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Patient factors associated with spontaneous CSF leak
This article highlights the role of obesity, sleep apnoea and raised intracranial pressure as linked pathologies in the aetiology of the spontaneous cerebrospinal fluid (sCSF) leak. The authors link sCSF leak with obesity and comment on sCSF leak incidence increasing...
Speech in noise hearing difficulties
The phenomenon of speech understanding in noise in normal hearing people attracts the interest of researchers continuously. This study’s aim was to further explore the possible reasons behind these difficulties. The participants were 50 adults that reported having normal hearing...
Predicting outcomes in rhinology using fluid dynamic models
This article discusses the rhinological applications of computational fluid dynamics (CFD) – a method derived from engineering applications, such as aerodynamics. Its appeal is that it can provide simulated data on airflow velocity, pressure, resistance, temperature, humidity, heat flux and...
Quick and valid: a new measure of aphasia
Aphasia can be caused by a stroke, brain injury or dementia. It is defined as a language disorder that impacts the domains of speaking, understanding, reading and writing. Given the impact on quality of life and conversation, there is a...
Effect of age-related changes in voice production and hearing on Voice Handicap Index and Geriatric Depression Scores
The ageing process affects hearing and production of voice. It is not unknown that impairment of these faculties can affect quality of life and also cause depression. The authors have presented an array of actual anatomical and functional changes that...
How best to follow up a sinonasal cancer?
Sinonasal malignancies are rare tumours and, in the UK, are usually treated in tertiary treatment centres but may well be followed up long term in the patient’s local hospital, so advice on how best to manage these patients is invaluable....
Videofluoroscopic swallowing studies: balancing risks and benefits
Videofluoroscopic swallow studies (VFSS) are an important part of the diagnostic toolkit and arguably the current gold-standard for assessing swallow biomechanics and diagnosing dysphagia. However, the procedure does involve exposure to radiation, and any clinician requesting this should be able...
Does pregabalin help with post-tonsillectomy pain?
This is a small double-blind randomised controlled trial conducted on tonsillectomy and lateral pharyngoplasty operations. Both of these operations are terrifically painful, and I am sure most of us are looking for a way of reducing the suffering for our...
Expectations and practice
Reading this paper is reassuring. It does not appear to be groundbreaking in its results but research can be as useful, if not more so, when it consolidates knowledge and helps unify the research base. This paper focuses on those...
