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Don’t be too apologetic: disclosing communication difficulties

People who stutter are frequently considered less intelligent or less confident, and are often discriminated against. These negative perceptions have been found to differ slightly across different cultural groups. For Hebrew speakers in Israel, having a stutter can have a...

It is all so COSI…

Something which we have realised for a long time in the UK is the importance of the clinician in the assessment and long-term adoption of hearing aids. This common sense article outlines the need for more individualised patient pathways, thinking...

How much does it cost to simulate speech and language therapy placements?

The Royal College of Speech and Language Therapists report that 20% of speech and language therapy positions are unfilled in the UK. Consequently, there is an urgent need to offer as many training courses as possible to fill these gaps....

A comparison between biologic and surgical treatment (FESS) for chronic rhinosinusitis with polyposis

In recent years, it is being increasingly recognised that chronic rhinosinusitis with nasal polyps (CRSwP) is a type 2 chronic inflammation based on IL-4 and IL-13, and the novel monoclonal antibody, such as dupilumab, is likely to have a major...

Cascading communication skills to help children with autism

Inadequate workforce resource is an ongoing difficulty across the health professions. This study proposes a train the trainer model, with the ultimate goal of improving the communication skills of children with autism. The study describes an intervention called naturalistic developmental...

Remote living: can we learn anything about telehealth use during the pandemic in Australia?

Healthcare services in Australia have been using telehealth to reach remote areas for many years prior to the Covid-19 pandemic. It is estimated that 10% of the Australian population have no access to primary healthcare within a 60-minute drive. This...

Does frailty lead to changes on quantitative measures of videofluoroscopic swallowing assessment?

In recent years, studies have considered the relationship between frailty and swallowing and demonstrated that decreased skeletal muscle mass correlates with decreased swallowing function. This study investigated this relationship by using quantitative measurement of three individual components of swallowing assessed...

Cochlear implant electrode insertion technique

Atraumatic cochlear implant insertion techniques (so-called ‘soft surgery’) are now standard practice in most centres for all cases (no longer just for attempted hearing preservation cases). This has led to several studies examining cochlear trauma and electrode insertion force. In...

The middle way: treating idiopathic facial nerve palsy

Whilst the causes of recurrent facial nerve palsy are numerous, in many cases it may be idiopathic. There is no clear consensus on treatment of this condition and conservative management alone may condemn patients to gradually worsening facial nerve function...

Consider PCR testing in culture negative necrotising otitis externa

Necrotising otitis externa (NOE) often does not yield identification of a causative organism to treat although in 90% of cases it is a member of the pseudomonas species. The incidence of fungal NOE is not to be forgotten and this...

Treatment of incus lysis with hydroxyapatite bone cement

Middle ear implants provide a suitable alternative for some patients with a certain degree of sensorineural or mixed hearing loss, not wanting a hearing aid. Vibrant SounBridge® (VSB) middle ear implant (MEI), of Med-El®firm, is one such implant. In this...

Clinical utility and practical interpretation of the video head impulse test

The head impulse test (HIT) is an essential bedside test to detect peripheral vestibular deficits. The video head impulse test (vHIT) is a new tool quantifying the HIT. In this article Maria Heuberger and colleagues point out the clinical utility...