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Role of sentinel lymph node biopsy in managing papillary thyroid cancer
Although studies have shown that the presence of lymph nodes metastases in papillary thyroid carcinoma does not alter survival, other studies have shown that it increases morbidity and mortality and that the presence of cervical lymph node metastasis at diagnosis...
Chronic facial pain: types and long-term treatment
This publication discusses the details and differences between chronic tension type headache and migraine and followed a cohort of 240 patients over 36 months. The authors applied strict criteria to distinguish between chronic tension headache and migraine, these essentially being...
Medical information required with requests for CT scans of the temporal bones; a two cycle audit
It is a common experience that radiology reports on the CT scans of the temporal bones do not always reach a diagnosis. Various studies have produced differing results in that detailed information may not be necessary to help reach a...
What characterises dysphagia in unilateral vocal fold impairment?
The closure of the vocal folds during swallowing is known to contribute to airway protection along with epiglottic inversion and closure of the false vocal folds. It is therefore plausible to expect that unilateral vocal fold impairment without complete closure...
Wearable sensors for assessment of vestibular disorders
This prospective preliminary study describes the use of commercially available wearable inertial sensors (Mobility LabTM) in assessing the functional ability of individuals with vestibular disorders. Traditionally the Romberg’s, Tandem Walking and Fukuda’s Stepping tests were used to clinically evaluate individuals...
The rise of AI in the head and neck clinic
There has been a huge focus in recent months on the rise of artificial intelligence (AI) in all aspects of modern life, and the head and neck clinic is no exception it appears. This paper builds on previous work to...Audiological monitoring in ototoxicity - Are we doing enough?
In this article Ghada Al-Malky explores the dichotomy of life-saving, yet hearing loss-causing medication, and questions whether the hearing healthcare community is doing enough to prevent preventable hearing loss. Ototoxicity is the damage to hearing and / or balance functions...
Expanding horizons: from speech therapy to communication therapy for people with Parkinson’s disease
This article explores the perspective of people living with Parkinson’s disease before and after participating in speech treatment delivered by a speech and language therapist (SLT). Semi-structured interviews were conducted with 11 participants. These interviews were held face to face...Gastric inlet patch – an under-diagnosed cause of globus
A gastric inlet patch (GIP) is an island of heterotopic gastric mucosa found commonly in the proximal oesophagus just below the upper oesophageal sphincter. It is often underdiagnosed due to its location. Its importance and clinical relevance can be underestimated...Psychogenic vestibular disorders: understanding and management
‘Psychogenic vestibular disorders’, also known as ‘functional vertigo and dizziness’, are common causes of dizziness and balance difficulty. Although our understanding of their underlying pathophysiology remains incomplete, Drs Diego Kaski and Amy Edwards outline how early identification and positive diagnosis...Rethinking tinnitus ‘care’: the role of digital solutions
Experiencing tinnitus can be very distressing and accessible care is limited. Digital therapeutics is one way of addressing these concerns, as described by Dr Bardy. Tinnitus presents a significant clinical challenge for various healthcare professionals, including general practitioners (GPs), ENTs...
