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ENTtoday: June 2010

Features

Career Development

Upholding the Legacy: Trio president urges members to make lasting contributions

Triological Society members should constantly be assessing their contributions to their profession and working to create meaningful legacies in line with the group’s traditions, said Society President Frank E. Lucente, MD, in his presidential address at the Annual Meeting of the society, part of the Combined Otolaryngology Spring Meetings held here April 28-May 2.

Health Policy

Not So Fast: New quality provisions aren’t ready for implementation, medical groups say

The new health system reform law includes a number of quality provisions that physician organizations say are not ready for primetime and won’t be ready in the time frame established by Congress.

News

Hoarseness Guidelines Continue to Draw Scrutiny: Panel members question evidence-based criteria

The newly adopted clinical practice guidelines (CPG) on hoarseness—and concerns that portions are overly simplistic and could harm care—took center stage here in a panel discussion at the Annual Meeting of the American Society of Pediatric Otolaryngology, part of the Combined Otolaryngology Spring Meetings held here April 28-May 2.

Health Policy

Harvard Economist Offers Health Reform Solution: Says change must focus on cost containment

Dr. Roberts used numbers to illustrate his point during a presentation at the Annual Meeting of the American Broncho-Esophagological Association, part of the Combined Otolaryngological Spring Meetings held here April 28-May 2.

Research Breakthroughs: Award-winning studies blaze new trails in hearing treatment

A test that measures in real time how a noise stimulus on one side affects contralateral otoacoustic emissions (OAEs) could be a new, more accurate predictor of hearing in newborns, according to award-winning research presented at the Annual Meeting of the Triological Society, part of the Combined Otolaryngology Spring Meetings held here April 28-May 2.

Team Approach: Jointly staffed airway clinic lauded as model for future care

An airway clinic jointly staffed by an otolaryngologist and a pulmonologist in Salt Lake City acts as a model for the future care of airway disorders, according to a presentation given at the Annual Meeting of the American Broncho-Esophagological Association (ABEA), part of the Combined Otolaryngology Spring Meetings (COSM) held here April 28-May 2.

Special Reports

Double Benefit? The case for bilateral cochlear implants

Since the advent of the cochlear implant more than 20 years ago, the devices have benefited thousands of patients. According to the U.S. Food and Drug Administration, as of April 2009, approximately 188,000 people worldwide have received cochlear implants. In the U.S., about 42,000 adults and 26,000 children have received them. Today, the fantasy of two implanted artificial cochlea is a reality.

Departments

Medical Education, Resident Focus, Literature Reviews

The Faculty Mentor from the Resident’s Perspective

What is the experience of residents regarding mentorship during their otolaryngology residency? Background: Integral to the educational experience is the relationship between faculty and residents, which is based upon multiple types of encounters, including formal teaching sessions, clinical care of patients, surgical training and research activities. The embodiment of this relationship is the faculty mentor whose […]

Legal Matters

Who’s Covering Your Tail? The ins and outs of professional liability insurance

Are you looking to switch medical practices? Are you in the market to purchase a professional malpractice insurance policy? Are you planning to retire soon? If you answered ‘yes’ to any of these questions, you will likely confront the concept of “tail” insurance.

Other

Literature Reviews

Polydioxanone Foil Can Be Used to Support the Nasal Septum

Is polydioxanone foil an effective material for stabilizing septal segments in nasal septal reconstruction? Background: Post surgical nasal septal integrity must be restored if a functionally and aesthetically healthy nose is desired. When autogenous cartilage for reconstruction is unavailable or procurement is excessively morbid, allografts are often considered. Resorbable polydioxanone foil may be useful in nasal […]

Literature Reviews

Irradiated Homologous Costal Cartilage Used Effectively in Rhinoplasty

Can irradiated homologous costal cartilage be safely and reliably utilized as a grafting material for primary and secondary rhinoplasty? Background: Early reports on irradiated homologous costal cartilage (IHCC) used in nasal grafting were confounded by many factors, making its long-term survivability difficult to assess. Preliminary results from the first large-scale study limiting grafts to nasal reconstruction […]

Literature Reviews

Understanding Otosclerosis Etiology and Impacting Factors

What is the current understanding of the etiology of otosclerosis and what are the genetic and environmental factors that have been implicated in the disease? Background: A common disease characterized by a disordered bone remodeling in the otic capsule, otosclerosis has a prevalence of about 0.3 percent to 0.4 percent in the Caucasian population. In 10 […]

Literature Reviews

Steroid-Impregnated Nasal Dressing Improves Post-ESS Healing

What is the impact of steroid-impregnated absorbable nasal dressing on wound healing and surgical outcomes after endoscopic sinus surgery (ESS)? Background: Wound healing has been a significant determinant of successful outcomes in ESS, with factors leading to poor surgical outcomes including scarring/synechiae, ostial or middle meatal obstruction, infection and persistent inflammation in the opened sinus cavities. […]

Literature Reviews

Presbyphonia Voice Therapy Effective in Older Patients

Are factors such as age, gender, degree of vocal fold atrophy and the burden of medical problems associated with voice therapy outcomes for presbyphonia? Background: Although voice therapy is generally considered the mainstay of rehabilitation for the aging voice, there is little data on its efficacy for this indication, especially with regard to the effects of […]

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