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

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...

Quick and valid: a new measure of aphasia

Aphasia can be caused by a stroke, brain injury or dementia. It is defined as a language disorder that impacts the domains of speaking, understanding, reading and writing. Given the impact on quality of life and conversation, there is a...

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...

Infant hearing loss impacts spoken language development: identify and intervene early

Early hearing detection and intervention programmes have been implemented in many countries across the globe, but why are these programmes so important and how are our Canadian colleagues managing this process? The consequences of being born with a permanent hearing...

Clinical leadership and management: developing world ENT

I have been asked to share some of the initiatives I have been involved with to address ENT-related challenges in Africa and the developing world. Developing countries constitute the majority of the world’s landmass (Figure 1), are home to >50%...

From the editor JulAug 2020

Declan Costello, MA, MBBS, FRCS(ORL-HNS), Editor, ENT & Audiology News; Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.net When I sat down to write my introductory welcome piece two months ago, the UK was...

In Memoriam: Charles I. Berlin, PhD

Dr Charles “Chuck” Berlin was an international guiding star in hearing research and clinical audiology for over 50 years. He was a renowned scientist, mentor, teacher, clinician, colleague, accomplished musician, and friend to hundreds of colleagues from around the world....

The modern management of Ménière's disease

In this article, John Phillips considers the evolution of management options for Ménière’s disease. Treatment options past and present are discussed, together with an insight into future developments regarding the role of intratympanic steroids. Ménière's disease can be the source...

Canopy: a medical translation app

Professional interpreters perform an integral role in the medical setting, ensuring that clinician-patient interactions are understood from both sides. As essential as they are, however, we have all experienced scenarios where we have been left, to our own devices, so...

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...

Bringing space science to balance and tinnitus

Jameel Muzaffar is a specialist registrar in ENT surgery in the West Midlands. His research interests include applications of imaging to ENT. Chris Coulson is a consultant otologist, particularly interested in the development of technological solutions. He is part of...