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Practice Focus

Operating Room or In Office for RCPD Botulinum Toxin Injection

July 1, 2026

Current literature shows that botulinum toxin injections into the cricopharyngeus muscle effectively treat RCPD in most patients. Both operating room and office procedures are successful, though they have different side-effect profiles. Surgeons should involve patients in decision-making by discussing the risks and benefits of each approach for a more personalized treatment.

Should Transcervical Arterial Ligation Be Performed During Transoral Robotic Surgery?

July 1, 2026

Given the significant potential benefit with limited risk of complications, TCAL should be performed concurrently with TORS to decrease the risk of severe post-operative bleeding. Future studies should examine the optimal TCAL approach (selective ECA branches vs. total ligation of the ECA).

Is Rhinoplasty Safe for Adolescents?

July 1, 2026

Rhinoplasty in adolescents requires a careful, evidence-based approach that considers skeletal maturity, psychosocial readiness, and ethical responsibility. Current guidelines suggest delaying elective procedures until nasal growth is complete.

Novel Treatments and Advances in OSA

July 1, 2026

Recent advances in OSA treatments offer ENT surgeons expanded options and improved patient care through medical, surgical, and diagnostic innovations. These developments emphasize personalized and multimodal approaches to managing this common and underdiagnosed condition.

What’s New Versus Tried and True in Pulsatile Tinnitus

June 3, 2026

Pulsatile tinnitus (PT) is a complex otologic condition often linked to idiopathic intracranial hypertension (IIH), vascular abnormalities, and obesity, with emerging treatments focusing on glucagon-like peptide-1 (GLP-1) receptor agonists. Accurate diagnosis and multidisciplinary care are essential for effective management of PT and related disorders.

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Imaging Before Velopharyngeal Dysfunction Surgery in Patients with 22qDS?

June 3, 2026

Routine universal imaging before velopharyngeal dysfunction operations in patients with 22qDS is not recommended. Rather, the surgical technique and careful dissection should be the priority.

Are Boot Camps an Effective Teaching Modality for Junior Otolaryngology Residents?

June 3, 2026

The available evidence demonstrates that boot camps are well-received and viewed as highly valuable by trainees, and they’re effective at improving trainee confidence, with benefits persisting at least six months after participation.

A Randomized Pilot Trial of Virtual Reality Surgical Planning for Head and Neck Oncologic Resection

June 3, 2026

The use of VR in surgical planning could enhance clinical outcomes for HNC resections. The authors’ goal was to assess the feasibility of a vr protocol for oncologic surgical planning and to analyze its impact on surgical outcomes.

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Innovations in Otolaryngology: Two Paths to Progress

May 4, 2026

Otolaryngology is experiencing significant developments from both scientific research and patient-driven recognition of conditions. Two key innovations are gene therapy for hearing loss and the identification and treatment of retrograde cricopharyngeal dysfunction, which illustrate different origins of medical progress.

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What Is the Current Management of Osteoradionecrosis of the Temporal Bone Following Head and Neck Cancer Radiotherapy?

May 4, 2026

Temporal bone ORN is a rare but serious complication of head and neck cancer treatment. Medical management, including topical antimicrobials, debridement, PENTO protocol, HBO therapy, and pain relief, can be effective for localized cases. Surgical intervention is recommended for diffuse disease, severe pain, uncontrolled infections, cholesteatomas, and patients over 60. More research and randomized control trials are needed to determine the best treatment approaches.

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