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How quality improvement helped to create local guidelines for good tracheostomy care
Significant morbidity and mortality is associated with tracheostomy insertion. A complex, multistep process exists to help patients towards decannulation. This process is often complicated by patient comorbidities, discontinuity of care and communication as patients move through hospital, and variable experience...Preservation rhinoplasty
Hump reduction and osteotomies to close the open roof, or lowering the whole nasal dorsum? Charles East explains how preservation techniques can improve outcomes by maintaining the integral structures of the nose. What is preservation rhinoplasty? The origins of reduction...Voice analysis
Traditionally voice analysis has been done by ear at a subjective auditory-perceptual level. The three main characteristics of voice are: pitch – normal for age and gender, too high or too low; loudness – normal, too high or too low;...Less than full time training: the best of both worlds!
Every one of us can feel the pressures of competing interests of everyday life and commitment to our careers. This can be even more difficult when bringing up a young family, especially when we have had to move away from...
From clinical to academic – intervention research in SLT
There are many different research methods and designs that can be used to test the effectiveness of speech and language interventions. This article aims to describe those methods relevant to speech and language therapists working with a range of clients....Surgeons and swearing
We will all know colleagues who have raised the act of swearing to an art form; just as Malcolm Tucker in The Thick of It could cut a workmate in half with a well-placed swear word, surgeons can be equally...Identity: does it affect the training experience?
Our identity can be influenced by many factors, both internal and external to ourselves. One may say that if one has not had to consider one’s own identity at any time, perhaps that in itself is a privilege? Equally, one...Detecting postoperative cholesteatoma with diffusion weighted magnetic resonance imaging
Middle ear cleft cholesteatoma is an inflammatory disease that erodes local bony structures and can cause otorrhea, hearing loss, vertigo and intracranial complications. It is usually treated with surgery, typically canal wall up (CWU) or canal wall down (CWD) surgery....
