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ENTtoday: August 2023

Features

COSM 2023 Sessions: A Review of Otolaryngology Topics

In April 2023, we listed a variety of topics at the 2023 Combined Otolaryngology Spring Meetings (COSM) in Boston that had piqued the interest of ENTtoday’s physician editor Robin W. Lindsay, MD. This time, we’ve taken a closer look and highlighted some of the topics chosen.

Departments

How Surgical Ergonomics Impact Surgeon Wellbeing, Outcomes, and Careers

There remains a lack of awareness by surgeons and no standardized curriculum for trainees and practicing otolaryngologists on the prevalence of surgeons who endure pain and discomfort on daily basis.

Gender Affirmation Surgery in California

Access to gender affirmation care and surgery in California has evolved over the past two decades and has set precedents for the rest of the nation.

Analyzing the Latest Gender-Affirming Care Restrictions in State Laws

At the time of this writing, the Tennessee state government had made headlines across the world that healthcare providers should pay attention to not only for ethical considerations, but also for professional ones.

Togetherness Through Meals

Meals together allow us the time to pause, listen, and learn about the people in our lives, turn colleagues into friends, and enrich our life experience by connecting with new people.

The End of the Public Health Emergency: What It Means for Telehealth

The end of the public health emergency signals many changes in the healthcare industry, but among the most important will be changes to the use of telehealth.

Other

Literature Reviews

Laser Laryngeal Surgery Is Safe Under THRIVE

By eliminating the fuel component of the fire triangle, THRIVE can be used safely for continuous delivery of high functional inspired oxygen (FiO2) concentration during LLS, provided there is adherence to institutional THRIVE-laser laryngeal surgery protocols.

Literature Reviews

PHIS Tracheostomy Scorecard Measures Progress, Identifies Areas for Improvement

The Pediatric Health Information System scorecard provides a valuable framework for identifying key areas for quality improvement and shared data that can be used to compare a hospital’s performance to that of peers.

Literature Reviews

Gender and Ethnic Diversity Lacking Among Academic Facial Plastic Surgeons

Increased diversity is needed in academic facial plastic surgery, particularly female, Hispanic, and Black representation.

Literature Reviews

Single-Staged Vascularized Tracheal Transplantation for Tracheal Defects

Twenty months after the first-in-human tracheal transplantation using a newly developed technique for vascularized single-staged tracheal transplantation, the recipient’s trachea is functional.

Literature Reviews

Self-Localization of Symptoms Useful When Evaluating Aural Discomfort

Patients presenting with aural discomfort are commonly encountered in otolaryngology. Part of the challenge in diagnosing these patients is the variability in their descriptions of the location, severity, and quality of aural discomfort.

How to: Post-COVID-19 Airway Stenosis: Tracheal Resection-Anastomosis Using The Tritube Ventilation

Up to 12% of all COVID-19 patients may need intensive care unit admission for severe interstitial pneumonia, with possible long-term endotracheal intubation for mechanical ventilation, but prolonged endotracheal intubation can lead to mucosal injury and inflammation, granulation tissue formation, perichondritis, and subsequent stenotic scar tissue development.

How to: Nasoseptal Flap to Repair Large Maxillary Sinus Floor Defects

Should transoral options be limited or unavailable, recent reports have demonstrated success in closing oroantral fistulae with different intranasal mucosal flaps.

TRIO Best Practices

Is “See One, Do One, Teach One” the Best Way to Learn Procedures?

Surgical procedural training originated from the Halstedian apprenticeship model, which relies on sheer volume for graded responsibility to achieve “see one, do one, teach one.”

TRIO Best Practices

Videofluoroscopic Swallow Study and Fiberoptic Endoscopic Evaluation of Swallow—Which Is Superior?

Accurate assessment of the safety of oral feeds is essential in the pediatric population to avoid the risks of unsafe feeding or unnecessary restrictions.

TRIO Best Practices

Why Wait Until After Surgery? The Case for Pre-habilitation in Head and Neck Cancer Care

Multimodal pre-habilitation and rehabilitation have been an important topics in the literature, aiming to combat modifiable patient factors like sarcopenia, malnutrition, and psychological status.

TRIO Best Practices

When is the Optimal Time to Reduce Pediatric Nasal Bone Fractures?

Historically, nasal fractures have been reduced within seven days as pediatric patients are thought to undergo rapid osseous healing. Delayed nasal fracture reduction, however, allows soft tissue edema to abate, potentially aiding intraoperative result assessment.

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