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Should patients with dysphagia be allowed water freely?

6 October 2017 | | Aspiration pneumonia, Deglutition, Deglutition disorders, Dysphagia, Frazier Free Water Protocol, Speech language pathology
Patients with dysphagia often experience dehydration as a consequence of “nil by mouth” or having to consume thickened fluids due to aspiration of thin fluids. However, not all incidents of aspiration develop into an infection. Factors that contribute to aspiration...

The video head impulse test: an aid to the diagnosis of spinocerebellar ataxias

1 January 2017 | | Friedreich ataxia, Neuro-otology, spinocerebellar ataxia, vestibular function tests, vestibulo-ocular reflex (VOR)
Spinocerebellar and Friedreich ataxias (SCA and FA) by their nature present in neuro-otology clinics. The diagnosis is ultimately genetic but the authors investigated the characteristics of the VOR using the video head impulse test (vHIT) in order to distinguish between...
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Patient-led wax and aural foreign body removal technology – is it safe?

4 March 2024 | | ENTA - Audiology - Adult
As ENT and audiology professionals, wax impaction and aural foreign bodies are common presentations to our clinic that can cause significant distress to patients and can preclude diagnostic testing such as pure tone audiograms and tympanometry. We often advise patients...

Balance and vestibular disorders Issue I

To skip directly to features, click the links below: Welcome from the editor - by Prof Peter Rea How to evaluate and treat the dizzy patient: non-medical diagnosis-based strategies - by Richard E Gans Diagnosis and treatment of BPPV with...

Paediatrics Issue I

To skip directly to features, click the links below: Welcome from the editor - by Prof Ray Clarke and Claire Benton Industry News Setting up a paediatric ORL service with limited resources - by Raman Eswaran Engaging adolescents in hearing...

Changing behaviour with a human factors approach

1 January 2014 | | ENTA - ENT
The Francis Report (2013) identified multiple problems relating to the safety culture of Stafford Hospital in the period 2005 – 2009, as well as serious failings in the supervisory and regulatory systems of the NHS. Particular criticism was directed at...

Is one glass of wine on call safe?

1 January 2014 | | ENTA - ENT
It’s a standard question for those about to sit a Specialist Training (ST) interview; you are on call and you call a senior colleague in to perform an operation. You smell alcohol on the breath of the surgeon, so what...

Time to professionalise medical leadership

1 September 2014 | | ENTA - ENT
For a profession proud of its adherence to an evidence base, medicine has been remarkably slow to acknowledge and to act on the evidence which underpins the value of good leadership to patients and the healthcare system. Mr Robert Francis...

The role of the respiratory physician in sleep medicine

1 May 2015 | | ENTA - ENT, ENTA - Rhinology / Sinus
ENT surgeons may feel that they are the first point of referral for the majority of patients with snoring and possible obstructive sleep apnoea, but in reality a significant number of patients with sleep-disordered breathing (of any cause) are seen...

Welcome to BACO Liverpool: a city with deep roots in ENT

1 July 2015 | | ENTA - ENT
Liverpool is a city steeped in ENT history, so it is fitting that BACO is being held there once more. Ray Clarke, former editor of ENT and Audiology News, casts his eye over the historical legacy of that fine city....

BACO: The Master’s role

1 July 2015 | | ENTA - ENT
Ian Mackay is this year’s BACO Master, with Valerie Lund taking over for the next meeting. As the senior overseer of the conference, the role of Master is a crucial one, and Ian tells us how he has gone about...

Academic BACO 2015

1 July 2015 | | ENTA - ENT
Putting together the academic programme for BACO is a monumental task. Academic Chairman Shakeel Saeed and Peter Andrews, the Academic Secretary of the conference, tell us how to make it a success. Conference season is nearly upon us, and Liverpool...