ENTtoday: October 2010


Medical Education

Old Problem, New Focus: Otolaryngologists tailor allergy treatments to geriatric patients

Allergic rhinitis among the elderly poses a particularly difficult diagnostic challenge for the otolaryngologist. As people age, they undergo immunosenescence. The thymus, which produces T cells against new invaders, atrophies markedly after adolescence, and this decline results in a less robust immune response to bacteria, viruses and presumably allergens (J Pathol. 2007;211(2):144-156). Consequently, physicians have assumed that allergies should decline as people age.

Career Development, Literature Reviews

ENT Today Welcomes New Committee

One of the features weíve added to ENT Today since our new publishing partnership with Wiley-Blackwell has been concise, to-the-point reviews of some of the most important articles in the literature. Our editorial board members have been responsible for the most recent reviews in our ìLiterature Reviewî department, but the Triological Society has established a new committee of outstanding individuals who will scan the literature and write the summaries you read in ENT Today.

Health Policy, Legal Matters, Tech Talk

EHR Contracts Done Right: Get the most out of the government’s new adoption incentives

Need an incentive to implement an electronic health records (EHR) system in your practice? How about $44,000? That’s the amount the federal government is making available to eligible physicians as part of its effort to speed up the adoption of health information technology throughout the U.S. In fact, under the Health Information Technology for Economic and Clinical Health Act (HITECH Act), part of the American Recovery and Reinvestment Act of 2009, billions of federal stimulus dollars are flowing to medical practices throughout the U.S. to help physicians set up EHR systems.


Literature Reviews

Voice Prosthesis Seals Small Pharyngocutaneous Fistulas After Total Laryngectomy

What management is possible for small pharyngocutaneous fistulas (PCFs) in patients with limited survival chance who are not candidates for surgery?  Background: Some of the most common complications following total laryngectomy are PCFs. While a standard protocol for PCF management does not exist, the first approach is conservative management with wound care and tube feeding. When […]

Literature Reviews

Systemic and Otic Administration of Ofloxacin Are Comparable

Does topical application of ofloxacin to the intact tympanic membrane (TM) compare to systemic administration? Background: Acute otitis media (AOM) is routinely treated with systemic antibiotics, which have been linked to antibiotic-resistant strains of bacteria. Generally, topical therapy is considered appropriate if the TM is nonintact and permits solutions placed in the external auditory canal to […]

Literature Reviews

Balloon Dilation Useful for Revision Frontal Sinusotomy

Is the balloon a useful tool for revision frontal sinusotomy to efficiently and safely allow subsequent instrumentation of the frontal outflow tract using larger, more aggressive instruments? Background: Reports of drill-out frontal sinusotomy outcomes have emphasized the importance of mucosal preservation and the avoidance of circumferential mucosal disruption in maximizing long-term success. The frontal sinus outlflow […]

Literature Reviews

Large Fiberoptic Endoscopes May Be More Durable than Small Endoscopes

What is the durability of endoscopes to continued use and automated high-level disinfection, and how many duty cycles can a flexible endoscope withstand before repairs should be anticipated?  Background: High-level disinfection (HLD) for semi-critical instruments such as flexible endoscopes is recommended by the Association of Operating Room Nurses and the Association for Professionals in Infection Control […]

Literature Reviews

Chemotherapy Alone Not Recommended for Advanced Laryngeal or Hypopharyngeal Cancer

Is treatment with chemotherapy alone feasible for advanced laryngeal or hypopharyngeal squamous cell carcinoma? Background: A favorable response to induction chemotherapy has been shown to be predictive of response to chemoradiation in patients with advanced laryngeal squamous cell cancer. Because of the adverse long-term sequelae of radiation therapy, including fibrosis and dysphagia, this study sought to […]