Change Is Already Here

We read with great interest Dr. Steven Sim’s recent op-ed, “More of the Same: Why isn’t otolaryngology becoming more diverse?” in ENT Today (Viewpoint, Sept. 2010).

Resident Restructure: Attendings adjust to new work-hour rules

The new duty hour regulation from the Accreditation Council for Graduate Medical Education (ACGME) that limits first-year residents to 16-hour shifts has drawn a conflicted chorus of reactions from attendings, who have only seven months before the stipulation goes into effect.

Diagnosis of Supraglottitis in the Post-Immunization Era

What are the demographics, presentation, interventions and outcomes of acute supraglottitis in the era following widespread immunization against Haemophilus influenza type b? Background: The overall incidence of acute supraglottitis has decreased […]

Mandible Vascularized Bone Graft Reconstruction Successful in BRONJ

Does vascularized bone reconstruction provide optimum reconstruction among patients with bisphosphonate-related osteonecrosis of the jaw (BRONJ)? Background: Bisphosphonates, a commonly prescribed class of medications used in the treatment of multiple myeloma […]

Dysphagia May Lengthen Hospital Stay

Does the presence of dysphagia in hospitalized patients result in prolonged hospital stay and increased morbidity? Background: Dysphagia is a symptom that may be an indication of swallowing dysfunction. Swallowing dysfunction […]

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.