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ENTtoday: November 2021

Features

Social Factors in Head and Neck Cancer: Here’s What Researchers Found

When researchers looked at the load of psychological stressors that contribute to biological functioning, they found something somewhat surprising: Race didn’t play a role when social factors were taken into consideration.

Pediatric Pain and Opioids: How to Respond When a Patient Is Still in Pain After a Tonsillectomy

Experts in a session at the American Academy of Otolaryngology–Head and Neck Surgery’s (AAO-HNS) 2021 Annual Meeting said prescribing opioids to children can be a risky way to respond.

How Physicians Can Cultivate a Winning Online Reputation

Experts in the American Academy of Otolaryngology–Head and Neck Surgery Annual Meeting session said there was no getting around it: Physicians must cultivate a winning online reputation to be successful.

Is Vestibular Testing Necessary? Here’s What Experts Say

Panelists at the 2021 American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) Annual Meeting discussed how to avoid unnecessary testing and when, exactly, vestibular tests are needed.

How Dashboards Can Help Physicians, Practice Leadership Understand Trends and Refine Strategies

Dashboards—easily accessible and readable reports with relevant information for a medical practice—are an essential ingredient for maximizing performance, according to Robert Glazer, MPA.

An Inside Look at How the CPT Is Kept Balanced and Current

Current Procedural Terminology (CPT) coding system encompasses some 10,000 codes, and the set is continually evolving to keep pace with ongoing advancements in science, technology, clinical protocols, data management, and more.

The Benefits and Drawbacks of Using Big Data in Otolaryngology Research

Experts at the American Academy of Otolaryngology–Head and Neck Surgery Annual Meeting discussed the main features, benefits, and drawbacks of the largest databases, while emphasizing that even though using them correctly isn’t a simple matter, it is a vital one.

Departments

How To: Endoscopic Anterior and Posterior Cricoid Split for Bilateral Vocal Fold Paralysis

Endoscopic anterior and posterior cricoid split (EAPCS) has emerged as an alternative that is nondestructive and can offer a long-lasting solution to congenital BVFP while avoiding tracheostomy.

How To: Technique, Pitfalls of the Transaxillary Approach for Robotic Thyroidectomy

Advantages of thyroidectomy using transaxillary robotic surgery (TARS) are cosmetic, a high-definition view of structures, and a reduced risk of compressive cervical hematoma; the main drawbacks are the cost and duration of the procedure

How This Healthcare Team Maintained a Head and Neck Cancer Surgical Practice During COVID-19

Patients were screened three times: over the phone a day prior to their visit, upon entry to the cancer center, and upon triage in the clinic.

Otolaryngologist Discusses What Equity, Diversity Meant to Her Career

Dana Thompson, MD, MS, MBA speaks about her staunch desire to tackle the issues of bias and diversity in our field and how it impacted her own career.

Other

Literature Reviews

Palatopharyngoplasty Resolves Concentric Collapse in Patients, Enables Eligibility for Upper Airway Stimulation

Can a modified tissue-preserving uvulopalatopharyngoplasty (UPPP) convert retropalatal concentric collapse to anteroposterior or lateral patterns of collapse on drug-induced sleep endoscopy (DISE) in patients who are not candidates for upper […]

TRIO Best Practices

What Is the Utility of Genetic Testing in Indeterminate Thyroid Nodules?

In addition to helping the patient avoid unnecessary diagnostic surgery, these assessments may provide critical insight as well as offer contemporary personalized treatment options for advanced disease.

TRIO Best Practices

What Is the Right Treatment for Adults with Unilateral Deafness?

Current options for hearing rehabilitation offer different advantages to patients with single-sided deafness, and no single modality is clearly superior to the others.

TRIO Best Practices

Is Radiation, Sentinel Lymph Node Biopsy, or Neck Dissection Beneficial for the Node Negative Neck in Merkel Cell Carcinoma?

The studies presented demonstrate that sentinel lymph node biopsy with lymphoscintigraphy is an important technique in the management of clinical merkel cell carcinoma.

Literature Reviews

Reliance on Exam Scores in Residency Applicant Selection Restricts Diversity in Otolaryngology

Strict adherence to USMLE scores may lead to disproportionally low recruitment of applicants who are female, >30 years of age, underrepresented minorities, and from institutions without an otolaryngology residency program.

Literature Reviews

Data on Upper Airway Stimulation Therapy Show High Success Rates for Obstructive Sleep Apnea Patients

This interval update from the ADHERE registry outcomes demonstrates efficacy, safety, and high adherence rates for UAS therapy.

Literature Reviews

Objective Screening, Evaluation for Taste Disorders Is Key for COVID-19 Patients

Due to the high prevalence of taste disorders as an early clinical symptom in patients with COVID-19, proper screening and evaluation should be performed.

Literature Reviews

Extensive Dataset for Esophageal Dilation Shows Very Low Rates of Complications, Mortality

Evidence from a national insurance claim database suggests that esophageal dilation is a safe procedure with a very low rate of serious complications and mortality.

Literature Reviews

Optimal Management of Vascular Pedicle Is an Important Concern in Facial Free Flap Reconstruction

In mid and upper face reconstruction, vascular grafting, targeting more distal branches of the facial system, or additional maneuvers to optimize pedicle orientation is often required to secure revascularization.

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