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What blood tests should be requested to investigate vocal cord paralysis?

Patients who are discovered to have a vocal cord palsy with no obvious cause on history or examination routinely undergo investigations to exclude an underlying pathology. Cross-sectional imaging of the relevant recurrent laryngeal nerve is required, but considerable variability has...

How does the Dizziness Handicap Inventory (DHI) correlate with demographics and symptoms of patients?

The DHI is widely used to assess the self-perceived emotional, functional and physical disability in subjects with dizziness and balance problems. By studying the data of 568 patients retrospectively, the authors sought to determine the gender and age differences in...

The stubborn polyp cases are ‘different’

The widely different behaviour of nasal polyp disease between patients is a major feature of rhinology practice and makes counselling of patients difficult when approaching their first operative intervention. Setting aside aspirin sensitivity (Samter’s triad), which is known to be...

Positive practical communication skills for medics

Communication training for medical students generally focuses on communicating with unimpaired individuals. This article describes how a speech and language therapy department at the University of Gothenburg in Sweden trialled a new approach to teaching medical students. Fifty-nine undergraduate medical...

A ‘rye’ tail – the fatal illness of Lord Boringdon, a Regency tragedy

The anonymous privately-printed book, Some Account of Lord Boringdon’s Accident, describes in deferential terms a case of aspiration of a foreign body and its sequelae. Today aspirated foreign bodies are serious but curable injuries; before the invention of the bronchoscope...

Basic Fundamentals in Hearing Science

The preface to this textbook explains that its inspiration came from an identified need to replace a previously discontinued hearing science textbook authored by Durrant and Lovrinic in 1995. This was an excellent resource that I used throughout my own...

Students on camp

This article describes a three-day weekend camp for individuals with chronic aphasia and their care partners, designed to address personally relevant activities and conversations that help redevelop self-worth, confidence, and identity. The aim is to support carryover into individuals’ local...

Speech mapping and the benefits of using in clinical practice

Fitting hearing aids is not simply a case of one size fits all. Nicole da Rocha discusses the benefits of using speech mapping as a verification tool. The verification of hearing aids has become quintessential for best practice. Using either...

Day care or admission for aesthetic nasal surgery?

Day-care surgery is gaining in popularity throughout the surgical specialities due to economical constraints and patient convenience. However this is not without risk and a careful procedure by procedure evaluation should be performed to prove the suitability of this type...

Hearing impairment awareness in primary school teachers

Early intervention of hearing loss is crucial in school-age children to avoid delay in development of communication, cognition, language and social skills. Teachers play a crucial role in identification and support in cases of progressive or late-onset hearing loss. Using...

Eustachian tube dilatation can be done as an office procedure

Symptoms of eustachian tube dysfunction can often prove stressful and the treatment can be quite challenging in terms of sustained improvement. In this study, 31 patients underwent eustachian tube dilatation under local anaesthesia. The procedure is based on the concept...

Effective and profitable provision of paediatric audiology care in the private sector

Similar to other specialty areas of hearing healthcare, paediatric audiology is a potential net loss for a private-sector, for-profit, business. Given the time-intensive needs of patients with cochlear implants, tinnitus and those who are under the age of 18 years...