ENTtoday: June 2025

Excitement Around Gene Therapy for Hearing Restoration

Clinical trials focus on OTOF-associated hearing loss, but other genes identified as appealing next targets

From Video Game Controllers to ORs: The Surprising Role of Gaming in Modern Medical Practices

Innovations initially developed for and by the gaming industry have moved into medical clinics and operating rooms.

“Small” Acts of Kindness

Now is the perfect time to acknowledge the emotions everyone has during transitions, and to focus on the common goals that bring us all together and the creation of an environment that cultivates honest, constructive conversations and highly functioning teams

How To: Endoscopic Total Maxillectomy Without Facial Skin Incision

This study presents a pioneering report on an endoscopic-assisted total maxillectomy that allows for en bloc resection without a facial skin incision.

Science Communities Must Speak Out When Policies Threaten Health and Safety

Physicians must oppose partisan or ideological interference with independent scientific inquiry and decisions on research funding, and it is their responsibility to speak out when the science is clear that a particular policy will threaten health or safety.

Observation Most Cost-Effective in Addressing AECRS in Absence of Bacterial Infection

Observation is the most cost-effective strategy for the initial management of AECRS when there is a low likelihood of bacterial infection; otherwise, upfront rescue medications are the most cost-effective.

Super-Thin ALT Free Flap Technique Feasible for Select Patients Receiving Oral Cavity and Oropharyngeal Reconstruction

The super-thin ALT free flap harvest technique represents a feasible option for oral cavity and oropharyngeal reconstruction in select patients and does not require additional surgical training, invasive testing, or technology.

Biologics “Switching” Common among Canadian Rhinology Patients with CRSwNP

Switching biologics for CRSwNP is frequent in Canadian rhinology; the most common switch is from mepolizumab to dupilumab, with inadequate CRSwNP control driving the switch.

Alternative Metrics Help Measure the Reach and Influence of Medical Journals

Metrics based on online attention provide an alternative way to assess the reach and influence of medical journals.

Silastic and Gore-Tex Implants Provide Similar Improvements in Patients Receiving TT1 for Unilateral Vocal Fold Immobility

Silicone and Gore-Tex implants both provide adequate and comparable results in TT1.

Is Fresh Frozen Homologous Costal Cartilage a Suitable Substitute for Autologous Costal Cartilage in Rhinoplasty?

Fresh frozen homologous costal cartilage in rhinoplasty represents an alternative approach that has been described mostly through single-surgeon case series in the existing literature.

Compliance Planning for Your Practice and Why It’s Important

Although compliance programming takes a lot of resources or may be already happening informally, all physicians should review their activities to ensure they are fulfilling their obligations under the law, as well as to their practice.

Why I Chose a Concierge Doctor for Myself

One of the priceless perks of being a physician/surgeon is having colleagues and friends who can give advice and help us find the best doctor for our own medical needs.

A Perspective on “The Deal”: Navigating the Complexities of American Medicine’s Social Contract

There is a tacit “deal” in American medicine. The “deal” was necessary because of how our education system evolved. In addition, the “deal” was created in partnership with the federal government as a method of providing healthcare to our population and our society. Social programs were adjunctive to the “deal,” and the costs for these programs have grown exponentially over time. The foundation of the “deal” was a trust that there was a shared mission-based integrity. However, there is also the gritty reality of economics behind the “deal.” How should a profession respond when trust is eroded and components of a long-standing relationship are parsed in such a way as to create an undue burden that ignores tenets of goodwill?