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New OSA Clinical Guideline

May 2, 2010

What is the current recommended standard for evaluation and treatment of sleep-disordered breathing and obstructive sleep apnea (OSA)?  Background: There is lack of consensus about diagnostic protocols for OSA in adults. […]

Videolaryngostroboscopy Valuable in Pediatric Patients

April 1, 2010

What is the diagnostic value of laryngeal videostroboscopy in pediatric patients with dysphonia? Background: Laryngeal videostroboscopy has been proven to be a valuable tool in the evaluation of adult voice disorders. […]

Prevalence of Dysplasia with Recurrent Respiratory Papillomatosis Is High

April 1, 2010

What is the prevalence of dysplasia in recurrent respiratory papillomatosis? Background: Recurrent respiratory papillomatosis (RRP) is a debilitating disease caused by the human papilloma virus (HPV). Between two percent and four […]

System Automatically Monitors Apnea-Hypopnea Index

April 1, 2010

Does a new, full-night automatic system for the detection of snoring provide information on the acoustic characteristics of snores that differ in relation to the apnea-hypopnea index (AHI)? Background: The probability […]

Cidofovir Therapy Does Not Correlate with Worsening Dysplasia

April 1, 2010

What is the association between an increasing degree of papilloma dysplasia and the use of cidofovir in the context of the natural progression of dysplasia in recurrent respiratory papillomatosis (RRP)? […]

PET-CT Adds to Management of Salivary Gland Malignancies

April 1, 2010

What is the efficacy of combined positron emission tomography-computed tomography (PET-CT) in identifying salivary gland malignancies, and what is its role in the management of these patients? Background: In early studies, […]

Fibula and Osteocutaneous Radial Forearm Free Flap Are Comparable

April 1, 2010

Does the osteocutaneous radial forearm free flap (OCRFFF) provide equivalent functional outcomes and improved morbidity compared to the fibular free flap (FFF) in mandibular reconstruction? Background: Although widely used due to […]

Treating Allergic Rhinitis: A Patient Experiment

April 1, 2010

Berrylin J. Ferguson, MD, FACS, FAAOA, associate professor of otolaryngology and director of the Division of Sino-Nasal Disorders and Allergy at the University of Pittsburgh School of Medicine in Pittsburgh, Pa., uses the following form to help determine which allergy treatments will work best for each patient.

Mission Possible: Humanitarian work allows otolaryngologists to enact change

April 1, 2010

Performing international surgical outreach missions to help the world’s most disadvantaged patients overcome the disability imposed by disease is an extremely rewarding experience. Missions are challenging, varying in their length, level of working and living conditions and the surgery performed. Despite the rigors of mission work, there has not been a mission where members of the medical team did not find the experience to be life changing.

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Alternative Remedies for Chronic Rhinosinusitis: Are complementary and alternative treatments harmful or advisable?

April 1, 2010

Laurie McCombs, 53, has dealt with sinus problems nearly all of her adult life. Clogged sino-nasal passages made it difficult for her to breathe at night, and the congestion caused morning pressure headaches. Over-the-counter and prescription antihistamines muted her symptoms but did not address their cause. At the age of 40, she decided to take the advice of friends who had experienced relief with acupuncture. Now McCombs follows the advice of the acupuncturist, who diagnosed her with allergies to dairy products and yeast, by limiting her intake of breads and milk products. She also continues to take loratadine and has found saline irrigation with the neti pot helpful in clearing her sinuses.

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