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ENTtoday: May 2025

Features

Otolaryngologists as Entrepreneurs: Transforming Patient Care And Practice

Otolaryngologists are uniquely positioned to develop innovations that improve patient care (and ease physician stress), but the path to entrepreneurship isn’t easy or obvious.

Continued Discussion And Engagement Are Essential To How Otolaryngologists Are Championing DEI Initiatives In Medicine

Otolaryngologists strongly support diversity, equity, and inclusion (DEI) initiatives in medicine, with 59% of trainees and 86% of practicing otolaryngologists “favoring or strongly favoring” DEI initiatives. 

Other

Leaky Pipes—Time to Focus on Our Foundations

Unrecognized or undertreated workplace culture and quality issues erode organizational foundations. In our organizations, how can we recognize and fix these warm or “hot” spots to address them before our foundations crumble?

You Are Among Friends: The Value Of Being In A Group

The Triological Society is a fierce advocate of diversity in our membership, committees, and meeting programs, ensuring these represent the entire specialty, the patients we serve, and allows you to maintain and gain lifelong friendships with colleagues who can provide opportunities, and advice, as well as overcome challenges.

How To: Full Endoscopic Procedures of Total Parotidectomy

The authors presented the surgical procedures of full endoscopic total parotidectomy followed by the sternocleidomastoid muscle flap transplantation via a short postauricular hairline incision and reported patient outcomes to evaluate the feasibility and efficacy of this novel approach.

How To: Does Intralesional Steroid Injection Effectively Mitigate Vocal Fold Scarring in a Rabbit Model?

This article assesses the efficacy of intralesional steroid treatment in preventing vocal fold scarring following vocal fold surgery using a rabbit model.

TRIO Best Practices

What Is the Optimal Anticoagulation in HGNS Surgery in Patients with High-Risk Cardiac Comorbidities?

Hypoglossal nerve stimulation (HGNS) therapy has become a more frequently employed tool in the treatment of obstructive sleep apnea since its approval by the U.S. Food and Drug Administration in 2014. One of the benefits of HGNS therapy is the low morbidity associated with the procedure.

TRIO Best Practices

Management of Pediatric Tracheocutaneous Fistulae

Tracheocutaneous fistulae (TCF) involve a remnant skin tract that connects the external cervical skin with the anterior trachea following decannulation of a tracheostomy tube (TT). Due to the young age at insertion, length of TT dependence, and propensity for removal with aging, persistent pediatric TCF (PPTCF) are more frequent than in adults. Methods of management are varied, and ideal approaches to management are debated.

Literature Reviews

Rice Products to be Avoided in Thickening Feeds for Pediatric Patients with Gastrointestinal Reflux Disease

Otolaryngologists charged with the care of infants affected by GERD should advocate for the avoidance of rice products in thickening feeds and opt instead for safe alternatives such as oatmeal, barley, wheat, and maize.

Literature Reviews

Steroid-Eluting Stents May Not Add Post-Operative Benefit Over Irrigation in Patients with Chronic Sinusitis with Nasal Polyps

For chronic rhinosinusitis with nasal polyps (CRSwNP), with or without asthma, without other underlying systemic disease factors, steroid-eluting stents may not add benefit over steroid rinses.

Literature Reviews

Otolaryngology Applicants without Home Residency Programs Receive Fewer Interviews and Matches

What are the differences in otolaryngology interview and match outcomes between applicants with and without home residency programs?

Literature Reviews

Posterior Pharyngeal Wall Injection Appears Effective for Some Adults with Non-Cleft Velopharyngeal Dysfunction

What is the impact of posterior pharyngeal wall (PPW) injection on severity of dysphagia and dysphonia in the treatment of velopharyngeal deficiency (VPD)?

Literature Reviews

Residency Application and Selection Is Complex Adaptive System That Requires a Multipronged Strategy

“What is the “shadow economy of effort” in undergraduate medical education, how does the complex adaptive system (CAS) of residence application and selection affect the system’s outcomes, and what can be done to address that system’s inherent challenges?”

Literature Reviews

American Head and Neck Society Reviews Recommendations on Surgical Management of the Neck in Patients with Oral Cancer

What are the current recommendations regarding surgical management of the neck in patients with oral cancer, specifically in regard to the indications and extent of dissection required in patients with oral cavity squamous cell carcinoma (SCC)?

Literature Reviews

Steroid Sex Hormones Appear Present in and Have Effect on Human and Animal Vocal Folds

Are steroid sex hormones (SSH) present in the vocal folds of animals and humans, and what are the effects of SSH treatment or exposure on vocal fold tissue?

What Are The Ethical Boundaries in Providing Hope to Patients?

Realistic hope can be beneficial to the patient if developed within the envelope of evidence and experience known by the clinician and bolstered by an honest, informed discussion with the patient.

Shifting the Treatment Goalpost Toward Medical Management of Recurrent Respiratory Papillomatosis

Repeat operative or clinic-based procedures to debulk papillomatous disease have been the standard of care to date in the treatment of patients with recurrent respiratory papillomatosis (RRP) caused by chronic infection with human papillomavirus (HPV) type 6 or 11. Treatment of RRP is one of the rare instances in medicine of a chronic infection treated with repeat procedural intervention.

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