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Shoulder function in patients undergoing neck dissection: its effects on work and leisure activities

Shoulder dysfunction is common after neck dissection and includes shoulder pain, limited abduction and scapular winging. Modifications of the radical neck dissection were designed to limit morbidity, however, even with accessory nerve-sparing neck dissections, shoulder dysfunction can be seen. Shoulder...

Medication and its effect on the larynx

This article summarises different medications and their effect on the voice. A growing number of patients we see in clinic are on multiple medications that could affect vocal cord function. The author summarises different classes of medications and their potential...

The changing landscape for hearing loss therapeutics: novel advances of gene and cell therapies

Recent years have seen advances in hearing loss therapeutics, with novel treatments trialled in humans, and others nearing promising first-in-kind clinical trials. First successful clinical trials for a specific form of genetic hearing loss Very exciting news has emerged in...

The challenge of disrupting the hearing care market in the USA

Barry Freeman, an Audiology Consultant of extensive global experience, examines the business model of hearing care service delivery in America. He discusses the challenges the profession has faced, and proposes some food for thought on learning from other health care...

Do easier-to-swallow tablets improve medication adherence in people with dysphagia?

Swallowing tablets can be challenging for many people, but particularly so for those with a diagnosis of dysphagia. As a result, many medications are prepared in alternate formats including liquid, dissolvable or orally disintegrating tablets that dissolve on contact with...

The HEARO Procedure for cochlear implantation

Cochlear implants have become the state-of-the-art treatment for profound to severe sensorineural hearing loss. Since its popularisation, many aspects of this technology have constantly been optimised. Processors have become smaller, are worn behind the ear and are even water resistant....

My experience of addiction

In this incredibly honest and thought-provoking article, we hear from an anonymous doctor who has struggled with addiction. The nature of addiction is a subject of interest to a broad range of scientific disciplines, from medicine to psychology, psychotherapy and...

Audiology in this issue...Connected Health in Audiology: The Future of Hearing Healthcare

Melanie Ferguson, PhD, Head of Audiological Science, National Acoustic Laboratories, Sydney, Australia. E: melanie.ferguson@nal.gov.au Twitter: @Mel_Ferguson1 Danielle Glista, PhD, Assistant Professor, The School of Communication Sciences and Disorders, Faculty of Health Sciences, Western University; National Centre for Audiology, Western University,...

Do intratympanic injections require local anaesthesia?

Intratympanic injections are becoming increasingly acceptable in the management of Meniere’s disease, tinnitus and sudden hearing loss. This is because they avoid the need for hospitalisation and can be performed as low-cost outpatient procedures. It is traditional to freeze the...

Pharyngocutaneous fistula after total laryngectomy

Pharyngocutaneous fistula (PCF) after total laryngectomy is a serious complication post-surgery, and can lead to prolonged hospitalisation, adding delays in postoperative chemoradiotherapy. This Turkish retrospective study looked at 166 patients who underwent total laryngectomy for laryngeal cancer, although it is...

Post-thyroidectomy vocal cord palsy: are there long-term sequelae?

This is a well written paper utilising the Hospital Episode Statistics dataset for all thyroidectomies performed in England between 2004 and 2012. The study had a very impressive 43,515 participants and only included young, fit patients undergoing thyroidectomy once for...

Day care or admission for aesthetic nasal surgery?

Day-care surgery is gaining in popularity throughout the surgical specialities due to economical constraints and patient convenience. However this is not without risk and a careful procedure by procedure evaluation should be performed to prove the suitability of this type...