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ENTtoday: May 2007

Features

Endoscopic Approach Reduces the Need for ‘Second-Look’ Mastoid Surgery

Endoscopic mastoid surgery is difficult to learn, performed in a tight space, and will probably never replace conventional open procedures.

Practice Management

A Pay Cut by Any Other Name Is Still a Pay Cut

I would like to commend Robert H. Miller, MD, on a well-balanced discussion in the February issue of ENToday concerning the pros and cons of pay for performance (P4P).

Practice Management

Well Tuned: Maintenance of the Professional Voice: Part 1 of 2

Frank Sinatra purportedly said of Rosemary Clooney that she was able to hit a note right in its center.

Career Development

An Otolaryngologist as Flight Surgeon: One Doctor’s Experience in Operation Iraqi Freedom

This is a short narrative of the experience of this otolaryngologist, who was deployed to Iraq to participate in Operation Iraqi Freedom.

Career Development

Otolaryngologists on the Front Lines

Otolaryngology is not just another specialty in the wars of the twenty-first century.

Device Kit Reduces Need for Biopsy in Oral Cancer Diagnosis

The gold standard for oral cancer diagnosis is visual examination followed by biopsy and histological analysis of suspicious lesions.

Fibrin Glue Makes Septal Perforations Easier to Repair

Doctors, faced with challenging problems of mending nasal septal perforations, suggested that the use of fibrin glue to hold into place an AlloDerm graft is effective and likely cost-saving.

Papillomatosis Tissue Utilized to Correct Anterior Commissure Webbing

Doctors said they have successfully corrected anterior commissure web formation in papilloma patients with a unique endoscopic microflap laryngoplasty that actually makes use of excess tissue produced in patients with recurrent respiratory papillomatosis.

Sinuplasty Gaining Momentum for Sinus Procedures

Balloon sinuplasty-still a controversial area for otolaryngologists-appears to be gaining favor, although functional endoscopic balloon remodeling is still in its infancy, said Raymond Weiss, MD, medical director of the Sinus Center of the South in Ocean Springs, MS.

In-Office Transnasal Esophagoscopy Appears Safe, Cost-Effective

A three-year retrospective study of in-office transnasal esophagoscopy appears to show that the procedure can be adopted for safe use in private practice-and with considerable savings to the health care industry when compared with rigid esophagoscopy.

Medical Identity Theft: Under-Reported, Under-Researched, More Common than Generally Known

Medical identity theft is stealing health information for personal profit.

Skin Cancer Index and Quality of Life

Facial plastic surgeon John Rhee, MD, MPH, sees many patients with nonmelanoma skin cancer (NMSC).

Image Guidance: A Useful Adjunct to Endoscopic Sinus Surgery

Advances in image guidance systems for endoscopic sinus surgery (ESS) are providing benefits to surgeons-and by extension, to their patients-say experienced sinus surgeons interviewed recently for ENToday.

Departments

Health Policy

State Efforts Toward Universal Coverage: Part 2 of a series

With the federal government shouldering 45% of health care costs through five huge entitlements (see ENToday, April 2007) and a large federal deficit, the chance of politicians enacting a new federal entitlement for universal health insurance coverage is as likely as their conducting a smear-free political campaign.

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