Features
Article: Sleep Studies Clarified: New guidelines amplify the role of PSG for children with sleep-disordered breathing
For otolaryngologists seeing increasing numbers of children with sleep-disordered breathing, whether or not to refer children for a polysomnography (PSG) prior to surgery is not a decision easily made. Currently, only about 10 percent of otolaryngologists request a sleep study in children with sleep-disordered breathing prior to surgery.
Article: A New Way to Learn: Residency programs use medical simulation to fill training gaps
In May, Marcelo Antunes, MD, chief resident of otorhinolaryngology-head and neck surgery at the University of Pennsylvania, was able to practice bilobed flaps on pig's feet at an ORL Rising Chief Boot Camp held at Penn Medicine Clinical Simulation Center in Philadelphia. While he had previously experienced medical simulation during his otolaryngology residency, the boot camp put the methodology in proper context for Dr. Antunes, who is particularly interested in facial plastics.
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Departments
Viewpoints: The Lost Art of Medicine: Patient care is paramount in practice
The science of medicine continues to expand rapidly, and this is obviously good for humanity. The art of medicine, on the other hand, has been largely forgotten. This skill is the basis of the time-honored physician-patient relationship and is an important aspect of good patient care. So why have so many physicians forgotten this basic skill? Why would a caring physician disregard any expertise that would benefit his patient?
Tech Talk: Update Your Practice: Follow these tips to select the right EMR for your group
I have been working with electronic medical records (EMR) for many years, having first become interested in 1996, when I was looking for a tool to collect data for pediatric sinusitis. As we designed a product to collect this data, our scope expanded into developing a subspecialty-specific EMR. I have since learned a great deal about developing and codifying information and am currently participating in my third and largest implementation of an EMR at Boys Town National Research Hospital in Omaha, Neb. In...
Career Development: Work Overload: Sense of achievement key to combating professional burnout
Most microvascular and reconstructive free-flap head and neck surgeons experience at least moderate professional burnout, according to a study published in October 2010 in the Archives of Otolaryngology and Head and Neck Surgery.
Literature Review: Literature Review: A roundup of important recent studies
Mild OSA Linked to Nasal Obstruction; Single-Staged Modified UPPP with Nasal Surgery Safe for OSAS Patients; Best Practice in Tympanoplasty; A Meta-Analysis of Minimally Invasive Video-Assisted Thyroidectomy; Preservation of Residual Hearing after Cochlear Implant Using SMA; Ultrasound-Guided Needle Dye Injection by Surgeon Localizes Tumor
Special Report: Structural Support: Surgeons extol the cartilage stability provided by a new nasal implant
For patients who undergo septoplasty to repair a crooked septum, reconnecting pieces of cartilage and stabilizing the cartilage during the healing process is critical to achieving straight alignment of the nasal septum. Stabilizing cartilage is particularly challenging for patients who require correction of severe septal deviations or severe post-traumatic deformities that are often both functional and cosmetic.
