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The Business of Audiology

8 January 2024 |
Brian J Fligor, PhD, PASC, President, Audiologist-in-Chief, Tobias & Battite Hearing Wellness, Boston, Massachusetts, USA. DrBrian@tobias-battite.com When it works well, capitalism is an excellent driver of innovation, generation of wealth, and adherence to best practices resulting in optimal outcomes. When...

Post-thyroidectomy vocal cord palsy: are there long-term sequelae?

1 March 2018 | | aspiration, big data, pneumonia, thyroidectomy, vocal palsy
This is a well written paper utilising the Hospital Episode Statistics dataset for all thyroidectomies performed in England between 2004 and 2012. The study had a very impressive 43,515 participants and only included young, fit patients undergoing thyroidectomy once for...

Tricky post-laryngectomy swallows

1 November 2015 |
Despite improvements in chemoradiation therapy and the adoption of organ preservation for some head and neck cancers, total laryngectomy remains the treatment often providing best survival chances for advanced laryngeal cancer. This article reviews the causes of dysphagia post-laryngectomy and...
Dysphagia cover

Assessing post-extubation dysphagia on the intensive care unit

1 November 2019 | | ENTA - Speech and Language Therapy | ICU-ASD, ICU-AW, Neuromuscular, Non-instrumental, Sepsis, Swallowing disorder
The incidence of post-extubation dysphagia (PED) is reported to be about 12% in the general ICU population and around 18% in patients admitted to ICU as emergencies. PED was found to be an independent predictor of 28-day and 90-day mortality....
Dysphagia journal cover.

Cuff up or cuff down; to occlude or not to occlude? What effect does tracheostomy tube modification have on swallowing outcomes?

3 March 2021 | | ENTA - Laryngology / Swallowing / Voice | Systematic review, Evidence based medicine, Dysphagia, Swallowing, Respiratory medicine, Deglutition, Deglutition disorders, Tracheostomy
Dysphagia is commonly seen in patients with tracheostomy. The current global pandemic has increased interest in the impact of a tracheostomy on swallowing outcomes. This systematic review is therefore a timely addition to the literature and a useful read for...
EUROPEAN ARCHIVES OF OTORHINOLARYNGOLOGY cover

Metrics to evaluate post-ACDF dysphagia

8 January 2024 | | ENTA - Laryngology / Swallowing / Voice | ACDF, Anterior cervical discectomy and fusion, Dysphagia, Objective dysphagia scales, Patient reported outcome measures (PROM), Post-operative dysphagia, Subjective dysphagia scales
The authors performed a literature review to evaluate the current classification metrics for quantifying dysphagia after anterior spine surgery and, specifically, cervical discectomy and fusion (ACDF). They selected 19 articles after reviewing literature from 2005 to 2021. The result of...
Dysphagia journal cover image.

How common is oropharyngeal dysphagia amongst the adult population?

4 July 2024 | | ENTA - Laryngology / Swallowing / Voice
It is well known that oropharyngeal dysphagia (OD) is a symptom arising from many different aetiologies or disease conditions and that it is a significant morbidity affecting people’s quality of life. Establishing the prevalence of OD is complicated by the...

Genetics and the newborn hearing screen: the future is now

1 July 2021 | | ENTA - Audiology - Paediatric, ENTA - Audiology - Diagnostic
Eliot Shearer shares the progress being made with newborn hearing screening 60 years on from where it started, and future directions for identifying hearing loss using physiologic, genetic and cCMV screening. Newborn screening had its birth in the early 1960s,...

Precision and personalised genomic and epigenomic medicine in audiology/hearing loss

1 July 2021 | | ENTA - Audiology - Adult, ENTA - Audiology - Diagnostic
A detailed look at the pathogenesis of acquired hearing loss due to exposure to ototoxicity during pregnancy or shortly after birth. Insights from genomic medicine have shown that, along with environmental factors causing epigenetic alterations, hearing loss may be caused...

Use of a diode laser for the removal of a frontal sinus osteoma

1 November 2015 | | ENTA - Rhinology / Sinus
In this How I Do It, Professor Sergei Karpischenko introduces a gentle method of reduction of mobilised frontal sinus osteoma which has been successfully used in five patients in his university clinic using a diode laser in contact mode. Osteoma...

A quick and simple approach to correcting the deviated nasal septum

1 January 2018 | | ENTA - Rhinology / Sinus
Nasal septal surgery is a very common procedure that we tend to learn as junior trainees. Most of us still find that we have a lot to learn with every deviated septum that we encounter. There is a range of...

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

17 February 2022 | | ENTA - Laryngology / Swallowing / Voice
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...