ENTtoday: October 2023

Medical Device Misuse vs. Off-Label Practice

The line between appropriate and inappropriate use isn’t always bright and clear cut. Medical practice (and billing) evolves with new technology and research.

Meeting Reimbursement Criteria for Otolaryngologic Procedures

Studies show that reimbursement for otolaryngology services is generally below the federal benchmark.

Should Otolaryngologists Work While They’re Sick?

While working during an illness has often been seen as a sign of strength, new attitudes are allowing physicians to take a break.

Barbie, Bullying, and Bravery: Ending Workplace Bullying Requires Strong Leadership

Workplace bullying may not be as overt as in the past, but it still exists and requires strong leaders who are not afraid to stand up and create a workplace where everyone has the opportunity to succeed.

What is the Role of Tranexamic Acid in Septorhinoplasty?

The use of tranexamic acid to reduce intraoperative bleeding may have applications in septorhinoplasty.

Is Hyperbaric Oxygen Effective in the Treatment of Sudden Sensorineural Hearing Loss?

Randomized controlled trials with standardized hyperbaric oxygen therapy treatment protocols and attention to social determinants of health and other confounders are desperately needed to establish efficacy.

Is There a Role for Adjuvant Therapy in Patients with Large Juvenile Nasopharyngeal Angiofibromas?

Adjuvant therapy may have a limited role in select patients with advanced JNAs to achieve acceptable outcomes while minimizing serious morbidity and mortality.

How to: Oroantral Fistula Closure Using Double-Layered Flap: Greater Palatine Artery Flap and Buccal Fat Pad

The aim of oroantral fistula management is to repair the defect, restoring the integrity of the sinus and oral cavity and preventing sinus infections.

How to: Minimally Invasive OSIA Bone Conduction Hearing Implant (MOSIA) in Children

Minimally invasive OSIA 2 System reduces the risk of signal attenuation and skin complications, which were limitations of previous percutaneous and older transcutaneous devices.

How to: A Novel Five-Step Reduction Technique of Arytenoid Dislocation

It is commonly accepted that early diagnosis and timely and effective joint reduction are the keys to treating arytenoid dislocation. In this article we take a look at a novel five-step reduction technique.

Intersectional Analysis of the Otolaryngology Match Confirms White Male Advantage

White men have a persistent advantage, while several racial, ethnic, and gender minorities are disadvantaged in the Head and Neck Surgery Match.

Minimally Invasive Thyroidectomy Not Inferior to Conventional Surgery

Minimally invasive thyroidectomy achieves high cosmetic satisfaction and is not inferior to conventional thyroidectomy in terms of surgical results or perioperative complications.

Increased Antibiotic Prescribing Period Associated with Delayed Head and Neck Cancer Diagnosis

Delayed head and neck cancer diagnosis delays due to increased antibiotic prescribing periods are known to be harmful to patients.

Extruded Hardware Lead in Hypoglossal Nerve Stimulation Device Successfully Reimplanted Without Explantation

In the absence of infection, lead wire exposure from hypoglossal nerve stimulation implantation can be treated with urgent surgery to reimplant the lead and salvage the device.

Over-the-Counter Preparation Shows Promise in Biofilm-Associated Chronic Rhinosinusitis Treatment

Nasodine, an over-the-counter preparation, shows effective antibiofilm agent that is highly active against biofilms and holds promise for the management of sinonasal biofilms in CRS.

Superior Laryngeal Nerve Block Improves Neurogenic Cough for Most

Superior laryngeal nerve block improves for patients with neurogenic cough reported symptomatic improvement, and repeat injections may benefit patients with initial nonresponse.

A Threat to Progress: A Troubling Backslide in Inclusive Medical Education Topics

As state legislators and governors close clinics and restrict physicians’ practices in women’s health and gender-affirming care, they’ve now set their sights on the curriculum of medical and graduate medical education.