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Recovery room cortisol to predict long-term glucocorticoid supplementation

The authors report the results of using recovery room (RR) cortisol to predict the need for long-term glucocorticoids in patients who underwent transsphenoidal surgery (TSS). They conducted a retrospective study of preoperative morning serum cortisol (MSC), RR cortisol and day...

Swallow this: management of dysphagia in progressive neurological conditions

Whether the person with the swallowing difficulty has an acquired or progressive neurological condition, understanding the aetiology will allow the speech and language therapist assessing the swallow to have a better understanding of the likely implications for future swallow management...

Thyroidectomy - a pictorial walk through the surgical steps

We as ENT surgeons work closely with the endocrinologist to provide MDT care for patients with a variety of pathologic conditions of the thyroid gland, including benign, malignant and hormonal disease processes. Surgery plays a central role for a variety...

Speech and language therapists have the skills to provide all practisable supports in compliance with Mental Capacity Act guidance

Deciding where to live can be complex. However, people with communication difficulties can find this even more difficult, and they are often completed excluded from the process. In the past, people with complex communication difficulties may have been placed in...

Paediatric vocal fold paralysis

This paper takes a relatively complex paediatric airway problem and provides a structured approach from terminology and anatomy through to aetiology, assessment, investigation and management. I found it particularly clinically relevant because it provides a framework that can be applied...

Laryngeal dystonia

This narrative review provides a comprehensive and clinically relevant overview of laryngeal dystonia (LD), covering its pathophysiology, diagnosis and treatment options. The authors summarise the evidence supporting LD as a neurogenic movement disorder involving dysfunction of central sensorimotor networks, moving...