The choice with which laryngologists are faced when it comes to early vocal-fold cancer is a delicate one: How invasive does the treatment need to be at this stage?





Roger L. Crumley, MD, MBA, Professor and former Chair of the Department of Otolaryngology-Head and Neck Surgery at the University of California, Irvine School of Medicine, and current President of the American Laryngological Association, has no doubts about the advantages of laryngeal reinnervation over other treatments for unilateral vocal cord paralysis.

This issue’s Special Report is on quality improvement, an increasingly important health care issue not only in this country, but also in many other countries around the world.

Within the ongoing discussion on the need to reform the delivery of health care in the United States to better balance issues of cost, quality, and accessibility is an underlying issue that, if not sufficiently recognized, will undermine all efforts at reform.

Politics is not a four-letter word.


Electronic medical records (EMR) are to health care professionals what world peace is to humanity-everyone wants it, but not everyone agrees how to go about it.
