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ENTtoday: May 2024

Features

Career Development

How Do We Ensure Quality in Value-Based Care?

While proponents of value-based care indicate that the cost savings and efficiency of the system are inherently quality based, it remains to be seen how that will play out at the patient–physician relationship level

Career Development

Samuel H. Selesnick Offers Advice on How to Get Published in The Laryngoscope

Having a paper published in The Laryngoscope, the country’s oldest and largest otolaryngology peer-reviewed journal, is a goal and point of pride for researchers in the field of otolaryngology. 

News

AAO-HNS Issues Clinical Practice Guideline for Immunotherapy Use in Inhalant Allergy

The American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) recently issued a new clinical practice guideline for treating inhaled allergies with immunotherapy, aiming to provide physicians with trustworthy, evidence‐based recommendations.

Sleep Position, BMI May Affect Hypoglossal Nerve Stimulation Success

While hypoglossal nerve stimulation can be effective for treating obstructive sleep apnea, factors such as weight and sleep position can decrease its effectiveness

Parents Have Concerns about How Surgeons Share Images of Pediatric Patients on Social Media

Social media is commonly used by physicians to share knowledge, provide medical education materials, and even seek peer advice. But is enough being done to protect patient privacy, especially for younger patients?

New Data Indicate Vaping May Help Patients Quit Smoking

New data from the Population Assessment of Tobacco and Health Study indicate that smokers who also use an electronic nicotine delivery system are now more successful at quitting smoking than those who don’t.

Departments

The Path to a Medical Career Is Filled with Transitions, from High School, to College, to Medical School, and Beyond

The constant cycle of transitions to a medical career can make it difficult to enjoy the present, to acknowledge the hard work that was required get to the current position, and to remember why you embarked on the journey at the start.

Everything AI and Its Effect on Otolaryngology

Virtual (VR), augmented (AR), and mixed realities (MR) all fall under the umbrella of extended reality (XR) and are characterized by extending a user’s experience into different worlds via technology that simulates those realms. In healthcare, currently, one of the main uses of XR occurs during surgery.

Other

Experts Discuss Technological Advancements In Sleep Disorder Management

Technological advancements aim to improve sleep positioning. In addition to pillows, belts, and other supports to encourage side sleeping, vibrotactile devices worn around the chest or neck can sense when someone is sleeping on their back and use a gentle but persistent vibration to remind people to change their position.

How to: In-Office Transoral Hilar Sialolithotomy is a Cost-Effective and Patient-Centered Procedure

There have been increasing efforts across otolaryngology to perform in-office procedures with local anesthesia. Benefits include reducing the time and economic costs imposed on patients, as well as avoiding the inherent risks of general anesthesia

How to: Modified Single-Stage Endoscopic Repair for Bilateral Choanal Atresia Minimize Damage to Adjacent Sinonasal Structures

Ideally, the optimal surgical procedure to address choanal atresia should safely restore nasal patency, minimize damage to adjacent sinonasal structures, and eliminate reoperation with minimal disease associated morbidity.

TRIO Best Practices

Is Elexacaftor/Tezacaftor/Ivacaftor Effective in Treating Sinonasal Disease in Patients with Cystic Fibrosis?

ETI has been shown to have positive effects on multiple organ systems in cystic fibrosis patients.

TRIO Best Practices

Are Cephalosporins Safe for Surgical Prophylaxis in Patients with Penicillin Allergy?

Most current literature suggests that cefazolin is safe for surgical prophylaxis in patients with penicillin allergy.

How to: Barbed Stayed Bridge Pharyngoplasty (BSBP)

Velopharyngeal surgery is a validated treatment option for OSA patients diagnosed with retro-velar and oropharyngeal collapse.

Literature Reviews

Temperature-Controlled Radiofrequency Neurolysis of the Posterior Nasal Nerve Effective Long Term in Patients with Chronic Rhinitis

What is the long-term safety and effectiveness of temperature-controlled radiofrequency neurolysis of the posterior nasal nerve in patients with chronic rhinitis?

Literature Reviews

Placebo-Controlled Study Shown Viable in Evaluating Efficacy of Balloon Eustachian Tuboplasty

The multicenter, double-blind, randomized, placebo-controlled trial protocol was shown to be feasible and demonstrated the need for blinded randomized controlled trials to objectively measure the efficacy of balloon Eustachian tuboplasty.

Literature Reviews

Pre-Existing Anxiety/Depression May Aggravate Dysphagia in Patients with Normal Swallowing Function

Although anxiety/depression may aggravate dysphagia in patients with normal swallowing function, this correlation may not hold in those with objective swallowing dysfunction. 

Literature Reviews

Telehealth Survivorship Programs for Head and Neck Cancer Patients Shown Feasible and Cost-Effective

Although telehealth survivorship programs are feasible and cost-effective and associated with improved patient outcomes, they might not be ideal for every patient.

Literature Reviews

Objective Patterns of Olfactory Impairment and Reduced Olfactory Threshold Shown in Patients with Uncontrolled Chronic Rhinosinusitis

Patients with uncontrolled chronic rhinosinusitis (CRS) demonstrate distinct patterns of olfactory impairment, and a reduced olfactory threshold is highly associated with uncontrolled CRS.

Literature Reviews

> 80% Drop in Post-Excision Intraoperative Parathyroid Hormone Predicts High Rate of Cure in Both Classical and Normohormonal Primary Hyperparathyroidism

Patients with normohormonal primary hyperparathyroidism undergoing parathyroidectomy can expect cure rates like those of patients with classical primary hyperparathyroidism, with an 80% drop or more in intraoperative parathyroid hormone levels predicting a high likelihood of cure.

Literature Reviews

Platelet-to-Lymphocyte Ratio Might Predict Response to Dupilumab in Patients with Chronic Rhinosinusitis with Nasal Polyps

Platelet-to-lymphocyte ratio (PLR) might have a predictive value in patients with chronic rhinosinusitis with nasal polyps in terms of treatment response to dupilumab, particularly PLR above 131.2.

Literature Reviews

Resident and Fellow Participation Associated with Potential Opportunity Costs for Attending Head and Neck Surgeons

Resident and Fellow Participation Associated with Potential Opportunity Costs for Attending Head and Neck Surgeons

3D Specimen Mapping Is a Promising Development for Pathology Reports

Researchers have found that using 3D virtual models of resected cancer conveys information more effectively.

Many Patients Who Have Undergone Cleft Rhinoplasty Retain Interest in a Secondary Procedure

Many patients who have undergone a cleft rhinoplasty procedure have interest in a secondary procedure, suggesting that providers should keep in touch with patients about their surgical options as they age.

Missing Preop Biggest Risk Factor For A Surgery No-Show, Study Finds

Failure to attend preoperative appointments was the dominant predictor for a patient being a noshow on their otolaryngology surgery day, and a potential target for intervention.

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