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The Business of Audiology
Brian J Fligor, PhD, PASC, President, Audiologist-in-Chief, Tobias & Battite Hearing Wellness, Boston, Massachusetts, USA. DrBrian@tobias-battite.com When it works well, capitalism is an excellent driver of innovation, generation of wealth, and adherence to best practices resulting in optimal outcomes. When...
Post-thyroidectomy vocal cord palsy: are there long-term sequelae?
This is a well written paper utilising the Hospital Episode Statistics dataset for all thyroidectomies performed in England between 2004 and 2012. The study had a very impressive 43,515 participants and only included young, fit patients undergoing thyroidectomy once for...
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...
Assessing post-extubation dysphagia on the intensive care unit
The incidence of post-extubation dysphagia (PED) is reported to be about 12% in the general ICU population and around 18% in patients admitted to ICU as emergencies. PED was found to be an independent predictor of 28-day and 90-day mortality....
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...
Metrics to evaluate post-ACDF dysphagia
The authors performed a literature review to evaluate the current classification metrics for quantifying dysphagia after anterior spine surgery and, specifically, cervical discectomy and fusion (ACDF). They selected 19 articles after reviewing literature from 2005 to 2021. The result of...
How common is oropharyngeal dysphagia amongst the adult population?
It is well known that oropharyngeal dysphagia (OD) is a symptom arising from many different aetiologies or disease conditions and that it is a significant morbidity affecting people’s quality of life. Establishing the prevalence of OD is complicated by the...
Inner ear immunity
There is much speculation regarding the ear’s immune response. The environment in which we live and breathe is getting ever more complex; aspects such as the percentage of the population with autoimmune conditions are on the rise and, therefore, it...
Small but significant
These authors try to circumnavigate the conundrum of what is influenced by what. For something so small, the impact of the Stria Vascularis cannot be understated. The difficulty in reviewing the influence of loop diuretics or aminoglycosides on the Stria...
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...
Higher risk and a tailored need
Historically, in audiology there is almost an unspoken understanding that when presented with a musician, a nuanced approach is likely to be required. Previous research has already shown there is a higher risk of noise exposure and accompanying signal distortion...
