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Although unilateral vocal fold palsy (UVFP) is a common problem, data relating to swallowing dysfunction are sparse. We reviewed the clinical findings (method of presentation, underlying diagnosis and position of the vocal folds) of 30 patients and conducted a follow-up telephone survey. Outcome measures used were direct visualization of fold function, position and compensation. In addition, standardized speech and language assessments for swallowing dysfunction and dysphonia were noted and compared to presentation. Our study indicates that 56 per cent of patients with UVFP have associated dysphagia. Outcome with speech therapy is significant, with 73 per cent showing improvement. These data indicate a significant link between UVFP and swallowing dysfunction. There is a marked therapeutic benefit from voice therapy. Further work is required to evaluate the long-term outcomes and establish the mechanism of swallowing dysfunction in these patients. [ABSTRACT FROM AUTHOR]

Skin-prick testing is one of the cheapest and most widely available methods for diagnosing allergies. With ever-increasing numbers of nurses performing the tests in nurse-led clinics, it is essential that the procedure is fully understood and carried out correctly, particularly in terms of patient safety. This article discusses the indications, contraindications, advantages and disadvantages of skin-prick testing and details how to carry out the procedure.