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Effects of age on neuro-physiological processing of speech at brainstem level

Degenerative changes associated with ageing may affect processing of spectral and temporal cues in speech at cortical and subcortical levels, even though these individuals may have normal audiometric thresholds. These changes are more likely to be picked up by speech...

Delayed facial palsy post vestibular schwannoma resection

This article presents findings of a retrospective evaluation of 489 patients who underwent vestibular schwannoma surgery and developed delayed facial palsy. The authors define delayed facial palsy as deterioration of at least two HB grades between postoperative days five and...

Forward-going sound pressure wave with hearing thresholds

This article discusses an important and well-known point regarding the differences between coupler sound pressure measurements, used to calibrate earphones, and actual pressures delivered to the ear due to individual variances across patients. The study purports to suggest a new...

Treatments for hyperacusis

Centred on a patient’s experience, this article provides a brief summary of the condition of hyperacusis as an introduction to the treatments that are currently available. It is enhanced by the fact that the individual mentioned is a musician by...

Everyone has the right to say no

Despite the introduction of the Mental Capacity Act in 2005, healthcare professionals remain uncomfortable with individuals who choose not to follow medical advice - who make informed decisions to decline a treatment or management plans. This paper highlights that speech...

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...

Do adhesions actually cause nasal blockage?

All of us who perform nasal surgery are familiar with the disappointing presence of nasal adhesions (NA) or synechiae in our postop patients. These can often lead to patients deriving less perceived benefit from their surgery than that which they...

Evolution of salivary gland pathology classifications

Targeted therapies for malignant salivary gland tumours have changed the treatment paradigm and therapy approaches. Better outcomes are now feasible. Choosing the treatment method requires a clear classification of the lesions. The authors of this paper reviewed the World Health...