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One airway, one disease - not for everyone!

While 85% of asthmatic patients have rhinitis, only 20-30% with rhinitis have asthma. Together with atopic dermatitis (AD), rhinitis and asthma form a triad that tend to co-exist in patients (multimorbidity). This co-existence raises the possibility of genetic mechanism. Authors...

Noise tolerance in the presence of speech

Noise is a common issue reported by people in reference to speech understanding, both for normal and hearing-impaired people. This study investigated how noise loudness, annoyance, distraction and speech interference impact noise tolerance in normal hearing people while listening to...

Structures determining T4a, T4b

This paper for tertiary cancer centre in India attempted to determine whether patients with T4b oral cancers involving the 'masticator space' should be treated with survival intent comparable to T4a cancers. Over a 7-year period, 30 patients with T4b cancers...

Till death do us part: the role of the speech and language therapists in palliative care

Increasingly, speech and language therapists are being involved in end-of-life and palliative care. This study reports on a three-phase project to explore this in the context of the Australian healthcare system. In phase one, the authors described a scoping review...

The incidence of coagulopathies in children presenting with post-tonsillectomy haemorrhage

Tonsillectomy is often the first haemostatic challenge for a child. Postoperative haemorrhage may therefore represent the first presentation of a child’s underlying bleeding disorder. This study aimed to quantify the rate of occult coagulopathy in patients who had experienced a...

Risky behaviour: do care homes follow dysphagia recommendations?

A huge proportion of elderly people living in residential care homes will develop dysphagia. In Australia this is estimated at close to two thirds of all residents. It is the role of the speech and language therapist to make recommendations...

Assessment of temporal bone skills on 3D-printed temporal bones – a useful training curriculum?

The authors contend it is now archaic to follow Halstead’s model of surgical training, namely ‘see one, do one and teach one’. Simulated training is now widely used in many surgical specialities. With every surgical trainee having an individual learning...

Let the maths do the talking for word-finding difficulties

Anomia (word-finding difficulties) can arise when a person has a stroke, dementia or other neurological disorder affecting the left (typically) hemisphere of the brain. There are lots of theories underlying the process of word retrieval, many of which have not...

Hearing outcomes after mastoid obliteration tympanoplasty

In this study, the authors retrospectively compare hearing outcomes after mastoid obliteration to non-obliterative techniques in cholesteatoma surgery. They have performed canal wall up with mastoid obliteration (bony obliteration tympanoplasty or BOT) since 2013. The procedure has replaced canal wall...

Should we be utilising the pre-lacrimal approach for maxillary sinus inverted papilloma?

For some time now, gold standard management of the maxillary sinus inverted papilloma has been endoscopic medial maxillectomy (EMM). Recently the endoscopic prelacrimal recess approach (EPLRA) has been reported to provide good access whilst preserving the nasolacrimal duct and inferior...

Factors influencing transformation of laryngeal dysplasia to malignancy in a 10-year review

Laryngeal dysplasia has a propensity to change into malignancy, the generally reported rate of this being about 14%. In this retrospective study of 125 patients, the authors have assessed the severity of dysplasia in relation to the incidence and time...

Postoperative bleeding rates after inferior turbinate reduction using three different techniques

The most serious complication of inferior turbinate reduction surgery is postoperative bleeding, soon after the operation or later on. In this study comprising 751 patients, the authors have compared three common methods. Partial turbinectomy involved resection of the inferior turbinate,...