ENTtoday: September 2025

Questions on NIH Funding Leave ENT Researchers Pondering Next Steps and Leaving Everything Up in the Air

With the Trump administration interrupting research at academic medical centers, court fights over the proposal of a 15% cap on the indirect rate, diversity research de-funded, and a proposal that would cut the NIH budget by 40%, traditionally robust federal support for medical research in the U.S. has eroded, and the research community shows little confidence that this will change in the short term.

In-Office Rhinology Practices Continue to Grow

In a 2016 survey of American Rhinologic Society (ARS) members on practice patterns regarding office-based rhinology procedures, 63% of the respondents reported an increase in the number of office-based procedures they performed over the last five years.

How Do We Define “Winning” in the OR?

ORs are one of the most resource-intensive environments in healthcare, so understanding how to define “winning” in the OR and creating an operational model that aligns incentives, culture, metrics, technology, and performance management to achieve desired outcomes are critical.

How To: Superior Maximization of Sphenoidotomy with Olfaction Preservation in Endoscopic Endonasal Surgery

In endoscopic endonasal surgery for anterior skull base lesions, maximizing the anterior sphenoidotomy in the superior part is crucial for ensuring direct visualization and creating a wide working corridor. Authors describe a technique they devised that maximizes upper anterior sphenoidotomy while preserving the olfactory mucosa.

Cholesterol Granuloma May Lead to Erroneous Diagnoses of CSF Leakage

Cholesterol granulomas produce significant quantities of BTP, potentially resulting in erroneous diagnoses of CSF leakage.

Findings Underscore Potential Bidirectional Relationship of Loneliness and Hearing Loss

There is a notable association between loneliness and an increased risk of HL.

SFI Method Shows High Accuracy in Predicting Middle-Ear Dysfunctions

Study results suggest that the sweep frequency impedance (SFI) method will lead to more accurate predictions of middle-ear dysfunctions in clinical settings as compared to conventional tympanometry.

Reusable Laryngoscopes Pose an Environmental Benefit Over Single-Use Disposable Counterparts

When used at a high frequency, R-Ls pose an environmental benefit over SUD-Ls, although SUD-Ls have significant advantages in various situations.

Before and After Facelift Photos on Social Media Reflect Misleading Pre- and Post-Operative Deviations

There are significant inconsistencies in surgeon-posted before and after facelift photos found on Instagram concerning size, rotation, brightness, and more.

The Otolaryngology Core Curriculum: Advancing standardization and equity in resident education

ENTtoday Debuts SUO Corner: The landscape of graduate medical education (GME) is undergoing a significant transformation, driven by an increased emphasis on outcomes, accountability, standardization, and equity. In otolaryngology, these shifts have highlighted the spectrum of educational resources and faculty available in different residency programs, as well as the differences in how trainees are taught, assessed, and prepared for independent practice.

Are Good Bedside Manners Still Important to Patients?

A “great bedside manner” is a difficult entity to quantify or define—it is akin to the old saw of “I will know it when I see it”; however, we can identify many elements of what patients have indicated are part of its fabric and presentation. The bedside manner, as viewed over the centuries, is a changing construct, with generational considerations, and is subject to new environments in medical diagnoses and treatments.

What Is Considered Adequate Surgery for Chronic Rhinosinusitis with Nasal Polyps?

Chronic rhinosinusitis (CRS) is among the most prevalent chronic medical conditions globally. A survey of Canadian households reported the prevalence of CRS to be 5%. CRS is a clinical syndrome defined by persistent symptomatic inflammation of the mucosa in the nasal cavities and sinuses. A common subtype of CRS is CRS with nasal polyps (CRSwNP), which is identified through endoscopy or imaging