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1058 results found

Swallowing and breathing: speech and language therapy

Swallowing difficulties are a common comorbidity in just over a quarter of people living with chronic obstructive pulmonary disease (COPD). Given the associated risks of aspiration and exacerbation of COPD symptoms, speech and language therapists (SLTs) can offer valuable guidance...

Surgical variations in maxillomandibular surgery treating sleep apnoea

This is a scoping review further highlighting the success in curing sleep apnoea with a maxillomandibular complex advancement. The variations outlined are on East and Southeast Asian patients to reduce the aesthetic concern of bi-maxillary protrusion when large advancements are...

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,...

Maxillomandibular advancement and airway morphology

This is a cadaveric study comparing alterations in airway volume. Seven advancements of the maxillomandibular complex were undertaken, each with a 2 mm incremental advancement being scanned with a total of eight scans per cadaver. They showed that comparisons between...

In the United States, do people with dysphagia have a higher chance of being dysphonic?

Dysphagia and dysphonia can co-occur due to their shared anatomy and physiology. Previous studies have considered this relationship and determined that certain conditions, such as cancer, laryngeal impairments or neurological disorders, may lead to problems with both swallowing and voice....

Painful temporomandibular joints

This paper is a meta-analysis of randomised controlled trials comparing arthrocentesis with conservative management in painful and restricted mouth opening temporomandibular joint symptoms. Temporomandibular joint dysfunction comprises a spectrum of disorders commonly involving facial pain and loss of oral function...

BSFPS Annual Meeting 2023 and Juniors Day

Haseem Raja, ST4 ENT Registrar at University Hospital North Midlands, and Edward Balai, ST5 ENT Registrar at Charing Cross Hospital. The British Society of Facial Plastic Surgery (BSFPS) Annual Meeting took place in the vibrant city of Manchester, with leading...

Marshmallows for swallowing assessments!

The complaint of ‘food sticking in my throat’ is one many of us will have heard several times in clinical practice. The authors of this study report the prevalence of this symptom to be between 5-8% in the general population...

Transtympanic plugging for chronic patulous eustachian tube

The authors developed a silicone plug (Kobayashi plug) to manage severe intractable patulous eustachian tube dysfunction (PET). This retrospective study investigates ET function after Kobayashi plug surgery, based on postoperative tympanic membrane (TM) findings and active opening (AO) of the...

Sleep apnoea got your heart in your throat? Perhaps it’s time to ditch the CPAP and fetch the scalpel

The link between obstructive sleep apnoea (OSA) and cardiovascular disease (CVD) is clear. Its well-established association with essential hypertension is thought to link OSA to an increased risk of atherosclerotic and hypertensive sequelae. However, data on the long-term impact of...

Anaesthesia for sleep nasendoscopy and snoring / obstructive sleep apnoea surgery

Surgery for sleep disordered breathing inevitably requires surgeon and anaesthetist to share the airway. Here, Edward Bick gives us the anaesthetic viewpoint, reiterating that communication is the key. A specific note is made of the anaesthetic technique for sleep nasendoscopy,...

Journal Clubs – The Happy Hour!

Kim W Ah-See is stepping back from his role at the magazine, having first joined as a journal reviewer in 1997. We revisit his first article as How I Do It section editor from 2007. It is with immense pleasure...