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Practice Focus

An Otolaryngologic Quandary: Diagnosis and Treatment of Pain Syndromes of the Head and Neck

December 1, 2009

When a person walks into an otolaryngologist’s office with pain in the head and neck area, the challenge to correctly identify the cause and treat appropriately is a large one and one that otolaryngologists face daily.

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In-Office Transnasal Tracheoesophageal Punctures Yield Good Results

November 1, 2009

Secondary tracheoesophageal puncture (TEP) performed in the office on total-laryngectomy patients, using transnasal esophagoscopy, yielded good results, researchers have reported.

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Facility and Case Volume Tied to Cancer Death Rates

November 1, 2009

Patients with cancer of the larynx who are treated at teaching and research hospitals that see high volumes of such patients are the least likely to die within a year of their diagnoses, researchers said at the annual meeting of the American Head and Neck Society.

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With Change Looming, Head and Neck Surgeons Look in the Mirror

November 1, 2009

With the all-consuming grind of seeing patients, it is often difficult for head and neck surgeons to sit back and ask some important questions: Just how well are we doing our jobs?

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HPV-Positive Oropharnygeal Cancer Has Better Prognosis than Tobacco-Induced Cancer

November 1, 2009

Mounting evidence suggests that human papillomavirus (HPV)-positive oropharyngeal cancer has an improved prognosis compared with HPV-negative disease. The most recent supportive evidence comes from an analysis of a Phase III trial presented at the 2009 annual meeting of the American Society of Clinical Oncology.

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Tracheal Transplant Brings High Hopes for Tissue Engineering

November 1, 2009

When a 30-year-old woman from Colombia who had had severe stenosis from airway tuberculosis was referred to the University College London Centre for Stem Cells and Regenerative Medicine, there were more questions than answers.

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Evaluation and Management of Patients After Unsuccessful Sleep Apnea Surgery

November 1, 2009

SAN DIEGO-For patients who undergo surgery for obstructive sleep apnea, failure of surgery to achieve success presents a number of challenges to otolaryngologists. First and foremost is the challenge of correctly assessing the outcome of surgery followed by the need to choose additional therapy tailored to the particular needs of each patient.

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Easier-to-Use Vocal Fold Injectables Prompt More In-Office Procedures

October 1, 2009

Armed with an arsenal of newer, easier-to-use injection materials, many otolaryngologists-head and neck surgeons are treating patients with vocal fold insufficiencies in their own offices, avoiding the hassle and expense of going to the operating room.

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Researchers Trying to Zero In on Nasal Polyps Find Target Elusive

October 1, 2009

Nasal polyposis has been a source of suffering for patients and a vexing problem for doctors. Polyps are associated with so many different conditions-from aspirin intolerance to infections-so figuring out the body’s processes that bring polyposis about has been a tall order.

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Racial, Ethnic Disparities Found in Patients with Chronic Rhinosinusitis Presenting for Surgery

October 1, 2009

Are there racial and ethnic disparities in patients with chronic rhinosinusitis presenting for sinus surgery? According to one recent study, the answer is yes. The nasal polyp population consists of a larger portion of nonwhite patients who tend to present with worse disease, and certain subgroups have worse quality-of-life scores.

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