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Factors affecting the occurrence of salivary fistula after total laryngectomy

It is generally believed that patients should be fed by nasogastric tube for 7-10 days after undergoing total laryngectomy or laryngopharyngectomy to avoid the occurrence of post-operative salivary fistula. This study challenges this belief and looks into various factors that...

Supplementing intranasal cortical steroids with montelukast: does it help?

Intranasal steroids are widely used in the treatment of allergic rhinitis. Whether or not the addition of montelukast helps was assessed in this study. This was a single centre prospective randomised double-blind placebo-controlled trial of two groups of patients, one...

Gender inequality across medical specialties in the United States

The authors of this study collected and evaluated 4222 surveys of patient satisfaction ratings of male and female residents across subspecialties in the United States. Half of the evaluated residents were females, with first and second year residents being evaluated...

Corticosteroid prescribing in ENT - are we at risk of being sued?

Of medications leading to malpractice claims, corticosteroids comprise the third most common. They are used widely and have a significant side-effect profile: hypertension, lipodystrophy, diabetes, avascular necrosis of the femoral head, peptic ulceration and psychiatric reactions to name but a...

Reduction thyroplasty

Introduction Male to female transgendered patients are referred to ENT for reduction thyroplasty – a procedure to reduce the external appearance of the thyroid cartilage of the larynx, and feminisation of the voice. Reduction thyroplasty, often erroneously called ‘tracheal shave’,...

In conversation with Cameron McIntosh

Following the conclusion of the Tokyo Olympic games in August, we were delighted to catch up with Cameron McIntosh, ENT and Facial Plastic Surgeon, Founding President of the Society of Rhinoplasty Surgeons of South Africa (SORSSA), and former Olympian! Can...

CEORL-HNS Dublin update

There are now only six weeks to the 7th Confederation Congress of European Otorhinolaryngology-Head and Neck Surgery.

Foundations of Aural Rehabilitation: Children, Adults and Their Family Members – Sixth Edition

This book provides a plethora of information relating to aural rehabilitation. The author has taken a multi-faceted approach, combining firm evidence-based perspectives with an evaluation of the scientific foundations of current clinical practises. This book is mainly aimed at those...

How can disabled children communicate more during family leisure time?

This article aims to provide guidance on how to integrate alternative augmentative communication (AAC) use into family leisure time. The authors highlight that ensuring the use of AAC in this highly valued activity can maximise carryover to real conversations. The...

Botulinum toxin injection for bilateral recurrent laryngeal nerve paralysis

All traditional surgical treatments for bilateral recurrent laryngeal nerve (RLN) paralysis are essentially a balance between maximising airway patency and ensuring adequate phonation / airway protection. This paper highlights the potential role of botulinum toxin (Botox) injection into the cricothyroid...

Better conversations for children with Autism and peers for now and for their futures

There are around 700,000 people with diagnosed Autism Spectrum Disorder (ASD) in the UK, according to 2011 census figures. A key diagnostic feature in ASD are difficulties in social interactions and conversations, social-emotional responses and relationships. The authors of this...

Online group therapy is easier but is it better?

Aphasia is a communication disability caused by stroke, brain injury or dementia. People with aphasia benefit from both the emotional and communication support that group therapy can provide, yet there can be many barriers to accessing this type of intervention,...