With no laryngeal nerve injury, do vocal characteristics change after thyroidectomy? Background: Vocal dysfunction is a feared complication of thyroidectomy. While operative injury to the recurrent laryngeal nerve is a […]

Toward Better Outcomes: Avoid revision surgeries in chronic rhinosinusitis patients
For many patients with chronic rhinosinusitis, functional endoscopic sinus surgery (FESS) has provided much needed relief from a condition that, by its daily aggravation, can significantly reduce quality of life.

HIPAA Expansion: Ensure your practice meets the law’s new provisions
On Feb. 17, 2009, President Obama signed into law the American Recovery and Reinvestment Act of 2009 (commonly referred to as ARRA or the Stimulus Bill) which includes the Health Information Technology for Economic and Clinical Health (HITECH) Act. The HITECH Act includes significant changes to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) that affect otolaryngologists and other health care providers, as well as those who process or work with health care information. Below is a summary of how these new provisions, many of which go into effect this Feb. 17, will affect your practice.

Medicare Meltdown: Congress Seeks Payment Formula Fix
Presdient Obama signed legislationlast month to temporarily prevent a 12.2 percent Medicare payment cut scheduled to take effect Jan. 1. The freeze lasts until Feb. 28, during which Congress is expected to come up with a permanent solution to what some consider a flawed payment system.

MP3 Generation: Noise-induced hearing loss rising among children and adolescents
Prior to the introduction of MP3 players, hearing loss among children was estimated at around 12.5 percent. More recent studies, however, estimate that 16 percent of teenagers, or approximately 6 million children, suffer from permanent noise-induced hearing loss (NIHL).

The Sleepy Child Conundrum: What to consider when SDB is ruled out
In a modern society that is constantly “on,” with 24-hour news channels, Internet connection, cell phones, video games, and a rapid pace of life unequaled in previous generations, sleep deprivation and sleep disorders are not only a risk—they are a given.

Fill the Gap: Strategies for addressing the otolaryngology workforce shortage
How do you plan to deal with workforce shortages? If you are like 55 percent of the audience at an interactive mini-seminar held during the October American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) Foundation annual meeting, you intend to hire additional otolaryngologists to help with practice overload.

Incorporating Home Sleep Studies into the Diagnostic and Treatment Armamentarium
SAN DIEGO-A change in the Centers for Medicare and Medicaid Services’ (CMS’) policy for national carrier determination on coverage for continuous positive airway pressure (CPAP) has created an opportunity for otolaryngologists who want to pursue incorporation of home sleep studies to diagnose obstructive sleep apnea (OSA) into their practices.

Update on Diagnosis and Management of Food Allergies
With the rising prevalence of food allergies and their associated potentially fatal consequences, understanding the pathophysiology of food allergies along with their diagnosis and treatment remains a critical part of otolaryngologic practice.

Trauma Care and the Otolaryngologist: Roles, Expectations, and Challenges
SAN DIEGO-Trauma care in the United States is on or heading toward life support. Although this may sound hyperbolic, it points to a need, seen by many otolaryngologists and other surgeons, to raise awareness of the growing gap between the numbers of people in need of trauma services and the accessibility of getting those services.
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