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Streamlining ENT pathways
Laryngopharyngeal reflux (LPR) may present with severe extra-gastrointestinal symptoms – including a persistent cough, vocal problems, asthma or difficulty swallowing – that can be incorrectly attributed to ENT problems because patients and GPs alike assume they stem from colds, allergies or over-using the voice.Accurately diagnosing reflux to direct personalised treatment
Laryngopharyngeal reflux (LPR) frequently causes severe extra-gastrointestinal symptoms – such as a persistent cough, vocal problems, asthma or difficulty swallowing – that can be easily confused with a common cold and allergies.The AuD at Salus University: a Capstone Experience
Here, we continue exploring audiology training routes across the world with a focus on distance learning opportunities. This article is provided by Karen Myers who completed the Doctor of Audiology (AuD) Online Bridge programme at Salus University. Completing the International...Could social isolation be a factor in the link between hearing loss and dementia?
In 1802, Beethoven wrote to his brothers Carl and Johann about his hearing loss: “You men who think or say that I am malevolent, stubborn, or misanthropic, how greatly do you wrong me. You do not know the secret cause...In memory of Robert Allan Yorston (10th March 1920 – 1st October 2016)
In this special feature article, Alan Gibb writes a touching tribute to his friend and colleague Dr Bob Yorston, a Dundee otolaryngologist, who had a special talent for humour and art. In addition to illustrating the eighth, ninth and tenth...
Rock Steady: Healing Vertigo or Tinnitus with Neuroplasticity
Rock Steady guides the reader through a change in attitude towards chronic tinnitus or imbalance. The premise is that changes in the human body are an inevitable part of life, through trauma, ageing and illness. These changes can produce sensations...
Surgery safety checklists
The time-outs were based on pre-flight checklists adopted by airline pilots and were instituted in all accredited hospitals and ambulatory care centres in the United States in 2003. The guidelines originate from general surgery and are not specific for the...
Is canal wall down with obliteration a useful compromise between canal wall up procedure and open mastoid cavities?
Controversy has raged for many years between open mastoid cavity procedures and canal wall up techniques in terms of postoperative recidivism and ear discharge. It is generally believed that canal wall up procedures can miss hidden cholesteatoma but preserve useful...
Learning from reimplantation
The Irish implant centre in Dublin undertook a retrospective study of their reimplantation cases to look at what lessons could be learnt. Device failures fall into two classes: hard and soft failures. Hard failures are implant malfunction or altered performance....
Is a chest x-ray necessary in making urgent referrals for suspected head and neck cancer?
The article presents an audit on urgent referrals for suspected head and neck cancer in 2144 patients. Only 8.6% of cases proved positive for head and neck cancer. The Scottish Referral Guidelines were adhered only in 55.1% of cases. Interestingly,...
No increase in papillary thyroid cancer during pregnancy
This small study of 19 pregnant patients, who were diagnosed with papillary thyroid cancer before or during the early stages of pregnancy (up to 20 weeks), assessed the changes of thyroid tumours during pregnancy. Conducted at a single centre over...
