ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Literature Review: A Roundup of Important Recent Studies

June 7, 2012

  • Tweet
  • Email
Print-Friendly Version
  • Patients Need to Be Better Informed About Steroid Complications
  • Major Complications from Endoscopic Sinus Surgery on the Decline
  • First Review of Frontal Sinus Inverted Papilloma Surgical Management
  • Clinical Tests of Peripheral Vestibular Function Are Reviewed
  • Identification of Prognostic Factors for Head and Neck Merkel Cell Carcinoma
  • Nomenclature Paradigm for Benign Midmembranous Vocal Fold Lesions

You Might Also Like

  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
Explore This Issue
June 2012

Patients Need to Be Better Informed About Steroid Complications

What are the medico-legal implications of corticosteroid use in patients with chronic rhinosinusitis and/or allergic rhinitis?

Background: Corticosteroids are a mainstay of treatment for inflammatory disease of the upper airway. Because of their beneficial anti-inflammatory effects, many physicians utilize oral corticosteroids as part of a regimen of “maximal medical therapy” for the treatment of chronic rhinosinusitis. However, in light of their potential complications, uncertainty regarding the use of these agents, as well as informed consent and medico-legal implications, exist for treating physicians.

Study design: Literature review.

Setting: Division of Otolaryngology, Department of Surgery, Zablocki VA Medical Center, Milwaukee, Wisconsin; Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland.

Synopsis: Complications from steroid use can be extensive, ranging from psychiatric reactions to skin changes, loss of bone density and avascular necrosis (AVN) of the bone. AVN is the complication that most often leads to litigation. While this condition typically occurs with longer courses of higher doses of steroids, studies of short-term use with lower doses also exist. One notable study found 15 patients with AVN who had received a single course of steroids over a three-year period. The mean cumulative dose was 850 mg of prednisone (range, 290–3300 mg), and the mean duration was 20.5 days (range, 6–39 days). Litigation related to steroid use, according to the WESTLAW database, identifies 65 percent of cases related to “negligent use of steroids,” while 36 percent allege “lack of informed consent or incomplete/unclear consent.”

Bottom line: Clear explanations regarding the use of steroids and their expected benefits and potential risks, as well as possible alternatives, should be presented to patients. These discussions should be documented.

Reference: Poetker DM, Smith TL. What rhinologists and allergists should know about the medico-legal implications of corticosteroid use: a review of the literature. Int Forum Allergy Rhinol. 2012;2(2):95-103.

—Reviewed by Brent Senior, MD

Major Complications from Endoscopic Sinus Surgery on the Decline

What is the nationwide incidence of major complications from endoscopic sinus surgery?

Background: Although endoscopic sinus surgery is one of the most common surgeries performed in otolaryngology, knowledge of major complications is limited. Early studies with small patient cohorts at academic institutions estimated the occurrence of complications to be 1 to 3 percent of cases. This study is an attempt to determine a more accurate rate by utilizing a large nationwide patient database.

Pages: 1 2 3 4 5 | Single Page

Filed Under: Departments, Literature Reviews, Online Exclusives Tagged With: ESS, Merkel cell carcinoma, vestibular function, vocal fold lesionsIssue: June 2012

You Might Also Like:

  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Non-Acidic Reflux Explains Lack of Response to H2 Blockers and PPIs
    • How 3D Printing Is Transforming the Pediatric Otolaryngology Field
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Why Virtual Grand Rounds May Be Here to Stay
    • Otolaryngologist Leverages His Love of Pinball into Second Business
    • These New Imaging Advances May Help to Protect Parathyroids
    • Is the Training and Cost of a Fellowship Worth It? Here’s What Otolaryngologists Say
    • Which Otologic Procedures Poses the Greatest Risk of Aerosol Generation?

Polls

Have you used 3D-printed materials in your otolaryngology practice?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.