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2934 results found

Say what you don’t mean: cognitive difficulties in Parkinson’s can worsen intelligibility

Hypokinetic dysarthria, seen in 70–90% of people with Parkinson’s, causes reduced range of movement during speech production, reduced volume, rate, pitch and intelligibility. This study aimed to explore the role of higher cognitive function in speech production by asking 20...

Expectations and practice

Reading this paper is reassuring. It does not appear to be groundbreaking in its results but research can be as useful, if not more so, when it consolidates knowledge and helps unify the research base. This paper focuses on those...

Medical racism and the surgical ‘correction’ of the nose in Brazil

Anthropologist Professor Carmen Alvaro Jarrín has conducted extensive research into plastic surgery practice in Brazil. Here, she explains why social and cultural ideas about race may shape rhinoplasty objectives for patients and surgeons in the country. Health professionals worldwide are...

Do you treat RRP?

Do you treat RRP? Please join the national Airway Intervention Registry: Recurrent Respiratory Papillomatosis (AIR: RRP) online database. This is a unique opportunity to contribute to a collaborative, UK-wide study collecting real world data on treatments for this rare but...

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...

Diagnosis of obstructive sleep apnoea hypopneoa syndrome (OSAHS) without sleep studies

Polysomnography is considered the ‘gold standard’ in the diagnosis of sleep apnoea but it is expensive and difficult to perform in children. Diagnosis based on subjective judgement is often inaccurate. An accurate diagnostic scale based on clinical parameters could obviate...

Cough no more?

The challenge of the ‘unexplained chronic cough’ that just will not go away is a challenge that frustrates many of us. Often patients have seen respiratory, upper GI and eventually they see you as the last resort! Is behavioural therapy...

Papillary thyroid cervical metastases usually remain stable for years

Most patients with papillary thyroid carcinoma (PTC) have excellent disease-specific survival (DSS). Even with lymph node metastatic recurrence, the 10-year survival is 85%, and 15-year survival 73%. There is a growing trend of minimising morbidity in differentiated thyroid carcinoma (DTC)...

Predicting life-threatening complications in deep neck space infections

Deep neck space infections, arising usually from tonsils and lymph nodes in children and dental source and salivary glands in adults can be life threatening. It is therefore important to recognise the variables which indicate immediate intervention to prevent fatalities....

A review of endoscopic sinus surgery outcomes

This review discusses the outcome measures that may be considered in the assessment of patients with chronic rhinosinusitis (CRS) as well as the outcomes of endoscopic sinus surgery (ESS) published so far. The authors also discuss the role of peri-operative...

Auditory neuropathy spectrum disorder

This is a concise summary of auditory neuropathy and current knowledge of the disorder through review of a recently published article. The terminology of this hearing disorder implies the site of the lesion is neural; however the characteristic electrophysical signature...

The initial management of nasal trauma

Fractures of the nose are the most common facial fractures and reported to be the third most common fracture of the human skeleton. Nasal trauma can lead to obvious or more subtle loss of function or form and cosmetic compromise....