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Large Fiberoptic Endoscopes May Be More Durable than Small Endoscopes

October 8, 2010

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 […]

Chemotherapy Alone Not Recommended for Advanced Laryngeal or Hypopharyngeal Cancer

October 8, 2010

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 […]

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Survival Rates Comparable in Children and Adults with Oral Tongue Squamous Cell Cancer

October 8, 2010

Does young age adversely affect prognosis for oral squamous cell carcinoma? Background: Squamous cell carcinoma in young patients (<40 years of age) is believed to have an etiology that is distinct […]

More of the Same: Why isn’t otolaryngology becoming more diverse?

September 3, 2010

As America grows and evolves, its face necessarily changes. Our country rests solidly on the idea that life, liberty and the pursuit of happiness should be available to all. Our collective understanding that access to health care and healthy living are essential to that ideal happiness continues to mature. But while the population becomes more diverse and blended, cultural disparities in health care not only persist, they do not appear to be diminishing. Collectively, African-Americans, Hispanic Americans and Native Americans comprise over one-quarter of our population. Yet, in the year 2000, they made up less than 10 percent of the physician workforce. These numbers dwindle even more when we consider surgical subspecialties.

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Your Practice, Your Brand: Top 3 marketing strategies

September 3, 2010

It’s a common challenge: In a tough economy, do you spend to increase patient revenue or save to keep your practice afloat?

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Generation Gap: Combating “fogeyphobia” in the workplace

September 3, 2010

In an address to the 2009 Combined Otolaryngological Spring Meetings in Las Vegas, neurosurgeon Harry Van Loveren, MD, chair of the department of neurosurgery at the University of South Florida, coined the term “fogeyphobia” to describe a tendency among older doctors to become reluctant to speak out against new surgical tools and techniques, out of fear of being viewed as old-fashioned.

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Payment Limbo: Medical societies take on SGR reform

September 3, 2010

In June, Congress gave physicians relief from the scheduled 21 percent Medicare pay cut, but only until the end of November. The payment patch, which briefly increases reimbursement by 2.2 percent, leaves doctors in limbo.

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Progress in Chronic Laryngitis: Improvement in diagnosis but continuing debate

September 3, 2010

Chronic laryngitis is a multifactorial disease with a large differential diagnosis for the patient who presents with hoarseness. Fortunately, the diagnosis of inflamed larynx has improved in recent years.

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The Opt-Outs: Otolaryngologists extol the benefits of third-party independence

September 3, 2010

When describing to the curious the benefits of opting out of both Medicare and private insurance, Gerard J. Gianoli, MD, president of The Ear and Balance Institute in Baton Rouge, La., often recalls one particular example: During one 90-day global period about five years ago, after an eight-hour resection of a skull-based glomus tumor, post-operative ICU care and several days of inpatient care and the usual post-operative office visits, he received a total reimbursement of $500.

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Is Comprehensive ASNHL Screening Always Needed?

September 3, 2010

What are the costs and diagnostic yield of screening patients presenting with asymmetrical sensorineural hearing loss (ASNHL)? Background: The magnitude of workup on a patient with ASNHL of an uncertain onset […]

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