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Objective versus subjective – again!
The use of objective measurements of nasal airflow has a long history; however, its clinical application remains, at most, patchy. The main reason for that has been the lack of convincing studies showing a good correlation between the findings of,...
Cheek reconstruction following melanoma excision
Malignant melanoma occurs most commonly on the cheek and thus is usually diagnosed early, and rarely needs large reconstructions for advanced disease. This is a retrospective study looking at 26 patients that had undergone treatment for cheek melanomas between 1996...
Steroids for vocal cord mucus retention cysts
This is an interesting paper that describes the use of intralesional steroid injections to treat vocal cord mucus retention cysts. The gold standard is microlaryngoscopy and excision of the lesion. In patients who may be unable to undergo surgery, this...
Cycle helmets protective against facial injuries?
This is a meta-analysis completed by a maxillofacial unit on the South Coast of England. Nine studies from an initial literature review of 102 were included in the analysis. Cycling has been reported as the cause of 3-20% of facial...
Dispelling the myths around stuttering and bilingualism
There are many myths around language development in bilingual children, and an increased risk of stuttering in bilingual children is one of these misperceptions. In research studies, speech and language therapists have identified higher numbers of dysfluencies in speech samples...
Information to support decision-making: does it make sense online?
The internet has become a major source for health information, with many people preferring to use the internet to search for advice than speaking to health professionals. Yet much of the information available is very difficult to read for the...
Hearing disability questionnaires
This is a very interesting study concerning the validity and readability of 10 hearing disability English language questionnaires available for clinical use. The questionnaires were assessed against the World Health Organisation’s International Classification of Functioning, Disability and Health framework (WHO-ICF)....
Percutaneous tracheostomy in anticoagulated patients
This Belgian study looked at the risks and complications of bedside percutaneous tracheostomy in patients who received anticoagulant therapy. The 231 tracheostomies included in the study were performed over an eight-year period by two otolaryngologists using bronchoscopic guidance. The mean...
Narrow band imaging in laryngopharyngeal reflux
Narrow band imaging (NBI) is a tool on the Olympus endoscopic systems that uses blue and green wavelengths to enhance visualisation of mucosal vasculature. It has been used to aid in the early diagnosis of upper aerodigestive tract cancers. A...
A cost reducing protocol for magnetic resonance imaging in patients suspected to have acoustic neuroma
Magnetic resonance imaging is the ‘gold standard’ for screening patients suspected to have an acoustic neuroma. However, inappropriate referrals for imaging are not helpful, especially with the growing need to reduce costs. In this study the authors compared two audit...
Counting up discourse
Speech and language researchers and health professionals alike strive to measure communication abilities using relevant and psychometrically sound tools. Discourse measures are potential tools which reflect everyday communication more accurately than other more traditional measures. However, time has been a...
