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Occurrence of cancer in asymmetrical tonsillar enlargement in adults

With significant increase in head and neck cancer in the last decade, attributed to HPV, fast-track referrals from primary care have markedly increased, adding further to the burden on the NHS. Whether or not unilateral tonsillar enlargement alone, without red...

Is GERD linked to CRS?

We are all well aware that both chronic rhinosinusitis and reflux are prevalent in our populations. This meta-analysis looked at 25 studies investigating the association between GERD, LPR and CRS, therefore evaluating more than 117,000 patients. The results are fascinating...

Hearing preservation in cochlear implantation – an American cocktail

There has been an increase in hearing preservation cochlear implant (HPCI) surgery over the last decade. Both steroid and L-N-acetylcysteine (NAC) were used and investigated respectively in the past in HPCI surgery. Authors investigated the role of perioperative NAC and...

Impact of Covid-19 on secretory otitis media (SOM) in terms of rate of intervention, effusion detected intraoperatively and seasonal variation

It is widely known that secretory otitis media (SOM) has seasonal variations. In well-judged cases, there is middle ear effusion found at the time of surgery. In this retrospective study, the authors have tried to assess if Covid-19 changed these...

Four lessons: the development of speech and language therapy research for people with dementia care

Dementia has been described as the biggest expanded caseload for speech and language therapists. Everyone with dementia experiences communication difficulties. The late Prof Audrey Holland revolutionised the work of speech-language pathologists in this field through four key lessons. Lesson 1:...

To pack or not to pack!

Ear packing is thought to support grafts, control bleeding and facilitate healing. However, it is not without complications such as fibrosis and infection. The authors aimed at investigating the effect of middle ear packing on graft success rate in myringoplasty...

Let’s talk brains: review of care pathways for communication management post brain tumour

One in five people with a brain tumour have speech and language difficulties such as aphasia – a language impairment that can result in difficulties using and understanding words and sentences and participating in conversations. This paper describes a scoping...

Starry eyed?

Attentive listening and active listening skills suggest that eye movement is an important factor in subject engagement. Indeed, when asked, AI suggests gaze is held for 70% of the time when listening. Although the route of this percentage is unclear,...