At the time of this writing, the Tennessee state government had made headlines across the world that healthcare providers should pay attention to not only for ethical considerations, but also for professional ones.


At the time of this writing, the Tennessee state government had made headlines across the world that healthcare providers should pay attention to not only for ethical considerations, but also for professional ones.

In April 2023, we listed a variety of topics at the 2023 Combined Otolaryngology Spring Meetings (COSM) in Boston that had piqued the interest of ENTtoday’s physician editor Robin W. Lindsay, MD. This time, we’ve taken a closer look and highlighted some of the topics chosen.

The current literature, including meta-analyses and systematic reviews incorporating data from 54 separate studies, suggests that prophylactic antibiotics be used conservatively in the setting of mandibular trauma.

Laryngeal conservation surgery includes open and endoscopic approaches that address select malignant laryngeal lesions to achieve local control while preserving function.
Multi-Time Point Salivary Pepsin Test is a good diagnostic method for laryngopharyngeal reflux and is expected to replace HEMII-pH as the first-line diagnostic method.

The primary advantage of laryngeal reinnervation is prevention of denervation atrophy, which limits the long-term voice outcomes of static procedures. Recovery or maintenance of muscle tone is expected to lead to more symmetric vibratory masses, symmetric mucosal wave propagation, and improved voice quality.

Novel sternocleidomastoid flap augmentation of tracheal reconstructive technique for invasive thyroid cancer is designed to incorporate the sternocleido-mastoid muscle flap directly over the tracheal suture line to minimize the risk of anastomotic complications.

There are otolaryngologists who focus their surgical practices on patients with thyroid/parathyroid diseases; some have completed fellowships while others have not, and continuing board certification activities aren’t currently focused on this content. These issues, among others, were part of the genesis of the new focused practice designation.
There are significant variations in preferences regarding vocal fold injection materials, although hyaluronic acid-based products are the most frequently used by providers.
