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ENTtoday: April 2023

Features

What to See at the 2023 Combined Otolaryngology Spring Meetings

The Combined Otolaryngology Spring Meetings’ (COSM) mission is to bring together the members of the various COSM societies, otolaryngology residents, medical students, and allied health professionals to see the latest cutting-edge clinical and basic scientific research.

Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

Interest in the treatment of ankyloglossia (tongue tie) has continued to grow since ENTtoday first reported on diagnosis and treatment in 2019, and disputes continue on how to define and treat tongue tie.

Otolaryngology’s Gender Wage Gap

Physicians discuss why little progress has been made and strategize on how to tighten the gender wage gap.

Neoadjuvant Immunotherapy for Skin Cancer

The standard of care for patients with locally advanced, resectable head and neck squamous cell carcinomas is surgery and radiation but neoadjuvant immunotherapy is promising for some patients.

Balloon Dilation Is Among the New Frontier of Eustachian Tube Care

Eustachian tube balloon dilation is a more recent variant of the procedure for adult patients.

Departments

Medical Mishaps Can Have Negative Effects on Otolaryngologists and Patients

Physicians internalize medical mishaps and then are afraid to share them for fear of identification as a “bad doctor,” feeding into an impostor syndrome and depression.

Other

Reflections on #MeToo for the Medical Community

ENTtoday’s editor Robin W. Lindsay reflects on the changes we’ve seen in our community because of the #MeToo movement.

How To: Carolyn’s Window Approach to Unilateral Frontal Sinus Surgery

The utilization of high-speed powered instruments makes this technique rapid and efficient, and it aids in rapid mucosal healing.

How To: H-Type Tracheoesophageal Fistula Cannulation for Rapid Intraoperative Localization

This step-by-step article on the surgical procedure for rapid intraoperative localization will help assist with reproducibility of the technique.

Literature Reviews

Endoscopic Sinus Surgery Superior to Two of Three Biologics in Treating Severe Chronic Rhinosinusitis with Nasal Polyps

This study extends the literature base on the efficacy of biologics versus sinus surgery at both six- and 12-month timepoints.

Literature Reviews

Age-Related Decline in Arytenoid Sensory Innervation May Be Contributing Factor to Presbyphagia

Study findings document an age-related decline in arytenoid innervation and in myelinated, putative mechanosensory innervation density, which may be a contributing factor to presbyphagia.

Literature Reviews

Postoperative Hypoproteinemia Highest Predictive Risk Factor for Pharyngocutaneous Fistula Following Total Laryngectomy

Various factors can influence pharyngocutaneous fistula development after total laryngectomy, with postoperative hypoproteinemia being the highest predictive risk factor.

Literature Reviews

No Adverse Events from Monopolar Electrosurgery Use in Patients with Cochlear Implants

Monopolar electrosurgery is a versatile tool used to accomplish incision, dissection, or homeostasis during surgical procedures with no adverse events from monopolar eectrosurgery use in patients with cochlear implants

Literature Reviews

Extent of Surgery Not Associated with Overall Survival in Patients with Intermediate-Sized Follicular Thyroid Cancer

Extent of surgery not associated with overall survival in patients with intermediate-sized follicular thyroid cancer; prognosis for patients with FTC is favorable, with 20-year survival rates close to 70% when appropriately treated.

Literature Reviews

Dupilumab, Functional Endoscopic Sinus Surgery Equally Effective in Reducing Chronic Rhinosinusitis with Nasal Polyps Symptoms

Dupilumab and functional endoscopic sinus surgery are equally effective in reducing chronic rhinosinusitis with nasal polyps symptoms, according to Sino-Nasal Outcome Test (SNOT-22) scores.

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