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From Hippocrates to COVID-19: sniffing out the disease
The ancient Greek physician, Hippocrates, used the ‘art of smell’ to diagnose diseases around 400BC. He also formulated miasmatic theory, which posited that disease is caused by bad smells. Bad air was strongly believed by many physicians to be the...
Stimulation for a good night’s sleep
This article was an interesting read. It is an update from the authors’ original paper printed in the NEJM in 2014 regarding the results of an implantable pulse generator (IPG) for stimulating the hypoglossal nerve in response to respiration. This...
Shoulder function in patients undergoing neck dissection: its effects on work and leisure activities
Shoulder dysfunction is common after neck dissection and includes shoulder pain, limited abduction and scapular winging. Modifications of the radical neck dissection were designed to limit morbidity, however, even with accessory nerve-sparing neck dissections, shoulder dysfunction can be seen. Shoulder...
Tricky post-laryngectomy swallows
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...
Swallow this: management of dysphagia in progressive neurological conditions
Whether the person with the swallowing difficulty has an acquired or progressive neurological condition, understanding the aetiology will allow the speech and language therapist assessing the swallow to have a better understanding of the likely implications for future swallow management...
Swallow this: management of dysphagia post-stroke
We know that between 50% and 80% of people who have had a stroke present with swallowing difficulties that may be associated with even a small lesion of the cortical or subcortical brain regions. This article provides an up-to-date overview...
Is there evidence to support early discharge of patients with tonsillitis, quinsy and epistaxis?
The COVID-19 pandemic, with its unprecedented pressures on the NHS, demands changes in the management of common ENT emergencies. In this review article, information has been gleaned from 22 relevant articles on how this can be done. The Portsmouth tonsillitis...
Exciting advances in facial reanimation
Despite several techniques for reanimation after facial paralysis, the management of these patients continues to challenge us. This paper reviews advances in facial reanimation surgery, provides updates on the timing of intervention, modifications to the traditional gracilis muscle transfer, other...
A comparison between artificial and cadaveric temporal bones in terms of providing realistic setting and structural details
Increasing difficulties, costs and risks of infection have led to the use of artificial temporal bones for training in mastoid and middle ear surgery. Whether these provide a realistic learning environment (face value) and offer structural details to learn from...
Getting DAP’d at concerts, museums and more
Recently, I had the opportunity to speak with Dr Nir Fink and Yami Thor about their products at Bettear and their new deep audio processing (DAP) AI-based technology. The purpose of Bettear is to improve inclusivity and accessibility for those...BAAP National Audit Meeting
Sabarinath Vijayakumar, ST5 Registrar in Audiovestibular medicine, Royal Derby Hospital. The British Association of Audiovestibular Physicians (BAAP) hosted its 2025 National Audit Meeting online in June. This meeting brought together members, consultants and trainees in audiovestibular medicine from across the...
