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What can we tell about swallow physiology from a bedside clinical assessment?
Knowledge about swallowing physiology has greatly increased with the use of instrumental assessments such as videofluoroscopy (VFS). The authors of this paper performed an analysis of data obtained from 60 stroke patients who were assessed via a clinical swallow examination...
Botulinum toxin injection for bilateral recurrent laryngeal nerve paralysis
All traditional surgical treatments for bilateral recurrent laryngeal nerve (RLN) paralysis are essentially a balance between maximising airway patency and ensuring adequate phonation / airway protection. This paper highlights the potential role of botulinum toxin (Botox) injection into the cricothyroid...
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...
Gardasil vaccination for laryngeal RRP – an update
This paper reports the results of a follow-up study investigating the possible role of adjuvant Gardasil vaccination in patients with recurrent laryngeal papillomatosis. The preceding study – also published in the Journal of Voice (2017) – reported the changes in...
The electromagnetic larynx
Current treatment options for a bilateral vocal cord palsy (tracheostomy, posterior cordotomy, arytenoidectomy) are suboptimal, with a focus primarily on a static means of airway restoration at the expense of voice production and potentially swallow safety. This paper reports on...High praise for Peptest®: diagnosing LPR with confidence
BIOHIT HealthCare recently filmed an exciting testimonial video with Jane Shaw, Consultant Speech and Language Therapist (SLT) at Doncaster and Bassetlaw Hospitals NHS Trust.Challenges in paediatric airway management
Paediatric airway emergencies are high-stakes, but training, simulation and updated guidelines help ENT teams manage risks and build confidence. Congratulations to the ENT Masterclass® on its forthcoming 20th birthday. Over the past two decades, Shahed Quraishi has grown it to...'If music be the food of love, play on'
Christopher Aldren Consultant Otolaryngologist, Wexham Park Hospital, UK. Chris playing at Cambridge garden party 2003. Chris with wife and sons Tom and Alex in family quartet. Chris leading the Doctors Orchestra at the Cadogan Hall in London. Christopher Aldren, Consultant...In conversation with Miss Romola Dunsmore “ENT training in my day”
Emma Stapleton is an ST8 in Otolaryngology at Doncaster Royal Infirmary, UK. For her first Trainee Matters article, Emma and her colleague, Ruth Capper (Department of Otolaryngology Head and Neck Surgery, Doncaster Royal Infirmary), spoke to 92-year-old ENT surgeon Romola...In-office management of subglottic and tracheal stenosis: balloon dilation, laser treatment and steroid injection
Laryngology continues to advance since its development as a subspecialty at the turn of the century. Rarely performed operations restricted to the surgical theatre can now be undertaken in the outpatient / office environment. This detailed article demonstrates, in a...The Association of Otolaryngologists in Training: by trainees for trainees
The Association of Otolaryngologists in Training (AOT) is an independent organisation, run by trainees for trainees in the UK for over 25 years. Its aims are to represent all ENT trainees in the UK; to improve and promote standards of...
