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2927 results found

Can and should vestibular schwannoma surgery be carried out via the endoscopic transcanal approach?

The extent and scope of endoscopic ear surgery has rapidly progressed in recent years, and this paper, from one of the leading proponents of this technique, reports on the outcomes of a case series of patients who have had total...

Does vocal tremor lead to changes in swallowing function?

Vocal tremor (VT) is a debilitating problem, but remains challenging to treat. Its pathophysiology remains indeterminate and there is a lack of consensus on phenotypes. Clinically, VT is often noted to be present in muscles outside of the larynx, including...

Help or hinder: how and why do SLTs make clinical decisions around swallowing?

Dysphagia is a relatively common consequence of stroke, with estimates between 50% and 60% of people presenting with swallowing dysfunction following stroke. It is associated with pneumonia, malnutrition and dehydration which in turn lead to increased length of hospital admission,...

Transnasal oesophagoscopy (TNO) and balloon dilatation under a local anaesthesia

Many of us are becoming more and more familiar with the use of transnasal oesophagoscopy. It has a number of well-described uses in the outpatient setting and is well tolerated by our patients. Yakubu Karagama describes taking this technique a...

Oscar Wilde’s Final Irony

The celebrated writer and poet, Oscar Fingal O'Flahertie Wills Wilde was born on 16 October 1854 in Dublin. He distinguished himself as a classicist at Trinity College Dublin before, earning a scholarship to Oxford University, where he gained a double...

In conversation with Helen and De Wet in Paris: cochlear implants in the year 2074

The World Congress of Audiology (WCA), held in Paris, France, in September 2024, provided a fantastic opportunity to reconnect with colleagues from around the globe. I took the chance to sit outside in the sunshine with De Wet Swanepoel from...

In conversation with Helen and De Wet in Paris: cochlear implants in the year 2074

The World Congress of Audiology (WCA), held in Paris, France, in September 2024, provided a fantastic opportunity to reconnect with colleagues from around the globe. I took the chance to sit outside in the sunshine with De Wet Swanepoel from...

Developing principles of swallow rehabilitation using novel animal modelling

Never let it be said that we don’t cover a wide range of topics. Camilla Dawson tells us about the crossover between swallowing in seals and in humans. Rehabilitation of swallow is complex, informed by anatomical and physiological systems and...

How do you solve a problem like Dysphagia?

When a patient is referred to a speech and language therapist for the management of swallowing difficulties, multiple options are available to address these issues. The choice is based on a detailed assessment of the patient’s swallowing physiology and function....

Hearing rehabilitation after vestibular schwannoma surgery

Hearing rehabilitation is a key focus of the management of patients with vestibular schwannoma. But how do we rehabilitate hearing when the cochlear nerve has been damaged by tumour, irradiation, or resective surgery? Mathieu Trudel, Scott Rutherford and Simon Lloyd...

How to safely image patients with cochlear implants

Cochlear implants have quickly become a widely used aid for hearing-impaired people. As these implants include metal elements, the choice of an appropriate imaging modality for patients carrying such devices should receive special attention. This is important due to image...

Which is the best graft for myringoplasty?

This is a systematic review and meta-analysis of retrospective studies for type 1 tympanoplasty (myringoplasty) surgery comparing temporalis fascia and cartilage autograft materials for reconstruction. Inclusion criteria was patients with more than 50% perforated tympanic membrane with intact ossicular chain....