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Features

The Path to Department Chair: Arriving and Thriving

January 9, 2026

Becoming a department chair in otolaryngology requires a combination of clinical skill, academic success, and administrative ability. Several current chairs share their unique paths, challenges, and advice for thriving in this demanding leadership role.

Rewriting the Rules of Rhinosinusitis

January 9, 2026

The 2025 American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) guidelines update the medical and surgical management of adult rhinosinusitis, emphasizing an inflammatory understanding of chronic sinusitis and advocating for evidence-based, individualized treatment approaches.

Growing Use of Tranexamic Acid in Otolaryngology

December 2, 2025

TXA is increasingly used in otolaryngology to reduce intra-operative and post-operative bleeding, supported by evidence from emergency medicine and orthopedic surgery. Its safety profile is strong, and it is administered intravenously or orally, with emerging use in pediatric and adult otolaryngologic procedures.

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CMS’ New Rule Aims to Streamline the Prior Authorization Process

December 2, 2025

CMS’s Interoperability and Prior Authorization Final Rule becomes effective January 1, 2026. What does this mean for ENT surgeons?

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Questions on NIH Funding Leave ENT Researchers Pondering Next Steps and Leaving Everything Up in the Air

September 3, 2025

With the Trump administration interrupting research at academic medical centers, court fights over the proposal of a 15% cap on the indirect rate, diversity research de-funded, and a proposal that would cut the NIH budget by 40%, traditionally robust federal support for medical research in the U.S. has eroded, and the research community shows little confidence that this will change in the short term.

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In-Office Rhinology Practices Continue to Grow

September 3, 2025

In a 2016 survey of American Rhinologic Society (ARS) members on practice patterns regarding office-based rhinology procedures, 63% of the respondents reported an increase in the number of office-based procedures they performed over the last five years.

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Physician, Know Thyself! Tips for Navigating Mid-Career Transitions in Otolaryngology

August 5, 2025

‘Physician, heal thyself” is an ancient proverb encouraging the importance of examining one’s own professional identity, strengths, and limitations to better serve patients. But if you’re an otolaryngologist contemplating a mid-career change, “Physician, know thyself” may be a better guidepost for finding the best match for your personal needs and professional talents.

Such self-awareness was one of several tools ENT physicians cited during a panel on mid-career transitions held during The Triological Society’s 2025 Combined Sections Meeting in Orlando, Fla.

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Empty Nose Syndrome: Physiological, Psychological, or Perhaps a Little of Both?

August 5, 2025

ENS represents one of the more complex conditions in otolaryngology, characterized by the paradoxical feeling of nasal obstruction despite objectively patent airways. In addition to the feeling of severe nasal obstruction—one patient called it “suffocating with every breath”—patients also report dryness, burning, and crusting. The quality-of-life impact can be so great that some patients travel the world seeking multiple consultations and revision surgeries.

Endoscopic Ear Surgery: Advancements and Adoption Challenges 

July 8, 2025

Scan the literature on transcanal endoscopic ear surgery (TEES) and you’ll find a host of benefits for the procedure when it is compared with its microscope-guided counterpart, including enhanced visualization, superior training, and reduced post-operative complications, to name just a few. Coupled with recent equipment advances, such as thinner, more flexible endoscopes and ones that combine cutting and suctioning for enhanced bleeding control, it’s clearly an exciting time for TEES.

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ENT Surgeons Explore the Benefits and Challenges of AI-Powered Scribes: Revolutionizing Documentation in Healthcare

July 8, 2025

In the fall of 2024, artificial intelligence-powered ambient scribe technology was rolled out across the University of California, San Francisco (UCSF) health system, allowing otolaryngologists and other clinicians to transcribe conversations with patients into text with just a click of a button.

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