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Fundamentals of AAC – A Case-Based Approach to Enhancing Communication

A comprehensive text that will appeal to speech and language therapists at all stages of their careers, from undergraduate through to seasoned professionals working directly in the field. Despite there being 64 contributors (mostly from the US), the editors have...

Suspect the unsuspecting in thyroid cancer

This article reminds readers of how often invasive thyroid disease can appear, as the symptomatology is minimal. Noticeable airway symptoms appear after 50% of the airway is involved and surgeons can often fall in the unsuspecting trap of discovering locally...

Milestones profile for children with cochlear implant

Over the last eight years, Nottingham auditory implant programme have developed and validated a profile of auditory milestones for use with children receiving bilateral cochlear implants under the age of two years. The structure of the Nottingham Auditory Milestones profile...

Cochlear implantation techniques

This issue concentrates on the advancement in techniques within the field of implant otology starting with cochlear implantation. Here it is sub-divided into indications, candidacy (including full pre-operative testing and investigations), surgical technique and outcomes for both adults and children....

Variability in the management of differentiated thyroid cancer (DTC)

This retrospective study analyses for the first time the management planning of thyroid surgeons across the specialties. A questionnaire was sent to members of ENT-UK, the British Association of Endocrine and Thyroid Surgeons, Association of Surgeons of Great Britain and...

Choosing our tools: assessing language in dementia

Language led dementia, also known as primary progressive aphasia (PPA), is an emerging area of practice in speech and language therapy. Given that the diagnosis centres around the key diagnostic feature of language, whereby language impairment is the most prominent...

Medical information required with requests for CT scans of the temporal bones; a two cycle audit

It is a common experience that radiology reports on the CT scans of the temporal bones do not always reach a diagnosis. Various studies have produced differing results in that detailed information may not be necessary to help reach a...

Scalp grafting as a reconstructive technique for severe alar retraction

Severe alar retraction is an acknowledged challenging aspect of revision rhinoplasty. Traditional grafting methods such as composite grafts, nasolabial flaps and cutaneous alar rotation flaps often carry limitations, including visible scarring, colour mismatch and reduced graft survivability. This retrospective cohort...

To question or not to question

Misophonia is a complex condition in which individuals experience a strong negative emotional response to specific sounds, such as chewing, breathing, swallowing or foot tapping. These reactions are not primarily determined by the volume of the sound. Although relatively few...

A legendary ‘parotid adenoma’: teaching aid or trophy? & The stapes: a classical heresy

A legendary ‘parotid adenoma’: teaching aid or trophy? A wander through the glass cases of the newly refurbished Hunterian Museum at the Royal College of Surgeons in London presents a particularly impressive sight to any ENT surgeon. The salivary adenoma...

Single sided deafness and cochlear implants

Cochlear implants (CI) can restore hearing in the profoundly deaf ear. Risk/ benefit and cost considerations dictate strict criteria that must be met for patients to be eligible. People with single-sided deafness are not eligible to receive a cochlear implant...

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...