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Effect of swallowing exercises following free flap for oral cancer reconstruction

This paper from Beijing looked at 68 patients, 34 in a control group and 34 in an intervention group. Oral exercise training was performed by a specialist swallowing nurse in the intervention group. They found that personalised oral exercises had...

All present and correct

You have ear protection, but are you using it properly? What are the risks over time? The design of standard earplugs has changed a lot in a decade. Earplug attenuation did reduce over time but still remained safe, however the...

VES2 is ready to bring ear surgery into your living room

The VES2 virtual reality bone drilling simulator is ready and it is freeware! After a long development period we are now able to invite everybody to try the simulator and use it for training, for a inner ear anatomy, and...

Drooling: what is it like to be unable to manage your own saliva?

Drooling in Parkinson’s is associated with less frequent and inefficient swallowing, resulting in a build-up of saliva in the mouth that then moves beyond the lips. It often causes discomfort as the skin becomes sore, and results in embarrassment. The...

How are clinicians assessing suitability for voice feminisation surgery?

Voice is a key aspect of gender transition for many gender diverse individuals. Transfeminine people are offered hormone therapies, such as oestrogen to support their transition, however these do not impact laryngeal anatomy. This means that specific voice interventions are...

Audiology in this issue...New Landscapes in Audiology

Keiran Joseph, Clinical Lead, Evelina London, Children & Young People’s Audiology Centre, Guy’s & St Thomas’ NHS Foundation Trust, UK. E: Keiran.Joseph@gstt.nhs.uk Over the past year, the world of audiology has changed faster than ever before. The COVID-19 pandemic has...

Will getting a rhinoplasty make you feel better?

“The National Health Service is in serious trouble.” This is the opening line of the introduction of Lord Darzi’s report to the Secretary of State for Health in England. His deep dive into the current state of the NHS in...

Robotic assisted orbital surgery (RAOS) – a novel approach to orbital malignancy surgery

Robotic technology in ENT surgery has been used in certain areas of head and neck cancer care but, in this article, we hear of an exciting development from the team at Guy’s & St Thomas’. Advances in surgical robotic technology...

BAAP Mid-Year Symposium 2024: A Neurology-Neurotology Interface

British Association of Audiovestibular Physicians (BAAP) held its mid-year symposium virtually, attracting a global audience of audiovestibular and neurology professionals. Organised by Professor Soumit Dasgupta, Chair of the BAAP Education Committee, the half-day event focused on the complex interface between neurology and neurotology, specifically addressing neurodegenerative disorders and their impact on balance.

Peter McKelvie 1932 – 2026

Peter McKelvie, an outstanding head & neck surgeon and oncologist, died on 6 February aged 93. He suffered a spontaneous subdural haemorrhage. British otolaryngology has lost the most remarkable talent of his generation. He combined a prodigious intellect with effortless...

Subtypes of vestibular migraine

The authors argue that the current Barany criteria (ICVD) for vestibular migraine (definite and probable – dVM and pVM) are too restrictive. For instance, whereas a category of chronic migraine with or without aura is recognised in ICHD-3, ‘chronic VM’...

Paroxysmal downbeating nystagmus and proton pump inhibitors

This case report highlights the effect of long-term use of proton pump inhibitors on the vestibular system. The authors reported a case of a 70-year-old woman who was admitted with delirium, ataxia, slurred speech and slowness of thought. She had...