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Drooling: what is it like to be unable to manage your own saliva?
Drooling in Parkinson’s is associated with less frequent and inefficient swallowing, resulting in a build-up of saliva in the mouth that then moves beyond the lips. It often causes discomfort as the skin becomes sore, and results in embarrassment. The...
Management of traumatic facial palsy
Most traumatic facial palsies resolve with conservative management. Early facial nerve decompression is indicated in acute complete traumatic facial palsies. House–Brackmann (HB) classification is used universally to classify the severity of the facial nerve injury, but few centres have availability...
Eustachian tube dilatation can be done as an office procedure
Symptoms of eustachian tube dysfunction can often prove stressful and the treatment can be quite challenging in terms of sustained improvement. In this study, 31 patients underwent eustachian tube dilatation under local anaesthesia. The procedure is based on the concept...In conversation with Chrysa Spyridakou, Robert Nash, Emma Clement, Nish Mehta and Anne GM Schilder
Jaclyn Tan interviews members of the London-based multidisciplinary hearing team, about their insights to auditory neuropathy spectrum disorder, and their vision for the future management of this challenging range of conditions. Auditory neuropathy spectrum disorder (ANSD) describes a wide range...Dispelling myths about audiologic counselling: part one
In the first of a two-part series, Drs Clark and English explore common misconceptions in audiologic counselling and highlight the power of empathy and person-centred care. As patients sit before us, they experience any number of psychological and emotional states,...Leadership in academia
I went into medicine with the clichéd view of wanting to help people. I found that by doing surgery I could help a small number of people, albeit usually to a large effect. Then, I recognised that by engaging in...
IL-25 and nasal polyps, another target
Immune response in chronic rhinosinusitis with nasal polyps (CRSwNP) is mainly via type 2 T-helper (Th2) cells while Th1 cells characterise chronic rhinosinusitis without nasal polyps (CRSsNP) immune response. CRSwNP is heterogeneous on a cytological level causing a varied response...
Listening in noise to predict learning disability
Noise disrupts the neural coding of consonants more than vowels. Listening in noise presents a challenge for everybody, but particularly to children whose language skills are underdeveloped. This team views background noise as a disruption to the necessary neural mechanisms...
