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Using the Ling-Madell-Hewitt (LMH) Test Battery

Why change a classic? Because of new knowledge and improved technology, of course! Drs Hewitt and Madell present an update to Daniel Ling’s classic speech test. One of Daniel Ling’s legacies is the Ling Six Sound Test which presents six...

Music and hearing aids - the current state of affairs

‘Speech sounds great, but music isn’t right’ is a common complaint from hearing aid users across the globe. In this article, Marshall Chasin, one of the most published audiologists on the subject of music and hearing, outlines why patients with...

Managing the thyroglossal duct cyst

Although the operation to remove thyroglossal cysts and their tracts is commonly performed, a full understanding of the possible anatomical locations of the tracts may be less appreciated. This article helps the reader understand the possible variations available which should...

Should we reconsider induction chemotherapy in advanced stage laryngeal cancer?

Use of chemo-radiotherapy for advanced laryngeal cancer led to a major shift in treatment as an alternative to total laryngectomy. Despite widespread adoption of chemoradiotherapy, survival rates have not improved and the original premise of matching neoadjuvant chemotherapy tumour response...

Does endoscopic stapling for pharyngeal pouch supersede open repair?

Endoscopic stapling for pharyngeal pouch is generally considered to be less invasive, safe and with fewer complications, resulting in quicker recovery and a shorter hospital stay. Whether these factors hold in the long-term follow-up is the subject of this interesting...

Bilateral transposition lip flaps of central upper lip defects

This case series brilliantly explains a novel technique to repair central upper lip deformities at a Moh’s reconstruction referral practice. Most of the current treatment operations advocate a secondary surgery in order to fully restore the philtral columns and the...

The double-half bilobed flap or traditional bilobed flap: which is better?

Reconstruction of the nasal tip following ablative surgery can be taxing. The nasal tip is a very visible area with largely immovable skin and reconstruction needs an appreciation of the various subunits to achieve best results. The traditional superiorly based...

Velopharyngeal insufficiency after adenotonsillectomy

The authors retrospectively reviewed the clinical records of 320 paediatric patients who underwent either tonsillectomy, adenoidectomy or adenotonsillectomy, under a single paediatric ENT surgeon. Patients with pre-existing velopharyngeal insufficiency (VPI) were excluded, as assessed by preoperative testing for nasal air...

Puberty and rhinitis

While asthma and rhinitis are more common in boys compared to girls in childhood, whether this trend persists after puberty or not is not yet clear. Authors inspected the European Commission funded MeDALL (Mechanisms of the Development of ALLergy) to...

Which da Vinci surgical system? Novel flexible, single-port versus current multiport, rigid-arm robotic surgical system

The da Vinci robotic surgical system has transformed how oropharyngeal head and neck surgery can be delivered. The existing da Vinci Si model has challenges: the dimensions of this are larger than would be ideal for head and neck surgery...

Preoperative CT checklist (using the ‘CLOSE’ mnemonic) improves identification of anatomical variants for endoscopic sinus surgery

Computed tomography (CT) scans of the paranasal sinuses act as roadmaps for endoscopic sinus surgery (ESS) and careful inspection preoperatively warns the operating surgeon of critical anatomical variants. This study aimed to investigate if implementation of a pre-ESS CT checklist...

Cochlear implants in single sided deafness

Whilst the benefit of a second cochlear implant in people with bilateral deafness is well established, the benefits of implantation for single sided deafness with normal contralateral hearing have been much more modest. The reasons for this are varied, in...