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ENTtoday: July 2023

Features

Nutrition Is Vital for Patients with Head and Neck Cancer

The nutritional impact of head and neck cancer (HNC) doesn’t begin with diagnosis: approximately 30% of affected patients are malnourished prior to diagnosis and treatment and need a multidisciplinary care plan that begins before treatment, continues during therapy, and extends well after treatment.

Former CDC director Rochelle Walensky, MD, MPH, Shared Insights with the Triological Society

Rochelle Walensky, MD, MPH, took the stage to deliver the Joseph H. Ogura, MD, Lecture at the Annual Meeting of the Triological Society—held as part of the Combined Otolaryngology Spring Meetings—and discussed decision-making and health disparities.

Otolaryngology Doctor–Patient Interactions Are Increasingly Under the Microscope

It may seem reasonable to assume that a five-star physician provides better care than a four-star physician, but patient ratings can vary wildly, with one patient giving a five-star review for an “excellent doctor” and another leaving a three-star review for “the most responsive doctor that we’ve ever seen.”

This Year’s Triological Society Thesis Award Winners Cover a Variety of Topics

Awards for outstanding candidate theses were given out at this year’s Combined Otolaryngology Spring Meetings in Boston. Congratulations to this year’s recipients.

Departments

Masks Off: Adaptability in the Face of Emergency

We all have our stories about the early days of COVID-19 and how we tried to convince ourselves that this would be a two-week hiccup, after which we would get back to our normal lives. We couldn’t have been more wrong.

Yacht Racing Keeps Neurotologist Timothy B. Molony, MD, on an Even Keel

Otolaryngologist Timothy B. Molony, MD, regularly appears on lists of top doctors in New Orleans. He also happens to be a competitive yachtsman who has participated in professional racing events throughout the United States, Mexico, the Caribbean, and England.

Other

TRIO Best Practices

Prophylactic Antibiotics Should Be Used Conservatively in Setting Mandibular Fractures

The current literature, including meta-analyses and systematic reviews incorporating data from 54 separate studies, suggests that prophylactic antibiotics be used conservatively in the setting of mandibular trauma.

TRIO Best Practices

Genetic Testing Is Appropriate for Some Pediatric Patients with Unilateral Hearing Loss or Single-Sided Deafness

Genetic testing should be considered when the most common nongenetic causes (congenital cytomegalovirus, negative imaging for structural inner ear, or cochlear nerve abnormality) are ruled out as subtle phenotypic manifestations of syndromic hearing loss.

TRIO Best Practices

The Role of Pulmonary Function Testing Prior to Partial Laryngeal Surgery

Laryngeal conservation surgery includes open and endoscopic approaches that address select malignant laryngeal lesions to achieve local control while preserving function.

TRIO Best Practices

Using Mucosal Preservation Techniques in Endonasal Dacryocystorhinostomy Improves Long-Term Success

Although the number of randomized control trials is lacking, the current literature suggests mucosal flap preservation may improve outcomes following endoscopic dacryocystorhinostomy.

TRIO Best Practices

Anaplastic Thyroid Cancer Treatment by Multidisciplinary Palliative, Radiation, Oncology, and Surgical Teams

Resectable stage IVA/IVB tumors should be treated with surgery followed by chemoradiation, with consideration for dabrafenib/trametinib biotherapy for BRAFV600E-mutated tumors.

How to: The Racket-on-Donut Technique Simplifies Nasoseptal Perforation Repair and Improves Postoperative Outcomes

A recent survey demonstrated that respondents had a similar preference for the endoscopic and external rhinoplasty approaches, followed by the endonasal approach.

How to: Endoscopic-Indocyanine Green Angiography Assisted Microtia Reconstruction

Adoption of the ICG-endoscopic technique has decreased operative times, improved surgeon ergonomics, increased confidence in preserving neurovascular anatomy, and increased resident participation given superior visualization projected onto a 4K screen.

Literature Reviews

Novel Medication Delivery System Benefits Postsurgical and Nonsurgical Patients with Chronic Rhinosinusitis with Nasal Polyps

Findings suggest that an exhalation delivery system with fluticasone reduces symptoms and improves quality of life in patients with recurrent symptoms after sinus surgery and patients who have never had surgery.

Literature Reviews

New Tinnitus Diagnoses Rates After COVID-19 Vaccination Even Lower Than Those of Other Common Vaccines

There was a higher risk of a new tinnitus diagnosis after influenza, Tdap, and pneumococcal vaccinations than after the COVID-19 vaccine.

Literature Reviews

Multi-Time Point Salivary Pepsin Test as a First-Line Diagnosis of Laryngopharyngeal Reflux

Multi-Time Point Salivary Pepsin Test is a good diagnostic method for laryngopharyngeal reflux and is expected to replace HEMII-pH as the first-line diagnostic method.

Literature Reviews

Major Metropolitan Areas Understaffed by Academic Otolaryngology Programs

Findings indicate that residency training program expansion could be effectively prioritized in cities that exhibit a low training-to-population ratio.

Literature Reviews

Novel Machine Learning Predicts Oral Squamous Cell Carcinoma Recurrence Timing

Machine learning methods can interpret complex patterns of patient, clinicopathological, and treatment factors to predict timing of oral squamous cell carcinoma recurrence.

Literature Reviews

Telehealth Care for HNC Cancer Survivors Compares Favorably to Standard Care in Certain Outcomes

Telehealth survivorship programs are feasible, cost-effective, and associated with improved patient outcomes but are not ideal for every patient.

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