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How long is too long? Waiting times for speech and language therapy

Waiting lists are a reality of clinical practice, and many health and social care professionals become used to having to cope with this. The authors of this paper addressed this issue by examining written submissions to the 2014 Senate Inquiry...

Swallowing it whole: the physical and psychological consequences of dysphagia

Living with dysphagia in the real world can be extremely challenging, both practically and psychologically. Long-term changes in taste due to chemo-radiation treatment for head and neck cancer, fatigue due to Parkinson’s disease, and physically impaired structures due to stroke...

All you need to know about childhood hearing loss - an update

This is an excellent update on childhood hearing loss. It is a comprehensive collection of five chapters, providing a summary of a broad range of practice guidelines to inform screening, diagnosis, and management of hearing loss in children. It has...

Strengthen your communication: better conversations can reduce the risk of frailty

Our population is ageing and, with this, the incidence of frailty is increasing. Frailty is defined as increased vulnerability to stressors resulting in adverse outcomes. Stressors can include communication and swallowing difficulties, yet these are poorly recognised. Management of communication...

Effect of COVID-19 on hearing and balance

Rhinological symptoms are cardinal features of COVID-19. However there have only been anecdotal reports on the involvement of the ear, the closest neighbour to the nose and throat. The aim of this study was ‘to assess the presence of persistent...

Persistent imbalance after traumatic brain injury is central in origin

Several residual symptoms, including dizziness and imbalance, can follow traumatic brain injury, no matter how mild. This study focused on the mechanisms, peripheral and central, underlying the complaint of persistent imbalance in patients with chronic mild traumatic brain injury (mTBI)....

The emergence of in-office ventilation tubes for the treatment of otitis media in children

In-office tympanostomy tube systems offer a quicker, anaesthesia-free alternative to traditional surgery for children, with promising outcomes and reduced costs. Tympanostomy tube or grommet insertion is the most common surgery performed on children worldwide. Whilst a relatively short and straightforward...

ENT in the Balkans

Shining a light on ENT in the Balkans, Metin Önerci explains the population and challenges in this part of the world. There is no universal agreement on what constitutes the Balkans. However, the following countries are usually included: Albania, Bosnia...

Barotrauma

Barotrauma is an injury which is due to the effects of pressure upon an air-containing space. Healthy middle ear cavities and paranasal sinuses are normally in equilibrium with the atmospheric pressure, but if an individual moves away from the surface,...

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...

Audiology and ophthalmology: a comparative perspective on diagnostics and patient care

What are the similarities and differences between audiology and ophthalmic practices, and what can we learn from each other? Rosalyn Painter finds out. I’m here with Chris Gordon and Anthony Vukic from Gloucestershire Hospitals NHS Foundation Trust to find out...

Have we reached our limits in endoscopic skull base surgery?

As being an anterior skull base surgeon becomes the aspiration of many ENT trainees, Professor Nicolai gives his personal insights into the future for this exciting subspeciality. Having been directly involved in the evolution of transnasal endscopic surgery (TES) since...