in the mouth that then moves beyond the lips. It often causes discomfort as the skin becomes sore, and results in embarrassment. The...

Radiology and paediatric neck lumps

This is a comprehensive article examining the modalities available for children presenting with suspected congenital neck lumps. Each modality is explained in turn, with pros and cons highlighted, but also in the context of the emergency patient and the elective....

Using tele-audiology in Zambia’s ear and hearing care desert

Addressing the medical desert with tele-audiology and tele-education. If a ‘medical desert’ is defined as a community that lives more than 60 miles away from the nearest acute care hospital, then try to imagine an appropriate term for a situation...

Using tele-audiology in Zambia’s ear and hearing care desert

Addressing the medical desert with tele-audiology and tele-education. If a ‘medical desert’ is defined as a community that lives more than 60 miles away from the nearest acute care hospital, then try to imagine an appropriate term for a situation...