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ENTtoday: October 2025

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Exploring Controversies and Clinical Practices Surrounding Ankyloglossia

Ankyloglossia, or tongue tie, remains a controversial condition regarding its diagnosis and treatment, particularly frenotomy, with ongoing debates about its impact on breastfeeding, speech, and sleep apnea. Recent research and clinical guidelines emphasize the need for careful assessment and multidisciplinary approaches to care.

Otolaryngologists Outside the Office

Many otolaryngologists find that engaging in personal passions outside of medicine helps them maintain balance, recharge, and improve their professional performance. This article shares the stories of four physicians who have integrated hobbies such as comedy, writing, philosophy, and prioritizing wellbeing into their lives to combat burnout and enrich their medical practice.

From The Editor

The Power of AI in Otolaryngology

Artificial intelligence (AI) is poised to significantly enhance healthcare by improving patient care and transforming the work experience for providers, particularly in otolaryngology. AI can reduce administrative burdens, allowing clinicians to focus more on patient interaction and thoughtful care.

Secondary Contouring for the Butterfly Graft: Improving Form and Preserving Function

The butterfly graft (BFG) is a surgical technique used to treat nasal airway obstruction by reconstructing the internal nasal valve, but it can lead to external nasal contour irregularities. This study evaluates a secondary contouring procedure designed to address these irregularities while preserving nasal function and improving patient satisfaction.

From the Triological Society

Triological Society Updates: Post-COSM Highlights and Upcoming Events

The Triological Society has been actively engaging students and members through various initiatives, events, and publications following the Combined Otolaryngology Spring Meeting (COSM). Efforts include mentorship programs, upcoming conferences, webinars, and recognition of contributions to the field.

Unraveling the Mystery of Chronic Cough

Chronic cough affects about 10% of people globally and can persist for many years, often requiring a multidisciplinary approach for diagnosis and treatment. Recent research suggests that chronic cough should be considered a distinct disease, with neurogenic mechanisms playing a significant role in some cases.

Microdosing: How Sacred Moments Increase Well-Being

Experiencing and creating “sacred moments”—brief periods of profound emotional or spiritual connection—can significantly reduce physician burnout and enhance well-being. These moments foster presence, empathy, and gratitude, helping healthcare professionals navigate the pressures of their demanding work and personal lives.

Literature Reviews

Pre-Operative Nodal Biopsy and Extranodal Extension in p16+ Oropharyngeal Squamous Cell Carcinoma

Does the type of pre-operative nodal biopsy influence the risk of ENE in patients with p16-positive OPSCC, and is it associated with adjuvant therapy type?

Literature Reviews

Factors Associated with High‐Risk Ergonomic Postures During Office‐ Based Rhinology Procedures: A Pilot Biomechanical Analyses

What ergonomic risks do rhinologists face during common office-based procedures, and how does procedure type influence the frequency of high-risk postures?

Literature Reviews

Comparing Efficacy of Steroid Irrigation, Steroid‐Eluting Sinus Stent, and Both Modalities on Endoscopic Outcomes After Endoscopic Sinus Surgery

What is the comparative efficacy of steroid irrigation, steroid-eluting sinus (SES) stents, and their combination in improving endoscopic outcomes following ESS in patients with chronic rhinosinusitis?

Literature Reviews

LLMs in Otolaryngology Residency Admissions: A Random Sampling of Interview Questions

Does ChatGPT exhibit demographic bias—based on race, gender, or sexual orientation—when simulating residency selection rankings in otolaryngology?

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