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1164 results found

Spasmodic dysphonia – is greater awareness needed?

Spasmodic dysphonia (SD) is a focal dystonia of the laryngeal musculature. Previously considered to be a rare disorder, it has more recently been suggested that SD is in fact not rare but is frequently misdiagnosed or undiagnosed. This paper would...

Share your perspective on improving reflux care pathways

BIOHIT HealthCare recently brought together leading ENT specialists and speech and language therapy professionals for a roundtable discussion on the complexities of diagnosing laryngopharyngeal reflux (LPR) and extraoesophageal reflux. Key themes included the lack of consensus around LPR as a...

An objective office-based method for diagnosing allergic rhinitis

There are several signs of allergic rhinitis which, helped with skin prick and blood tests, can diagnose the problem. However, an endoscopic, on-the-spot test may surmount clinical uncertainties and invasive testing to acquire the same goal. In this study, the...

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...

Vestibular Testing Interpretation: Drill and Practice

My overall impression of this book is that I liked it. While it reports to be designed for a trainee or junior practitioner, it may be useful for clinicians for whom vestibular conditions and testing is an area of heart-sink...

A diagnostic survey of dizziness

The prevalence of self-reported dizziness and that requiring medical consultation is remarkably high. Cardiac and neuropathic comorbidities, often associated with these patients confuse the diagnosis. In this multicentre study, the prevalence and characteristics of various diagnostic groups, for example, Benign...

Vestibular paroxysmia, diagnostic controversy clarified?

Historically, the cause of vestibular paroxysmia (VP) had been attributed to neurovascular compression of the eighth cranial despite the observation that such compression is very common in asymptomatic subjects. This paper, part of International Classification of Vestibular Disorders (ICVD) by...

A new criterion for diagnosing chronic tonsillitis?

It is essential to establish the diagnosis of recurrent tonsillitis in patients undergoing tonsillectomy. This is based mainly on history which itself can be inaccurate and is supported by clinical findings which are not truly specific. There seems to be...

Persistent postural-perceptual dizziness: a functional neuro-otologic disorder

Persistent postural-perceptual dizziness (PPPD) is a neuro-otological disorder that is the most common cause of chronic vestibular syndrome. It is not a purely structural or psychiatric disease but a functional disorder. The authors reviewed the literature to summarise the diagnostic...

Finding the right balance: remote dizzy patient consultation during a pandemic

During the COVID pandemic, all our working patterns have changed. One significant impact had been on the management of outpatient consultations and the increase in telephone consultations and enhanced vetting. In this article the authors share their experience of managing...

EMG and unilateral vocal fold palsy

The authors studied the diagnostic and prognostic value of laryngeal electromyography (LEMG) in adults with unilateral vocal fold palsy. The study included 61 patients who were tested on average seven months after their palsy (4-11 months). In most cases the...

Objective testing for Eustachian tube dysfunction

Eustachian tube dysfunction (ETD) is typically diagnosed based on subjective symptoms and examination leading to wide variation in its diagnosis and management. The search for an objective test has looked at ways of measuring the passage of air through the...