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Healthcare Disparities in Otolaryngology

The topic of this book seems timely given the increasing focus in recent years on equality and prevention of discrimination. But my initial reaction was, do we need a 300-page textbook on this topic? Is there so much to say?...

From clinical to academic – intervention research in SLT

There are many different research methods and designs that can be used to test the effectiveness of speech and language interventions. This article aims to describe those methods relevant to speech and language therapists working with a range of clients....

Swallow assessment: is clinical judgement or objective measurement more reliable?

Swallowing difficulties are life threatening and are the most common referral reason to speech and language therapists working with the adult population. Video fluoroscopic examination is a common instrumental tool used to assist in the assessment of the risk of...

Which da Vinci surgical system? Novel flexible, single-port versus current multiport, rigid-arm robotic surgical system

The da Vinci robotic surgical system has transformed how oropharyngeal head and neck surgery can be delivered. The existing da Vinci Si model has challenges: the dimensions of this are larger than would be ideal for head and neck surgery...

3D printed temporal bones for drilling are here!

It was only a matter of time before the 3D printer was used to help us with simulated temporal bone (TB) drilling. This group printed three paediatric TB models and evaluated their quality. They were found to be of ‘high...

How many friends will you have after a TBI?

Friendships are key to reducing stress and improving morale and social support. Loss of friendships after a traumatic brain injury (TBI) can have a significant impact on these areas of a person’s life. There is little in the research literature...

Voice and unilateral vocal fold paralysis

Voice outcomes are the main comparators when managing unilateral vocal fold paralysis (UVP). In a review of the literature, 11 voice indicators are included in 80% of all articles. However, when surgeons were surveyed on their clinical preferences and their...

Bright young things: executive functioning in younger, older and aphasic people

Executive function comprises several higher order cognitive processes such as planning, organisation, adaptation, maintenance, monitoring and decision making. It is thought that difficulties in cognitive flexibility in people with aphasia are associated with difficulties in executive function rather than the...

Back to the future: aphasia therapy post stroke

When speech and language therapist first started working with people with stroke-related aphasia, they employed a general stimulation approach, the same with every patient they met. In the '70s this changed, and a more tailored approach was developed whereby therapists...

What is voice?

Voice is an area of clinical practice in speech and language therapy where there remains much debate, not only around the aetiology and classifications of voice disorders, but around the treatment of them. In general, it is accepted that ‘voice...

Audiology and COVID-19

COVID-19 affected all clinical services in a very short time, including audiology. This service improvement investigation concentrated on how audiology services in the UK were impacted by the virus and how perception of tele-audiology changed. About 120 practising audiologists were...

Talking to the animals

People with communication difficulties have an increased risk of mood and anxiety disorders. This often means that speech and language therapists must actively engage in counselling as part of their intervention. It is not surprising, therefore, that the active components...