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ENTtoday: August 2007

Features

Everyday Ethics, Tech Talk

Emerging Use of Optical Coherence Tomography in Otolaryngology

When Apple introduced the first mass-produced personal computer in the 1970s, the technology was so limited that the computer had no lower-case functionality.

Everyday Ethics, Tech Talk

CT Scanning of the Paranasal Sinuses: Indications, Utilization, and Radiation Risks

With improved technology, as well as increased availability and access, diagnostic imaging has become the fastest growing segment of health care spending, with estimates of 15% to 35% increases annually.

Other

Socioeconomic Factors in Allergic Fungal Rhinosinusitis with Bone Erosion

To date, various studies have demonstrated an increase in the incidence of orbital and skull base erosion in African Americans and males diagnosed with allergic fungal rhinosinusitis (AFRS), but other factors have yet to be delineated.

Everyday Ethics

Sublingual Immunotherapy (SLIT) Quality of Life Outcomes

Sublingual immunotherapy (SLIT) is effective in controlling allergic symptoms in a preliminary patient cohort, according to a study presented April 27 at the Combined Otolaryngology Spring Meeting.

Medical Education

Late-Onset Laryngomalacia: A Variant of Disease

Although the most commonly seen cases of laryngomalacia (LM) are in very young children, clinicians should consider late-onset LM as a potential cause of feeding difficulties in toddlers, sleep apnea in children, and teenage exercise intolerance, according to researchers at Cincinnati Children’s Hospital Medical Center and the Mayo Clinic.

Career Development, Everyday Ethics, Practice Management

‘The Bad Old Days Are Gone’: Turf Battles Recede as Otolaryngologists and Allergy Leaders Communicate and Collaborate

The historical relationships between medical allergists and otolaryngic allergists have sometimes been characterized by distrust and socioeconomic turf battles.

Everyday Ethics, Tech Talk

Cochlear Implant Complications Are Rare-But Can Be Lethal

Cochlear implantation has become a safe procedure-and, as result of refinements in devices and surgical techniques, complications are atypical.

Medical Education

Older Antiepileptic Drugs May Prevent Noise-Induced Hearing Loss

Noise-induced hearing loss is a key challenge in otolaryngology today. Interestingly, an older class of antiepileptic drugs, T-type calcium blockers, may hold promise as preventive agents.

Meningitis Vaccine Leads to Greater Reduction in Ear Infections

Approximately 80% of children three years of age and younger are affected by otitis media, with treatment costs estimated at more than $5 billion per year.

Tech Talk

Is Endoscopic Sinus Surgery Contraindicated for Smokers?

Chronic rhinosinusitis affects approximately 30 million Americans.

Medical Education, Practice Management

Coding and Documenting Advice from the Experts

In order to remain compliant, as well as to receive fair and appropriate reimbursement, you must code and document correctly, said Michael Setzen, MD, Clinical Associate Professor of Otolaryngology at NYU School of Medicine and Senior Clinical Attending in Otolaryngology at North Shore University Hospital in New York, when he moderated the panel discussion, How the Experts Code and Document Laryngology and Esophagology in the Office and the OR, at the April 2007 Combined Otolaryngology Spring Meeting.

Everyday Ethics, Practice Management

The Unified Airway: Do We Fully Appreciate Its Impact in Otolaryngology?

I have found that it is not uncommon during the course of an office visit for a patient to offer an opinion pertaining to the role that nasal troubles play in his or her general health.

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