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Alternobaric vertigo: asymmetrical vestibular function due to asymmetrical middle ear pressures (Iron Man’s archenemy)

The Marvel Cinematic Universe could certainly be deemed an ‘extreme environment’ and yet very rarely do we see the Avenger’s popping to the clinic for a check-up. Hee-Young Kim has wondered how they cope with extreme pressure changes and discusses...

Lost voices – service induced hearing loss on working age veterans

The Royal British Legion campaign for the recognition of hearing loss in serving personnel and veterans In July 2014, the Royal British Legion launched a report entitled Lost Voices revealing that veterans under the age of 75 are three-and-a-half times...

What is in the Fountain of Youth?

Does the auditory system have to age? Can we become more like turtles or jellyfish and keep our internals running without degradation? This essay considers the theoretical underpinnings of biological processes in the cochlear, in particular the role of the...

Surgery of the Thyroid and Parathyroid Glands - Third Edition

Surgery of the Thyroid and Parathyroid Glands - Third Edition is an excellent text for trainee and specialist surgeons with an interest in head and neck endocrine surgery. The organisation of the book simply makes sense, showing progression from the...

Sound sensitivity in children

Sound tolerance symptoms in young patients can be a challenge, Veronica Kennedy and Claire Benton share their clinical experience in navigating the issues that can arise in diagnosis and management. In any noisy environment, it’s a common sight to see...

From aaargh to zzzzz: the ABC of paediatric anaesthesia

Andrew McTavish is one of those special breeds who not only relishes complex anaesthesia, but also does so in paediatric patients. Dealing with this group of patients requires careful planning according to accepted practice, and here he discusses some recent...

Is major ear surgery financially viable?

It is difficult to ignore the present reality in the NHS that understanding clinical coding is perhaps of more relevance to the practising clinician than the human genome! Clinician engagement is becoming more essential to protect patient care and maximise...

Binaural Interference: A Guide for Audiologists

This book details what binaural interference is, it looks at the basic principles of this topic and follows the research over the years that has gone into investigating what causes binaural interference. It makes for an interesting read, covering a...

The right to choose: stories from the rare dementias

People with primary progressive aphasia (PPA) experience an insidious onset and gradual decline in language on a background of lesser or no cognitive impairment, hence a language-led dementia. There are three different PPA variants that correspond with three different clinical...

What is voice?

Voice is an area of clinical practice in speech and language therapy where there remains much debate, not only around the aetiology and classifications of voice disorders, but around the treatment of them. In general, it is accepted that ‘voice...

Does speech and language therapy provide value for money?

Within the NHS (and outside it), managers, commissioners and consumers will consider value for money as a key component in making a decision about whether to pay for speech and language therapy (or any other service for that matter). Yet...

Feel what you say: a framework to demonstrate the emotional response to aphasia is intertwined with the emotional toll

The authors start this paper by flagging a recent study demonstrating that speech and language therapists in clinical practice rarely have time to focus on emotional issues in relation to aphasia. Yet, people with aphasia describe the close relationship between...