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How much does it cost to simulate speech and language therapy placements?

The Royal College of Speech and Language Therapists report that 20% of speech and language therapy positions are unfilled in the UK. Consequently, there is an urgent need to offer as many training courses as possible to fill these gaps....

Feel what you say: a framework to demonstrate the emotional response to aphasia is intertwined with the emotional toll

The authors start this paper by flagging a recent study demonstrating that speech and language therapists in clinical practice rarely have time to focus on emotional issues in relation to aphasia. Yet, people with aphasia describe the close relationship between...

Demonstrating unobservable effects of therapy through PROMS: a review

Ultimately, healthcare should meet the needs of the people it is designed for. One way of measuring this is using patient-reported outcome measures (PROMS). These tools capture the patient’s perspective and have been described as demonstrating the unobservable effects of...

Outcomes and progress of a well-designed one-stop head and neck lump clinic

With increasing caseload of head and neck cancer and the fact, as reported by UK Government in October 2024, that over half of these cases are diagnosed at an advanced stage, the need for early diagnosis and prompt management is...

Radiology of referred otalgia

Otalgia is a common presenting complaint to Ear Nose and Throat Departments. Otalgia is either primary or secondary (referred) [1]. Referred otalgia is a ‘red flag’ symptom and can be a diagnostic challenge for clinicians and radiologists as the pathology...

2020 Unmasked - By Behrad Barmayehvar

The face mask has become part of our lives; an essential item besides your mobile phone that you cannot leave the house without. The mask has also turned into a symbol for the communal resilience that we have all shown...

Running a post-COVID smell clinic

Over the past year, much of our effort as a speciality has been directed towards crisis management and keeping services afloat. Our practice has changed in untold ways, but unprecedented numbers of patients with smell disorders will increasingly require our...

Endoscopic middle ear surgery for cholesteatoma treatment

A critical question when any new technique is proposed is ‘does it work?’ In this article Daniele Marchioni and Davide Soloperto discuss the success rates of endoscopic ear surgery for cholesteatoma. Introduction Surgical management of cholesteatoma is still a controversial...

Semi implantable bone conduction devices: challenges and developments

Bone conduction mechanisms and history of bone conduction aids Bone conduction hearing devices work by stimulating hair cells via the bone conduction hearing pathways. These pathways are less well understood than the air conduction pathways, but recent research has shown...

Should we do oesophagoscopy during panendoscopy?

Panendoscopy entails a complete evaluation of the upper aerodigestive tract, and consists of oral inspection, direct laryngoscopy, bronchoscopy, oesophagoscopy, or some combination of these procedures. Despite many advances in imaging over the years, a skilled surgeon’s eyes remain superior in...

Predicting speech recognition in adults with cochlear implants

This was a combined prospective and retrospective study from Belgium that looked at factors influencing speech recognition scores in quiet conditions (retrospectively) and speech reception threshold levels (SRT) in fixed noise conditions (prospectively) after cochlear implantation in postlingually deaf adults....

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...