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Practice Focus

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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In-Office Injection Laryngoplasty: Good Results, but Complications More Likely

October 1, 2009

Injection laryngoplasty (IL) performed in the office with the patient awake yields similar results as when it is performed with the patient asleep, researchers have found in a case-control study.

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Putting the Physician-Patient Relationship First

October 1, 2009

The otolaryngologists and pediatric surgeons who watched President Obama’s July 22 press conference must have been astonished to hear themselves vilified by the Health Care Reformer-in-Chief.

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Shifting Paradigms in Thyroid Cancer Follow-Up

October 1, 2009

What needs to be in the follow-up of certain patients who have undergone treatment for thyroid cancer? Uncertainties still exist, but change is in the air. The 2009 American Thyroid Association (ATA) guidelines promise to clarify at least some issues that affect practice.

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