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Practice Focus

Molecular Testing for Thyroid Nodules Recommended as Adjunct to Fine Needle Aspiration

April 6, 2012

For years, thyroid nodules have been evaluated using fine needle aspiration (FNA). For most patients, this approach works reasonably well. But what about the roughly 30 percent of thyroid nodules characterized as having “indeterminate” cytology?

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Otolaryngologists Concerned about Online Consumer Hearing Test

March 6, 2012

A subsidiary of UnitedHealth Group has launched an online hearing test and a line of lower-cost hearing devices that are generating alarm about patient safety among otolaryngologists.

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Conflicting Evidence on Tobacco’s Effect on ESS Outcomes

March 6, 2012

Does smoking prevent sinus surgery from making patients feel better? Over the years, evidence and expert opinion have varied on this topic. As a result, some surgeons refuse to provide endoscopic sinus surgery (ESS) for active smokers, while others will operate because they believe surgery improves quality of life.

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Decade-Long Progressive Dysphagia with Intermittent Regurgitation

February 14, 2012

A 78-year-old woman presented with a 10-year history of progressive dysphagia for solid foods and pills, with intermittent regurgitation of pills but not food. No aspiration or weight loss was reported. Her past medical history was significant for breast cancer, hypothyroidism and arthritis. No head and neck masses were appreciated. A modified barium swallow was obtained.

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Voice Disorders in Children Require a Team Approach

February 14, 2012

Although voice disorders in children are not new, recognition of the need to address and treat these disorders in many children is increasing.

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SM12: Nasal Reconstruction after Cancer Treatment Includes Variety of Options

February 14, 2012

The right way to restore a patient’s nose after cancer depends on subtle factors: The shape, the depth, and the precise location of the wound all dictate how to go about the reconstruction, according to experts at the Triological Society Combined Sections Meeting.

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SM12: Hemangiomas in Infants Require Careful Diagnosis

February 14, 2012

Hemangiomas in pediatric patients pose a special challenge because the proper way to proceed might not be clear immediately, according to panelists at the Triological Society Combined Sections Meeting.

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SM12: Options for Hearing Loss are Multiplying

February 14, 2012

More and more options are emerging to help patients improve their hearing, a group of aural rehabilitation panelists said on Jan. 27 at the Triological Society Combined Sections Meeting.

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Window of Opportunity: New time frame suggested for cochlear implant surgery in advanced otosclerosis

January 13, 2012

A new treatment algorithm for advanced otosclerosis, based on the clinical experience of Dutch investigators and supported by a literature review they conducted, suggests that the window for successful cochlear implantation (CI) in patients with severe disease is narrower than some otolaryngologists may believe .

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Drug-Eluting Sinus Stent Hits the Market: May help maintain patency after FESS

December 9, 2011

Maintaining sinus patency after functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS) has long been an issue; as many as 23 to 47 percent of patients require revision surgery after FESS. Now, a new drug-eluting, bioabsorbable stent manufactured by Intersect (Palo Alto, Calif.) is being billed as a “breakthrough treatment [that] improves outcomes for sinus surgery,” according to a news release from the company. The device, which received pre-market approval from the U.S. Food and Drug Administration (FDA) in August, has been studied since 2008. It is currently available in Texas, New York, Philadelphia, New Jersey, Atlanta, Ohio and Kentucky.

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