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Balloon Sinuplasty Use Continues to Evolve: Procedure may complement traditional sinus surgery

November 5, 2011

Six years after balloon sinuplasty was introduced to the otolaryngology community, it remains an evolving technology. “In my opinion, balloon dilatation has great potential, but it’s still trying to find its proper place in the ENT arena,” said Ralph Metson, MD, clinical professor of otology and laryngology at Harvard Medical School and Massachusetts Eye and Ear Infirmary in Boston.

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Interested in a Policy Career? Four programs to get you into the Beltway and beyond

November 5, 2011

Otolaryngologists with a desire to broaden their careers beyond traditional medical practice have several options. Programs exist that can open doors into medical leadership, health policy work, clinical and outcomes research and public office. Opportunities are available at all stages of a physician’s career. Here’s a look at a handful of programs that aim to provide physicians with the tools they need to take their careers in a new direction.

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New Ventures, New Risks: Review all possibilities before affiliating with a hospital

November 5, 2011

In my January 2011 column (“A Seller’s Market: How to prepare your practice for sale to a hospital”), I described the growing trend of physicians selling their practices to hospitals and large health systems and then working for the hospital or health system. This trend is expected to continue in full force through 2012. As I noted in my January article, the physician’s post-sale arrangement is the driver for the growth of the physician’s practice within the hospital or health system.

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Novel Method Overcomes Nasal Discomfort in Office-Based Laser Surgery

November 5, 2011

What can be done to help patients with narrow nasal passages and/or nasal discomfort during office-based laser laryngeal surgery? Background: Although channeled flexible laryngoscopes have permitted a transnasal approach for biopsies, […]

Swallowing Function After TLM + Adjuvant Therapy

November 5, 2011

For patients with advanced-stage oropharyngeal cancer, how does transoral laser microsurgery (TLM) + adjuvant therapy impact swallowing function? Background: For survival reasons, patients with advanced oropharyngeal cancer have elected adjuvant therapy, […]

What’s the Best Way to Use Outpatient Physician Extenders?

November 5, 2011

Are physician extenders a valuable asset to an outpatient otolaryngology practice? Background: Use of physician extenders, nurse practitioners and physician assistants is increasing in specialty and subspecialty medicine. The field of […]

Cochlear Implants Improve Performance and Net Savings in Infants

November 5, 2011

Do the costs and benefits of cochlear implantation differ between infants and older children? Background: While many studies show more rapid auditory and cognitive development in early cochlear implantation, other studies […]

Medical Management for CRS Improves QOL

November 5, 2011

In patients who have failed medical management for chronic rhinosinusitis (CRS), are there greater quality of life (QOL) outcome improvements with further medical therapy or endoscopic sinus surgery (ESS)? Background: Although […]

Middle Turbinate Variations Don’t Justify Sinus Surgery

November 5, 2011

Are anatomic variations of the middle turbinate (MT), such as concha bullosa and paradoxical MT, associated with nasal septal deviation or chronic rhinosinusitis (CRS)? Background: CRS has multiple underlying causes. Although […]

Get Ready for Quality Improvement: Panelists outline helpful metrics and more

October 10, 2011

Close on the heels of the evidence-based medicine movement comes increasing pressure for physicians and health care institutions to develop and implement quality improvement measures that will not only improve quality of care, but also reduce medical costs and provide a way to measure performance by physicians and institutions. Integral to this process is the development of appropriate metrics by which to measure outcomes and physician performance that accurately reflect otolaryngology and its subspecialties. Two sessions at the recent 2011 American Academy of Otolaryngology–Head and Neck Surgery Annual Meeting held here Sept. 13 highlighted issues that are important for otolaryngologists striving to meet the growing demand for quality improvement.

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