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Monitoring the mouth in ALS

Amyotrophic lateral sclerosis (ALS; or motor neurone disease) is characterised by gradual loss of function in the speech muscles resulting in a progressive deterioration in a person’s ability to communicate. The aim of this study was to investigate the use...

Socially appropriate part II: therapy for people with TBI

Social communication is a complex behaviour comprising social and cognitive communication skills. Providing speech and language therapy (SLT) interventions for people with social communication difficulties following traumatic brain injury (TBI) requires the clinician to understand how ingredients from an evidence-based...

Reducing pulse rate in videofluoroscopy: less is not best!

Recently, there has been increasing discussion in clinical meetings about the use of ionising radiation in swallowing assessments and the associated cancer risks. This is therefore a timely publication to inform discussions around whether reducing pulse rate from 30 pulses...

Between sirens and silence: the burden on otorhinolaryngologists in wartime Ukraine

Ukrainian ENT teams continue life-saving and routine care under air raid alerts, with staff shortages, strained resources and the long psychological toll of war. War reshapes medicine long before it destroys hospitals. It alters the rhythm of clinical work, the...

Random-pattern skin flaps: part 1 – advancement flaps

In the first of a short series covering random pattern skin flaps and their use in clinical practice (see Part 2 here, Part 3 here and Part 4 here), Christopher Thompson and Miles Bannister describe in some detail their techniques...

Advances in ear and hearing telehealth

Telehealth in ear (or tele-otology/tele-audiology) and hearing care has steadily increased as an area of both research and clinical interest over the past 15 years [1]. Driven by rapid advances in connected technologies and wide-ranging potential use cases, telehealth had...

How sight shapes sound: cross-modal plasticity and cochlear implantation

Visual cues support auditory recovery after cochlear implantation, with evidence showing cross-modal plasticity enhances speech perception and rehabilitation outcomes. Traditionally, clinical guidance around cochlear implantation has been shaped by a key concern: that reliance on visual communication, particularly speechreading, might...

Audiology in this issue...Hyperacusis (Jan/Feb19)

Audiologists, otologists, and auditory neuroscientists are accustomed to dealing with problems of hearing loss but, until recently, little attention has been given to the experience of hearing sound too intensely. This experience is variously given the names hyperacusis, and reduced or decreased sound tolerance, and the affected individual finds everyday sound intensely and excruciatingly loud, rendering workplaces, shops, and social spaces intolerable.

Drinks in Newcastle, Australia

This paper assesses patients presenting with oral and maxillofacial trauma over a 13-year period spanning January 2003 to December 2015. During this period of time, in March 2008, trading hours and conditions of service were restricted within the Newcastle central...

Power tools dance off

The use of the harmonic scalpel is popular with some head and neck surgeons. This study looked at selective neck dissections for 40 patients with oral cavity carcinoma. They were randomised into harmonic scalpel (HS) use and monopolar electrocautery. The...

Basic principles of bioengineering and regeneration

The ability to create de novo tissue to replace that removed from patients during surgery is a relatively recent advance. However, this is a fast-moving field and one which surgeons must be aware of from practical, ethical and scientific viewpoints....

Maxillary osteotomy stability

This systematic review assesses inferior repositioning of the maxilla six months after surgery. Two articles were identified with a total of 22 patients. The repositioning was of a mean of 3.2 to 4.5mm anteriorly and 0.1 to 1.8mm posteriorly. Six...