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How can we understand autism and autistic children better?

Andrew Whitehouse draws on his years of experience working with neurodiverse people to give a fantastic insight into the world of autism, as well as suggesting some simple strategies clinicians can use to improve communication with autistic people. How can...

Dysphagia in complex laryngology – maintaining the balance

These authors from the speech and language therapy department at Imperial College Healthcare NHS Trust, describe their view of a patient-centred approach to managing dysphagia in complex laryngology. Careful consideration of the balance of airway, voice and swallow, which is...

Paediatric ENT trauma

Managing trauma in children often strikes terror in doctors who do not deal with children regularly. Kate Stephenson explains the approach to a child who has suffered ENT trauma and specific things to look for in children. ENT injuries are...

Protheses for patients with severe bilateral vestibular loss

In February 2003, I met a patient with severe bilateral vestibular loss due to gentamicin toxicity, and I felt disheartened. Despite the fantastic diagnostic vestibular lab we had at Maastricht University Hospital, what could I truly offer her? She had...

OBITUARY: Professor David M Baguley (1961-2022)

Leader, teacher, mentor, scientist, clinician, patient advocate and man of faith: we will not see his like again. The sudden and tragic death of David (Dave) Baguley has left a gap within the national and international audiology and hearing science...

Modernising scientific careers and audiology in the United Kingdom

Modernising Scientific Careers (MSC) is an education and training strategy for 51 disciplines in healthcare science within the National Health Service (NHS) in the United Kingdom (UK). Some of these disciplines lacked clear training routes as well as registration opportunities...

A ‘smarter’ way to examine the ear?

Otoscopes and endoscopes, essential tools for ENTs, audiologists, and general practitioners, are on the receiving end of a modern twist thanks to smartphone technology. Aimed at adapting smartphones for otoscopic and endoscopic imaging, these reimagined devices might just change the...

Stepwise approach to manage palatal myoclonus successfully

Palatal myoclonic tinnitus (PMT) is a rare condition caused by rhythmic voluntary or involuntary movements of the soft palate, mainly the tensor veli palatini and levator veli palatine muscles. Patients usually present with a ‘clicky’ noise in the ear. Oral...

Horizontal canal PPV: is Gufoni manoeuvre better than barbecue manoeuvre?

Benign paroxysmal positional vertigo (BPPV) is the most common kind of vertigo that we come across in our out-patient clinic. Horizontal canal BPPV (HC-BPPV) accounts for 10–30% of total BPPV. Two techniques, namely Guffoni and barbecue roll manoeuvres, are generally...

Does use of pectoralis muscle myocutaneous flap (PMMCF) reduce postoperative pharyngocutaneous fistula complication after salvage laryngectomy?

Salvage laryngectomy for recurrent laryngeal carcinoma following failed radiotherapy or chemoradiotherapy is associated with high postoperative complication rate. The primary aim of this paper was to assess whether use of muscle myocutaneous flap (PMMCF) as an interposition graft reduces the...

Promising surgical technique for pulsatile tinnitus caused by sigmoid sinus dehiscence?

Pulsatile tinnitus (PT) can be caused by sigmoid sinus dehiscence (SSD). The authors report the results of 17 patients who underwent sandwich surgical technique for sigmoid sinus (SS) wall reconstruction for the treatment of pulsatile tinnitus caused by sigmoid sinus...

Outpatient solution for a Patulous tube?

Definitive diagnosis and management of Patulous Eustachian tube (PET) is unsatisfactory. Several different treatment methods are currently used for PET which itself indicates no satisfactory solution. The objective of this study was to compare the outcomes of two different treatment...