ENTtoday: November 2012



HPV Related to Rise in Head and Neck Cancers

Over the past 15 years, a distinct subgroup of head and neck cancers caused by the human papillomavirus (HPV) has emerged, particularly among white males between 45 and 54 years of age

Pediatric Tonsillectomies on the Rise

Number of tonsillectomies on children has significantly increased since 1996, while more tonsillectomies are being performed in an outpatient setting

TRIO Best Practices

Is Polysomnagraphy Required Prior to T+A for Diagnosis of OSA versus Mild Sleep Disordered Breathing in Children?

Polysomnography (PSG) has been recommended by the American Academy of Pediatrics as the gold standard for the diagnosis of obstructive sleep apnea (OSA) versus mild sleep disordered breathing (SDB) prior to tonsillectomy and adenoidectomy (T+A) in children. Mild SDB includes primary snoring and upper airway resistance syndrome. Controversy exists regarding the accuracy of history and physical exam (H+P) alone in children for the diagnosis of OSA versus mild SDB prior to T+A. Thus, PSG has been recommended to confirm the diagnosis

TRIO Best Practices

Are Routine Dissolvable Nasal Dressings Necessary Following ESS?

Nasal dressings have frequently been advocated to improve wound healing and prevent ongoing bleeding after endoscopic sinus surgery (ESS). Initial experience focused on removable nasal packing materials; however, their adverse effect profile, such as pain/discomfort and mucosal trauma, has driven the development of absorbable biomaterials. Despite these developments, there is still little agreement on the optimal choice of nasal dressing or whether nasal dressings are required at all

Literature Reviews

Endoscopic Sandwich Technique for Moderate Nasal Septal Perforations

What would be a good surgical technique for the treatment of nasal septal perforations with diameters of 1 to 2 cm? Background: Surgical therapy is required for nasal septal perforation, which is a complete defect of cartilage or bone and mucosa in the bilateral nasal septum. Although many approaches and techniques have been reported, the […]

Literature Reviews

Researchers Develop Clinically Relevant Animal Model for Subglottic Injury

Can a clinically aligned, reproducible model for subglottic injury be developed? Background: Animal models for subglottic stenosis (SGS) have been invaluable in understanding the underlying mechanisms and in developing new prevention strategies. However, most animal models focus on causing a direct mucosal injury to the subglottic region rather than emulating some of the clinical causes […]

Literature Reviews

Comparison of Drug-Induced Sleep Endoscopy and Lateral Cephalometry

What are the associations between findings from drug-induced sleep endoscopy (DISE) and lateral cephalometry in obstructive sleep apnea (OSA)? Background: Because surgical treatment of OSA is directed at specific regions and structures of the upper airway, it is important to determine the pattern of obstruction and, if possible, to tailor surgical treatment to a patient’s […]

Literature Reviews

Propranolol Reduces Size and Blood Vessel Density of Infantile Hemangiomas

Can the effect of propranolol on infantile hemangiomas be quantified? Background: The utilization of propranolol for the treatment of infantile hemangiomas is efficacious and is considered the first-line treatment. Many questions still remain regarding propranolol, including the mechanism of action, the specific clinical effects, the duration of treatment and the reason(s) for treatment failure in […]

Literature Reviews

No Benefit from Post-Operative Corticosteroids in Pediatric Tonsillectomy Patients

Does the administration of systemic steroids during the post-operative course affect the morbidity associated with tonsillectomy surgery? Background: Tonsillectomy is one of the most common surgical procedures performed in North America. Despite the various technical options for performing this procedure, patients undergoing tonsillectomy endure significant morbidity. Common issues after tonsillectomy include pain, nausea and vomiting. […]