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Practice Focus

In Memoriam: Patrick Edgar Brookhouser, MD

December 9, 2011

Born in Council Bluffs, Iowa, Patrick Edgar Brookhouser, MD, grew up in Missouri Valley, Iowa, where he graduated valedictorian from the local high school. His intellect and natural curiosity earned him numerous academic awards, and he graduated from Creighton University summa cum laude and from Johns Hopkins Medical School as a member of Alpha Omega Alpha.

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Obstructive Sleep Apnea Options

December 9, 2011

Oral appliances may work better than CPAP for some patients

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Practice Alternatives: Three otolaryngologists discuss what it’s like to work under evolving care models

November 5, 2011

Certain well-established care delivery models for otolaryngologists have long defined the specialty. But, like pharmacology, surgical techniques and treatment therapies, practice models evolve. And while traditional models continue to dominate the scope of most otolaryngology practices, the field is seeing a gradual shift to new constructs. Among them…

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Balloon Sinuplasty Use Continues to Evolve: Procedure may complement traditional sinus surgery

November 5, 2011

Six years after balloon sinuplasty was introduced to the otolaryngology community, it remains an evolving technology. “In my opinion, balloon dilatation has great potential, but it’s still trying to find its proper place in the ENT arena,” said Ralph Metson, MD, clinical professor of otology and laryngology at Harvard Medical School and Massachusetts Eye and Ear Infirmary in Boston.

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Corticosteroid Confusion: Evidence lacking for most conditions, panelists say

October 10, 2011

Although steroids are widely used to treat a variety of otolaryngologic conditions, the short- and long-term side effects remain a concern and fuel the need to better understand their proper role. Contributing to the ongoing controversy over their use are gaps in the evidence, panelists said here Sept. 12 at the American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting.

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Biofilms in Otolaryngology: Relation to clinical disease needs more study, experts say

October 10, 2011

It is now well recognized that pathogens found in biofilms play a role in many mucosal-based otolaryngologic-related infections, but what that role is and how to prevent or treat biofilms remain unknown, concluded a panel of experts convened here on Sept. 17 at the 2011 American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting.

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Personalized Care: Study highlights which patients would benefit from a second round of chemoradiation

September 2, 2011

Balancing the risks and benefits of concurrent reirradiation and chemotherapy for recurrent head and neck cancers is difficult for physicians at even the most experienced centers. Research recently published in Cancer, however, suggests that selection of patients who may benefit from this therapy should be based on the patient’s previous treatment and the amount of time that has elapsed since initial treatment…

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Repair Revolution: Surgeons use fat grafts to address extensive facial deformities

September 2, 2011

Fat grafts have been used to repair the aging face for about two decades, but recently, surgeons have been using grafts to repair more extensive facial deformities caused by injury, illness or congenital abnormalities. Success, they said in interviews with ENT Today, depends on proper patient selection, matching the fat graft to defects that are most amenable to repair with fat injections and an understanding of the biology of the graft and how it reacts with surrounding facial structures.

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New Speech-Language Pathology Rule: Supervision of videostroboscopy and nasopharyngoscopy no longer required

September 2, 2011

Medicare requirements for physician supervision of speech-language pathologists conducting videostroboscopy (CPT 31579) and nasopharyngoscopy (CPT 92511) will move from the strictest level of oversight back to no national supervision level starting in October.

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The Future is Small: Nanotechnology promises big changes for head and neck surgery

September 2, 2011

The biggest gains in the future for surgical and therapeutic treatments of head and neck cancer will likely include the use of imaging techniques, radio-enhancers and drug delivery vehicles that are really, really small.

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