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Swallow this: management of dysphagia post-stroke

We know that between 50% and 80% of people who have had a stroke present with swallowing difficulties that may be associated with even a small lesion of the cortical or subcortical brain regions. This article provides an up-to-date overview...

Effect of age-related changes in voice production and hearing on Voice Handicap Index and Geriatric Depression Scores

The ageing process affects hearing and production of voice. It is not unknown that impairment of these faculties can affect quality of life and also cause depression. The authors have presented an array of actual anatomical and functional changes that...

A comparison between trainee and trainer outcomes in mastoid surgery

In this era where training faces restrictions due to theatre time, fewer sessions available to trainees and requirements of consultant-led and consultant-delivered services, one unit confirmed that myringoplasties given to trainees reduced from 34.2% to 16%. This study compares outcomes...

Paediatric vestibular dysfunction

This Malaysian study looked at the awareness amongst otorhinolaryngologists in the investigation and management of paediatric vestibular dysfunction. The authors noted that, although paediatric vestibular dysfunction is a common problem, there seems to be limited literature in assessing the proficiency...

Occurrence of cancer in asymmetrical tonsillar enlargement in adults

With significant increase in head and neck cancer in the last decade, attributed to HPV, fast-track referrals from primary care have markedly increased, adding further to the burden on the NHS. Whether or not unilateral tonsillar enlargement alone, without red...

Tympanometry with cochlear implants

Multifrequency and multicomponent tympanometry enables evaluation of minute changes in the middle ear system as well as changes in resonant frequency. Change in resonant frequency would indicate a change in the natural characteristics of the middle ear, such as mass...

Audiological symptoms in children with 18q deletion

18q deletion is a rare genetic condition that occurs in approximately one in 40,000 live births. Those born with this deletion often are born with a range of symptoms, including developmental delay, facial dysmorphism, autoimmune disorders and hearing loss. The...

Quinsy and culture

Peritonsillar abscesses are frequently encountered in clinical practice. Standard treatment includes empirical medical treatment and drainage. This study aimed at evaluating the value of culture and sensitivity testing of the aspirate in guiding antibiotic treatment. Patients received empirically amoxycillin, amoxycillin...

Sir Terence Edward Cawthorne (1902-1970): first Chairman of the BACO Academic Committee

Sir Terence Cawthorne was the chairman of the academic committee of the first BACO in 1963, and was Master of the second BACO in 1967. In this article, Neil Weir describes the life and career of one of the UK’s...

Ear wax removal: should anyone and everyone perform it?

Earwax removal is a controversial and much-debated issue in audiology. Risks and public safety call for reforms, sparking discussion on professional standards. Earwax is a natural secretion produced by the ear. It is an amalgamation of desquamous epithelial skin cells,...

Facial pain: the differential diagnosis in an ENT clinic

The patient presenting with facial pain can be a heartsink. Fear not – Bhaskar Ram and Sangeeta Maini are here with a succinct overview of the common non-sinogenic causes of facial pain and headache, and how to manage them. Facial...

The James Lind Alliance – involving patients and their health professionals jointly in setting priorities for research

In a world of patient-reported outcomes and patient-centred care, patient-centred research must also be considered. That is where the James Lind Alliance (JLA) comes in, as Caroline Whiting explains below. Through Priority Setting Partnerships (PSPs), it allows patients, their carers...