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From a dysphagia clinical trial to a multidisciplinary head and neck clinical pathway – the road to implementation

This paper describes the barriers and facilitators to establishing a structured and coordinated multidisciplinary care pathway for patients with head and neck cancer at a medical centre in the USA. The initiative was set in motion by the roll out...

Online group therapy is easier but is it better?

Aphasia is a communication disability caused by stroke, brain injury or dementia. People with aphasia benefit from both the emotional and communication support that group therapy can provide, yet there can be many barriers to accessing this type of intervention,...

Spread the therapy thick and quick to make sure it works

Speech sound disorders, such as apraxia, can negatively impact a child’s wellbeing - both their social wellbeing and their academic achievement. Traditionally speech and language therapy has attempted to remediate these difficulties using auditory feedback. More recently, advances in technology...

Audiological decision-making in a complex bimodal case of adult congenital atresia

The authors describe a clinical case of a 65-year-old man with left congenital atresia who, as an adult, developed hearing loss in his right (better) ear and subsequently began seeking audiological intervention for hearing difficulties. Their client’s unique case history...

Screening for hearing aid fittings – an approach for primary care

Introduction The communication difficulties related to hearing loss can lead to ‘depression, social withdrawal and problems with employment and access to information sources’ [1]. Furthermore, unmanaged hearing loss is associated with dementia, a poorer quality of life, depression, anxiety and...

The accidental audiologist

In this article we hear from Muhammed Ayas, an “accidental” audiologist applying his transferable skills as a clinician, academic, and researcher through trying and testing innovative approaches in audiology to better serve the community. My audiology journey began 22 years...

From the editor May/Jun 2025

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk For May/Jun 2025, we look both forward and back. We celebrate the 100th birthday of Jean-Marc Sterkers, a pioneer...

A return to digital delay and lip reading

Hearing aid + accessory + smartphone app = a ‘synching’ feeling? Marshall Chasin explains why patients might be losing the rhythm. The historical literature (at least going back to some of the classic texts in the 1960s) is full of...

Introduction to speech testing

Let’s get back to basics: Dr Schoepflin introduces the concepts behind speech testing for hearing care professionals. While pure tone threshold testing is considered the ‘gold standard’ for assessing auditory sensitivity, the results of pure tone testing provide only limited...

Beware of Bicycle Face!

Many of us were told as children that we would get square eyes from watching too much television. But spare a thought for those late Victorian ladies, embracing their first taste of liberty on a bicycle, who were threatened with...

Booklet-based supervised vs. non-supervised vestibular rehabilitation

There are conflicting results in the literature about home-based vestibular rehabilitation training (VRT) as opposed to physiotherapist-led training. A randomised controlled trial was designed to interrogate this further. The primary aim was to assess “the effects of a booklet-based exercise...

Life Down Under: an overview of the Sydney Endoscopic Ear Fellowship

As we emerge from the impact of the COVID-19 pandemic on the first half of 2020, trainee colleagues will be looking to their future once again. Options may include fellowships, and we are delighted to have Dr Andrew Ma share...