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Clinical Management of Swallowing Disorders, Third Edition

This is a comprehensive and readable text on swallowing disorders. The covered topics include the physiology of normal swallowing, aetiologies and mechanisms of abnormal swallowing, as well as assessment and management (including surgical, prosthetic and non-surgical). There is a detailed...

Swallow toxicity score (DIGEST) and its clinical utility in oncology practice

The Dynamic Imaging Grade of Swallowing Toxicity (DIGEST, graded from 0–4) was developed as a tool for clinicians to grade dysphagia from modified barium swallow studies (MBSS). The purpose is to provide a common terminology for adverse events of pharyngeal...

Commentary: dementia, hearing loss, and the danger of professional rabbit holes

The Lancet, a world-leading general medical journal, has a global impact. Its commissioned report into dementia prevention, intervention and care has been cited over 6000 times and has further been reviewed and updated in 2020 and now 2024. Here, Profs...

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...

Predicting swallowing outcomes post radiotherapy for head and neck cancer

A videofluroscopic swallow study (VFSS), also known as modified barium swallow (MBS) offers a dynamic view of swallow biomechanics and associated swallowing physiology. The authors of this paper investigated whether quantitative timing and displacement measures of key structures involved in...

The UK otolaryngology trainees’ lived experience during the COVID-19 pandemic

Much has been published on the concerns and real impact of the pandemic on surgical training. In this article, colleagues from the Association of Otorhinolaryngologists in Training (AOT) in the UK share the experiences of their membership. We invite our...

Meeting myself coming back

Sometimes, it can seem like trainers and trainees are separate entities, inhabiting separate worlds, in two separate spheres of experience. However, trainees become trainers, and there is always a period where the trainer has only just stopped being the trainee....

The challenges of facemasks for people with hearing loss

Since the start of the COVID-19 pandemic we have seen an exponential increase in the use of face masks. Guidance around the globe varies on the use of face masks as an effective barrier to the coronavirus. Whereas in pre-covid...

Airway first in patients with facial trauma

Anyone that has ever been on an ATLS or indeed any other trauma course will be well indoctrinated with the principles of ABC. Securing the airway is of paramount importance; but what to do if the anatomy is altered or...

Swallowing and breathing: speech and language therapy

Swallowing difficulties are a common comorbidity in just over a quarter of people living with chronic obstructive pulmonary disease (COPD). Given the associated risks of aspiration and exacerbation of COPD symptoms, speech and language therapists (SLTs) can offer valuable guidance...

Fitting and Dispensing Hearing Aids, Second Edition

As you might expect from two authors of such stature, this book is extremely effective and well written. In form it is as close to a pop-science book as one could get while still being very much focussed for those...

What is the relationship between swallowing difficulties and underlying mental health issues?

People living with dysphagia often experience mental health difficulties. This study aimed to identify whether pre-existing anxiety and depression impacted patient scores on a patient-reported swallowing outcome measure, the Eating Assessment Tool (EAT-10) where a score of ≥3 is indicative...