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ENT Perspectives » Everyday Ethics

Docs Gone Bad: Your top doc just threw a tantrum. Now what?

February 1, 2010

In the more than ten years that Paul Levine, MD, FACS, has served as chair of otolaryngology and head and neck surgery at the University of Virginia in Charlottesville, he has heard his share of complaints about high-powered surgeons who are difficult to work with.

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Trauma Care and the Otolaryngologist: Roles, Expectations, and Challenges

December 1, 2009

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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Hearing Aid Update

December 1, 2009

Hearing aids-external electronic devices used to help individuals with hearing loss-traditionally consist of a microphone, an analog-to-digital converter, a digital signal processor, a digital-to-analog converter, and a receiver that delivers an acoustic signal into the external auditory canal. In 2008, 97% of all hearing aids sold used digital processing. Catherine V. Palmer, PhD, provides a review of current digital hearing aids.

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Experts Debate Pediatric Airway Issues

December 1, 2009

In a recent debate-style panel, five otolaryngologists addressed topical clinical issues relating to the pediatric airway ranging from adenotonsillectomy in children with obstructive sleep symptoms, to whether cidofovir should be used as a standard treatment in children with recurrent respiratory papillomas.

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Managed Correctly, Hearing Aid Dispensing Augments the Bottom Line

December 1, 2009

SAN DIEGO-Hearing aids can become a reliable source of ancillary income for otolaryngologists, according to four speakers in the miniseminar, Hearing Aids: The Dollars and Cents of Dispensing, presented at the annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS).

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Facility and Case Volume Tied to Cancer Death Rates

November 1, 2009

Patients with cancer of the larynx who are treated at teaching and research hospitals that see high volumes of such patients are the least likely to die within a year of their diagnoses, researchers said at the annual meeting of the American Head and Neck Society.

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HPV-Positive Oropharnygeal Cancer Has Better Prognosis than Tobacco-Induced Cancer

November 1, 2009

Mounting evidence suggests that human papillomavirus (HPV)-positive oropharyngeal cancer has an improved prognosis compared with HPV-negative disease. The most recent supportive evidence comes from an analysis of a Phase III trial presented at the 2009 annual meeting of the American Society of Clinical Oncology.

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Tracheal Transplant Brings High Hopes for Tissue Engineering

November 1, 2009

When a 30-year-old woman from Colombia who had had severe stenosis from airway tuberculosis was referred to the University College London Centre for Stem Cells and Regenerative Medicine, there were more questions than answers.

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Evaluation and Management of Patients After Unsuccessful Sleep Apnea Surgery

November 1, 2009

SAN DIEGO-For patients who undergo surgery for obstructive sleep apnea, failure of surgery to achieve success presents a number of challenges to otolaryngologists. First and foremost is the challenge of correctly assessing the outcome of surgery followed by the need to choose additional therapy tailored to the particular needs of each patient.

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Easier-to-Use Vocal Fold Injectables Prompt More In-Office Procedures

October 1, 2009

Armed with an arsenal of newer, easier-to-use injection materials, many otolaryngologists-head and neck surgeons are treating patients with vocal fold insufficiencies in their own offices, avoiding the hassle and expense of going to the operating room.

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