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Repair Revolution: Surgeons use fat grafts to address extensive facial deformities

September 2, 2011

Fat grafts have been used to repair the aging face for about two decades, but recently, surgeons have been using grafts to repair more extensive facial deformities caused by injury, illness or congenital abnormalities. Success, they said in interviews with ENT Today, depends on proper patient selection, matching the fat graft to defects that are most amenable to repair with fat injections and an understanding of the biology of the graft and how it reacts with surrounding facial structures.

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Rent the Right Way: Medical offices require unique leases

September 2, 2011

As tenants of medical office spaces, physicians often create special leasing issues. Medical tenants use hazardous materials, generate biomedical waste, demand confidentiality of patient records and require compliance with occupational safety standards—all unique aspects of the medical profession. Yet, often, physicians will sign “form” medical office lease agreements provided by the landlord without the benefit of legal counsel. Typically, the landlord provides a standard fill-in-the-blank lease form with the tenant’s name and the general business terms (including the term of lease, rental rate and commencement date). Tenants may gloss over the legal boilerplate provisions included in the lease agreement, assuming that these terms are standard to all leases and are not subject to negotiation.

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New Speech-Language Pathology Rule: Supervision of videostroboscopy and nasopharyngoscopy no longer required

September 2, 2011

Medicare requirements for physician supervision of speech-language pathologists conducting videostroboscopy (CPT 31579) and nasopharyngoscopy (CPT 92511) will move from the strictest level of oversight back to no national supervision level starting in October.

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Chaos Control: Plan ahead to ensure your practice survives a disaster

September 2, 2011

Ten years have passed since the U.S. was attacked on September 11, 2001 and six since Hurricane Katrina slammed into the Gulf Coast. And, while disasters of that magnitude are rare, hundreds of smaller-scale disasters occur every year, including tornadoes, blizzards, fires, earthquakes, airline crashes and chemical spills.

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The Future is Small: Nanotechnology promises big changes for head and neck surgery

September 2, 2011

The biggest gains in the future for surgical and therapeutic treatments of head and neck cancer will likely include the use of imaging techniques, radio-enhancers and drug delivery vehicles that are really, really small.

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Return on Investment: 2010 grant winners discuss their research spending

September 2, 2011

The otolaryngology treatments of tomorrow are the research of today, but somebody has to pay for it.

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Health Care Utilization for Allergic Rhinitis

September 2, 2011

Have there been incremental increases in health care utilization and expenditures for allergic rhinitis (AR) patients? Background: AR, one of the most common and likely underdiagnosed conditions, has been studied for […]

Consideration of Race, Ethnicity and Ancestry

September 2, 2011

Should race, ethnicity and ancestry be used as universal proxies for genetic, social and socioeconomic issues related to otolaryngology conditions? Background: Historically, race, ethnicity and ancestry have been associated with otolaryngology […]

Two Techniques Compared for Laryngeal Botulinum Toxin Injection

September 2, 2011

Between electromyography (EMG)-guided and non-EMG-guided “point-touch” techniques, which is better in the laryngeal botulinum toxin (BTX) injection treatment of adductor spasmodic dysphonia (AdSD)? Background: AdSD is the most common form of […]

Total or Hemithyroidectomy for Papillary Thyroid Microcarcinoma?

September 2, 2011

What is the best surgical treatment for papillary thyroid microcarcinoma (PTMC)? Background: Surgeons have debated whether to perform a total or hemithyroidectomy for PTMC, a carcinoma less than 1 cm in […]

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