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Children like to talk
When a health professional, including speech and language therapists, treats a child, they will often ask the parent or relative of the child for information on the issue and its impact. Yet children will frequently have an opinion on their...
Is there a limitation for excising parapharyngeal tumours transorally?
The parapharyngeal space is a complex anatomical space bounded medially by the oropharynx and laterally by the mandible. It is conceptualised as an inverted pyramid extending from base of skull above to the hyoid bone below. The space is divided...
Hearing outcomes after mastoid obliteration tympanoplasty
In this study, the authors retrospectively compare hearing outcomes after mastoid obliteration to non-obliterative techniques in cholesteatoma surgery. They have performed canal wall up with mastoid obliteration (bony obliteration tympanoplasty or BOT) since 2013. The procedure has replaced canal wall...
The case of the women and the words: intensive therapy can help many years post stroke
Aphasia, a language impairment impacting on a person’s ability to speak, understand, read and write, is most commonly caused by a stroke. Speech and language therapists are trained to work with people with aphasia, often aiming for restitution and rehabilitation...Robotic assisted orbital surgery (RAOS) – a novel approach to orbital malignancy surgery
Robotic technology in ENT surgery has been used in certain areas of head and neck cancer care but, in this article, we hear of an exciting development from the team at Guy’s & St Thomas’. Advances in surgical robotic technology...Cognition and hearing – you can’t test one with the other!
Cognitive Psychologist, Boaz M Ben-David, provides insights into the import of considering cognitive factors when assessing speech perception ability to maximise intervention success. Failing to do so, he suggests, is “ageist”, a predisposition healthcare professionals must avoid. Cognitive performance is...
Pocket Atlas of Sectional Anatomy, Volume I: Head and Neck: Computed Tomography and Magnetic Resonance Imaging
Pocket Atlas of Sectional Anatomy, Volume I: Head and Neck, currently in its 4th edition, gives a thorough account of imaging of the head and neck in this single volume. Across its 792 illustrations, this edition has revised and expanded...
Is bone scanning still of value?
This is an article from Australia of 109 patients, 83 of which had CT, 72 MRI and the presence of bone invasion on imaging was compared with the histopathology. Bone invasion was present in 44 of 109 resection specimens. Bone...
The sleep nasendoscopy learning curve
There seems to be no accepted way of surgically assessing patients with sleep disordered breathing (SDB). Because of this, clinicians fall roughly into three camps: those who just use one operation for all patients, those who have given up surgery...
The video head impulse test: an aid to the diagnosis of spinocerebellar ataxias
Spinocerebellar and Friedreich ataxias (SCA and FA) by their nature present in neuro-otology clinics. The diagnosis is ultimately genetic but the authors investigated the characteristics of the VOR using the video head impulse test (vHIT) in order to distinguish between...
Intra orbital treatment to save the eye!
Invasive fungal sinusitis can be a devastating condition, and accepted management is surgical debridement of infected tissue, systemic antifungal treatment and reversal of immunosuppression. Orbital involvement is common, affecting up to 75% of cases, and in advanced disease orbital exenteration...
