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Hearing preservation in cochlear implantation – an American cocktail
There has been an increase in hearing preservation cochlear implant (HPCI) surgery over the last decade. Both steroid and L-N-acetylcysteine (NAC) were used and investigated respectively in the past in HPCI surgery. Authors investigated the role of perioperative NAC and...
An effective treatment for post Covid-19 smell loss?
It is well understood that calcium levels in the nasal mucous affect the ability to smell, with higher levels having a negative impact, and some studies have shown increased calcium levels in patients suffering with Covid-19-related olfactory dysfunction. Calcium chelating...
Dysphagia services in the emergency department
The emergency department acts as the first port of call for many individuals with wide-ranging diagnoses and conditions, several of whom may potentially present with dysphagia. It is not a usual environment in which speech and language therapists regularly work,...
Genetics of IP-III
The authors provide a literature review of the genetic basis and clinical features of incomplete partition (IP)-type III. The condition is seen typically in males and is due to mutation in the POU class 3 homeobox 4 (POU3F4) gene which...
A useful adjuvant treatment for SNAC or IP
5-Fluorouracil (5FU) is a topical preparation used in the treatment of various dermatological, ocular and gynaecologic malignant and pre-malignant conditions, and this literature review looks at the efficacy of 5FU in treating inverted papilloma and sinonasal tumours. The authors cite...
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...
Swallowing their words: translating and adapting swallowing questionnaires to other languages
Dysphagia (swallowing difficulties) is increasingly relevant given the ageing population. Yet measuring or assessing dysphagia is challenging and often costly when exploring instrumental examination. The aim of this study was to translate and validate a patient-reported swallow questionnaire; the Sydney...
Management of traumatic facial palsy
Most traumatic facial palsies resolve with conservative management. Early facial nerve decompression is indicated in acute complete traumatic facial palsies. House–Brackmann (HB) classification is used universally to classify the severity of the facial nerve injury, but few centres have availability...
Does frailty lead to changes on quantitative measures of videofluoroscopic swallowing assessment?
In recent years, studies have considered the relationship between frailty and swallowing and demonstrated that decreased skeletal muscle mass correlates with decreased swallowing function. This study investigated this relationship by using quantitative measurement of three individual components of swallowing assessed...
Is there any point giving postoperative oral steroids after a FESS?
It is well accepted that when medical treatment fails for chronic rhinosinusitis (CRS), endoscopic sinus surgery (ESS) is more effective than continuing with medical therapy alone. A variety of postoperative care options are available, including saline irrigation, in office debridement,...
