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Practice Focus

Imaging at a Crossroads: CT scan providers urged to initiate accreditation

February 28, 2011

Otolaryngologists who provide computed tomography (CT) imaging are being urged to apply before summer to ensure their compliance with the 2008 Medicare Improvements for Patients and Providers Act (MIPPA) accreditation requirement.

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Treatment Options: Study reports neck dissection effective in patients with residual disease

February 7, 2011

Patients who had residual neck disease after treatment for a primary head and neck squamous carcinoma and then underwent neck dissection had comparable survival rates to those who had their disease resolved after their initial chemotherapy and radiation treatment, according to a retrospective analysis from researchers at the University of Louisville in Kentucky presented here Jan. 27.

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A Clinical Challenge: Nasal valve compromise can be a dicey problem, panelists say

February 7, 2011

Problems with the nasal valve that lead to difficulty with breathing can be tricky, in terms of both diagnosis and treatment, said a group of experts here at the Triological Society’s Combined Sections Meeting on Jan. 28.

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Tailored Treatments: The right approach to vocal fold paralysis depends on the patient, panelists say

February 7, 2011

Otolaryngologists treating vocal fold paralysis have many options from which to choose, but the best choice depends on the wants and needs of the patient, a panel of experts said here at the Triological Society’s Combined Sections Meeting on Jan. 28.

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Tonsillectomy Revisited: New guidelines represent a clinical shift for some otolaryngologists

February 7, 2011

In its ongoing commitment to develop and practice evidence-based medicine, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) recently issued a new clinical practice guideline on tonsillectomy in children.

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A Patient with Right-Sided Odynophagia

February 7, 2011

A 33-year-old white male presented with a one-year history of right-sided odynophagia. Symptoms were constant and exacerbated by swallowing. He had a history of cryptic tonsils but had not undergone tonsillectomy; his past medical history was otherwise unremarkable. There was tenderness to palpation over the right tonsil with exacerbation of symptoms. No head and neck masses were appreciated. A CT scan was obtained.

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Research Overhaul: Changes to cancer research organizations on the horizon, expert says

February 7, 2011

The system of clinical cancer research, including that of head and neck cancer, is in need of an overhaul, but steps are being taken that might lead to more efficient work and will hopefully mean more medical breakthroughs, said David Schuller, MD, the chair in cancer research at the Ohio State University College of Medicine in Columbus, at the Triological Society’s Combined Sections Meeting, held here on Jan. 27.

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Patient with Conductive Hearing Loss

January 14, 2011

A 71-year-old male presented with an approximately 10-year history of a gradually progressive right-sided hearing loss.

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Falling on Deaf Ears: Hearing loss in older adults may be an undertreated condition

January 10, 2011

Most people will experience some degree of hearing loss as they age. Statistics from the National Institute on Deafness and Other Communication Disorders at the National institutes of Health (NIH) indicate that 30 percent of adults ages 65 to 74, and 47 percent of adults 75 years or older, have hearing loss.

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Another Option for Allergic Rhinitis?: Study examines long-term safety, efficacy of RF turbinoplasty

January 10, 2011

When patients with allergic rhinitis don’t respond to medical therapy, an otolaryngologist’s arsenal of treatment includes surgical options. Among these is radiofrequency (RF) turbinate reduction, also known as RF turbinate ablation or turbinoplasty, an office procedure that advocates say is cost-effective and minimally invasive, with fewer complications than other surgical remedies. Some otolaryngologists, however, are still hesitant to use this relatively new therapy.

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