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ENTtoday: April 2006

Departments

Medical Education

Head and Neck Cancer Patients Who Don’t Drink or Smoke Have Worse Outcomes

Patients with head and neck squamous cell carcinoma (HNSCC) who have no history of tobacco or significant alcohol use appear to be more likely to present with earlier disease and smaller initial T-stage, but have worse than expected outcomes.

Health Policy, Medical Education, Practice Management

Prescription Drug Benefit Primer

This January, the Medicare Prescription Drug Benefit, created by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), took effect.

Medical Education

Pills vs. Injections: Which Steroids Are Best for Sudden Hearing Loss?

It is agreed that sudden single-sided deafness is an emergency that is typically treated with corticosteroids.

Medical Education, Tech Talk

PET Not Ready for Routine Management of Head and Neck Cancer

The use of positron emission tomography (PET) is not sensitive enough to warrant routine use in post-curative chemoradiation therapy diagnosis of patients with node-positive head and neck cancer, according to researchers in the field.

Medical Education

Chemoradiation vs. Surgery: Which is Better for Head and Neck Cancer?

While chemoradiation is becoming more common for managing head and neck cancers, some patients should have surgery as an initial treatment

Medical Education, Tech Talk

Bravo pH Monitoring System for Diagnosing Pediatric GERD

Diagnostic comfort and convenience, but cost and endoscopic placement complicate use

Medical Education, Tech Talk

Vestibular Testing Modalities Enter the Digital Age

Dizzy patients are among the most challenging, time-consuming cases that are seen in otolaryngologists’ offices.

Medical Education

At-Home Sleep Studies Less Expensive but Less Accurate

Sleep studies to detect obstructive sleep apnea can be performed in the patient’s home—although the convenience and lower costs for performing the tests outside the laboratory are offset by a loss of accuracy.

Health Policy, Medical Education, Practice Management

Patients, Surgeons May Pay the Price for Cosmetic Surgery Tax

Several states have considered taxing cosmetic surgical procedures, and one has passed legislation requiring a 6% tax on such procedures.

Health Policy, Medical Education, Viewpoint

A Myth of Modern Medicine: ‘There are 40 million Americans with No Access to Health Care’

In June of 2003, Maine enacted a law creating Dirigo Health, which is Maine’s attempt to provide free or heavily subsidized health insurance coverage for the estimated 136,000 citizens who do not have health insurance.

Health Policy, Medical Education

A Look at National Health Spending

Spending growth has slowed, and docs are increasing practice volume and intensity to keep up

Medical Education

Report May Change Diagnosis, Management of Chronic Rhinosinusitis

Focus shifted from infection to inflammation in new report and practice parameters

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