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Parkinson’s humour: recognising social communication difficulties

Parkinson’s results in a progressive motor disease with symptoms including tremor, rigidity and bradykinesia. However, people with Parkinson’s also experience non-motor symptoms such as cognitive difficulties that can impact social communication, often due to their co-existing speech difficulties, auditory and...

Impact of Covid-19 on secretory otitis media (SOM) in terms of rate of intervention, effusion detected intraoperatively and seasonal variation

It is widely known that secretory otitis media (SOM) has seasonal variations. In well-judged cases, there is middle ear effusion found at the time of surgery. In this retrospective study, the authors have tried to assess if Covid-19 changed these...

Decreased paediatric myringotomy and insertion of ventilation tube rates during Covid 2019 pandemic

This study involves a province in Canada and claims that the need for paediatric myringotomy and insertion of grommets reduced to a third with public health measures aimed at reducing transmission of respiratory viruses, including SARS-CoV-2, in the Covid-19 pandemic....

Cascading communication skills to help children with autism

Inadequate workforce resource is an ongoing difficulty across the health professions. This study proposes a train the trainer model, with the ultimate goal of improving the communication skills of children with autism. The study describes an intervention called naturalistic developmental...

A viable solution for isolated post-nasal drip?

This retrospective, single-centre case series looked at a cohort of patients with postnasal drip as their primary symptom. Exclusions were patients with chronic rhinosinusitis. The interventions offered were temperature-controlled radio frequency (TCRF) ablation of the posterior nasal nerve delivered by...

Tubomanometry in eustachian tube dysfunction

This prospective study evaluated the validity and reliability of tubomanometry (TMM) in 25 patients with sinus disease, 75 patients with middle ear disease and 25 healthy volunteers. After thorough clinical examination, the participants were evaluated with TMM, nasal endoscope, otoendoscope,...

To pack or not to pack!

Ear packing is thought to support grafts, control bleeding and facilitate healing. However, it is not without complications such as fibrosis and infection. The authors aimed at investigating the effect of middle ear packing on graft success rate in myringoplasty...

Swallowing their words: translating and adapting swallowing questionnaires to other languages

Dysphagia (swallowing difficulties) is increasingly relevant given the ageing population. Yet measuring or assessing dysphagia is challenging and often costly when exploring instrumental examination. The aim of this study was to translate and validate a patient-reported swallow questionnaire; the Sydney...

Does frailty lead to changes on quantitative measures of videofluoroscopic swallowing assessment?

In recent years, studies have considered the relationship between frailty and swallowing and demonstrated that decreased skeletal muscle mass correlates with decreased swallowing function. This study investigated this relationship by using quantitative measurement of three individual components of swallowing assessed...

How do you actually get therapists to do the therapy you need them to?

Aphasia is an acquired communication disorder that affects approximately a third of people who have a stroke and for which speech and language therapy is the main treatment. However, there are known gaps between evidence-based recommendations and the delivery of...

Challenging steps of virtual cortical mastoidectomy

This prospective study investigated which steps of cortical mastoidectomy were challenging for 10 medical students and 10 intermediate surgeons (surgical trainees) compared to 10 experienced expert surgeons. Each participant performed cortical mastoidectomy on eight different virtual temporal bone models. The...

25 years of forearm free flaps – 1 vein or 2?

This is a prospective 25-year study from 1998 to 2023 of 368 forearm free flaps, 314 of which were radial and 54 ulnar in 364 patients. Of these, 68 had 1 venous anastomosis whilst 238 had 2. These were assessed...