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Instrument assessment preferable over standard beside swallow to determine prevalence of aspiration

Aspiration does not trigger the protective cough response in some patients. The patient’s response may vary according to fluid viscosities and volume. The authors of this prospective study investigated the prevalence of aspiration and response to aspiration of different viscosities...

Swallow this: management of dysphagia in progressive neurological conditions

Whether the person with the swallowing difficulty has an acquired or progressive neurological condition, understanding the aetiology will allow the speech and language therapist assessing the swallow to have a better understanding of the likely implications for future swallow management...

Profiling features of dysphagia in people with moderate to severe Covid-19

Dysphagia arose as a serious concern for many people affected by Covid-19, especially those who required intubation. The authors of this paper used data from an institutional database of 3660 patients (Jan 2020 – March 2022) who presented with moderate...

Can laryngopharyngeal reflux initiate middle ear dysfunction?

The prevalence of laryngopharyngeal reflux disorder (LPRD) varies widely and can affect a third of the population, especially in middle ages and, more commonly, females are involved. There is not much in the literature about the association of this condition...

A look at Black representation in ENT

The importance of diversity in ENT has recently been highlighted by ENT UK’s Equity, Diversity and Inclusion Strategy and Action Plan. In this article, Oloruntobi Rotimi discusses the importance of Black role models for those starting out in the specialty....

The British Acoustic Neuroma Association (BANA) Annual Conference 2025

The British Acoustic Neuroma Association (BANA) will host their Annual Conference this year in Ashover in the Peak District, this year focusing on members’ personal experiences. BANA (British Acoustic Neuroma Association) is a registered charity providing invaluable information and support to people with Acoustic Neuroma / Vestibular Schwannoma (ANVS) and their support networks.

Practical training courses for otolaryngology trainees

In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

Imaging in hyperparathyroidism

Following their caudal migration at eight weeks of development, the parathyroid glands normally locate posterolaterally to the upper pole of the thyroid gland at the level of the cricoid cartilage (superior parathyroid glands arising from the fourth branchial pouch and...

Audiology in this issue...Multidisciplinary Teams

Marsha Jenkins, BSc Hons, MSc, Principal Clinical Scientist (Audiology), St Thomas’ Paediatric Hearing Implant Centre, Guy’s & St Thomas’ NHS Foundation Trust E: marsha.jenkins@gstt.nhs.uk Twitter: @GSTTnhs www.guysandstthomas.nhs.uk/our-services/hearing-implant-centre I am delighted to guest edit this collaboration of various clinical MDTs from...

Down with the nose, down with it flat

In Shakespeare’s Timon of Athens, Timon urges prostitutes to spread syphilis throughout Athens. He implores the whores, Phrynia and Timandra, to: Consumptions* sow In hollow bones of man; strike their sharp shins,And mar men’s spurring*. Crack the lawyer’s voice**, That...

Nasal septal perforation repair

Nasal septal perforation repair has traditionally been a great challenge. Many surgical techniques are described, however the success rate of closure has often been poor. Experience from the use of pedicled vascularised mucosal flaps in skull base surgery has been...

Managing high flow head and neck arteriovenous malformations (AVM)

Vascular malformations are lesions where the traditional network of capillaries linking arteries and veins are lacking. Patients usually present with bleeding, pain, disfigurement and tissue expansion and destruction. High flow lesions can be challenging to manage in the head and...