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ENTtoday: November 2007

Other

Mixing Vials of Allergy Drugs in the Office: Safety Standards and Testing

Compounding sterile medications for parenteral use, such as allergy drugs, in a private physician’s office is potentially subject to almost as much scrutiny and regulation as are visited upon commercial preparers of such medicines.

Tracheotomy Management Update

Two abstracts presented at the 2007 Combined Otolaryngology Spring Meeting (COSM) reflect where the news lies with the subject of tracheotomy: raising the index for suspicion for tracheal stenosis following percutaneous tracheotomy and better educating non-otolaryngologists who manage tracheotomy patients.

Everyday Ethics, Practice Management

Dysphagia: A Challenge to Manage

Dysphagia is the dominant cause of morbidity and mortality in patients treated by otolaryngologists, and in fact, more people die from aspiration pneumonia following stroke than from all head and neck cancers combined.

Tech Talk

Endoscopic Skull Base Surgery Indications Continue to Expand

Endoscopic surgery provides a less invasive and highly visual approach to skull base tumors and can reduce morbidity compared with open surgery, according to the experts interviewed for this article.

Everyday Ethics, Tech Talk

Foreign Body Aspiration in Pediatric Patients: Bronchoscopy Delay May Be Beneficial

Does the time between aspiration and retrieval of an airway foreign body affected the pediatric patient’s outcome?

Everyday Ethics

A More Conservative Approach

There are few data to support primary surgical reduction of the inferior turbinates in the pediatric patient.

Everyday Ethics, Practice Management

Indications for Surgical Intervention

When a pediatric patient presents with a diagnosis of chronic sinusitis and rhinitis, my modus operandi is to assess the patient, review the history, and provide medical treatment as indicated.

Surgical Indications for Pediatric Turbinate Reduction: Arguments For and Against

Although little prospective data exist evaluating surgical turbinate reduction for chronic pediatric sinusitis and rhinitis, some otolaryngologists do perform the procedure on patients for whom medical therapy has been aggressively tried but clinical symptoms persist.

Migraine-Associated Dizziness Is Elusive to Diagnose

Although migraine headache and dizziness coexist in a sizable proportion of the general population, the interface between migraine and dizziness is not well understood, according to a panel of experts.

Everyday Ethics, Health Policy, Practice Management

From Uninsured to Medicare Beneficiary-Who Suffers and Who Pays?

Like other physicians, Gady Har-El, MD, Chairman of the Department of Otolaryngology-Head and Neck Surgery at Lenox Hill Hospital in New York and president of the American Broncho-Esophagological Association, takes on uninsured patients who have waited too long to see a doctor.

Everyday Ethics, Practice Management

The Physician-Scientist Model: Does It Work in Our Specialty?

Academic medical centers within the United States bear the primary responsibility for promulgating and performing life sciences research.

Everyday Ethics, Practice Management

The Role of Generosity in Medicine

Generosity was the main topic of the American Academy of Otolaryngology-Head and Neck Surgery’s 2007 John Conley Lecture on Medical Ethics by Rev. William G. Enright, PhD, Executive Director of the Lake Family Institute on Faith and Giving at the Center on Philanthropy, Indiana University, at the opening ceremony of this year’s annual meeting.

Health Policy

AAO-HNS Releases Multispeciality Practice Guidelines for Adult Rhinosinusitis

At its annual meeting, the American Academy of Otolaryngology-Head and Neck Surgery released its long-awaited multispecialty practice guidelines for treatment of adult rhinosinusitis.

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