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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...
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...
Invest in parents: motivation is key
Home practice is a key component in promoting generalisation of what is learned in speech and language therapy sessions to the real world. Yet time constraints, stress, ambivalence toward practice and increased care demands when a child has a disability...Changing perceptions in head and neck cancer management caused by quality of life issues
Sir Felix Semon was an outstanding clinician and exceptional laryngologist. The money raised by donations from his colleagues on his retirement in 1909 was used to establish the London University’s Semon Lecture. Semon’s Obituary in the BMJ, reads: “In Semon's...OBITUARY: Professor Carel Dirk August Verwoerd (1936–2026): Founding father of the European Society of Paediatric Otorhinolaryngology
Professor Dr Carel Dirk August Verwoerd. Professor Dr Carel Dirk August (Carel) Verwoerd was a driving force in the development of paediatric otorhinolaryngology in Europe. As a founding member of the European Society of Paediatric Otolaryngology (ESPO) in 1994, he...The process of medical innovation
You’ve got an amazing idea for a new device. It is going to change how your speciality of surgery is practised. It will lead to better operative results and lower risks to patients – that’s amazing, can I see it?...Patient initiated follow-up in head and neck cancer
Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...
Microbiome changes after endoscopic sinus surgery: all is not what it seems
As we keep fighting a losing battle with bacteria and antibiotics, it becomes clear that it is not about killing bacteria, not even diminishing the bacterial load, but rather about shifting the different types of bacteria that colonise and live...
Papillary thyroid cervical metastases usually remain stable for years
Most patients with papillary thyroid carcinoma (PTC) have excellent disease-specific survival (DSS). Even with lymph node metastatic recurrence, the 10-year survival is 85%, and 15-year survival 73%. There is a growing trend of minimising morbidity in differentiated thyroid carcinoma (DTC)...
Nasal deformity following CPAP injury
Nasal continuous positive airway pressure (nCPAP) is commonly used as a non-invasive alternative to endotracheal intubation and tracheotomy to provide respiratory support to very low birth weight (VLBW) (<1500 g) neonates. Nasal injury is a well recognised complication and figures...
Clival chordoma recurrence
Chordomas are generally slow growing and are histologically considered low grade tumours. Their high recurrence rate even after postoperative radiation renders them difficult to treat. This is particularly true for clival chordomas whose deep anatomic location and proximity to vital...
