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ENTtoday: March 2007

Features

Prescription Medications May Do Little to Encourage CPAP Use

Obstructive sleep apnea (OSA) afflicts at least 2 to 4% of the adult population.

Rhinophototherapy May Offer Promise to Allergic Rhinitis Patients

A form of light treatment called rhinophototherapy is being studied in the United States and may one day provide patients with allergic rhinitis and other diseases of the upper airway, such as nasal polyposis, with an alternative to standard therapies.

Are Vestibular Exams as Effective as Electronystagmography?

Mohamed A. Hamid, MD, PhD, believes, as a matter of principle, that an office vestibular examination is necessary before ordering electronystagmography (ENG)-or any other vestibular diagnostic tests, for that matter.

Management of Dysphagia Requires a Team Approach

Dysphagia affects more than 20% of the population over the age of 50.

Multispecialty Consortium Introduces Rhinosinusitis Clinical Trial Guidelines.

A consortium of 25 allergists and otorhinolaryngologists from five medical specialty societies in the United States has developed a guideline for designing clinical trials in the treatment of chronic rhinosinusitis.

New, Conforming, Easy-to-Use Materials Characterize Developments in Middle Ear Reconstruction

Biocompatible, conforming, and easy-to-use materials-these are the key characteristics of innovations in middle ear reconstruction, according to several experts.

Career Development

Randomized Trial Shows No Benefit of Intra-Arterial Chemoradiation Delivery in Head and Neck Cancer

Nonrandomized trials have suggested that intra-arterial delivery of chemoradiation would be superior to intravenous delivery of comparable chemoradiation in patients with inoperable head and neck cancer.

Career Development

Tips for Better Specialist-Generalist Communication in Treatment of Pediatric Patients

In an ideal world, otolaryngologists would know ahead of time exactly why a pediatric patient was referred to their office.

Practice Management

Collegial Relationships: Extending Otolaryngology Practice with Other Professional Providers

Harold (Rick) Pillsbury, MD, President-Elect of the Triological Society, has been predicting for 10 years that there would be a need to hire people to help extend otolaryngology practices—in other words, physician assistants (PAs) and nurse practitioners (NPs). “I was right. That makes me the soothsayer here,” he joked.

Who Should Perform Facial Cosmetic Procedures?: Turf Battle Between Core and Non-Core Physicians

These days, it is not uncommon for doctors from all types of specialties to offer aesthetic procedures for the face, such as filler and Botox injections for wrinkles and superficial peels with lasers or glycolic acid to remove sunspots and wrinkles.

Departments

Health Policy

Health Services Research: Trying to Fix a Broken System

Few could argue credibly that America, which outspends all other countries on health care, has the world’s best-trained physicians, the best-equipped hospitals and incomparable technical innovation, should not have the world’s best health care system.

Columns

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