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ENTtoday: November 2012

Departments

Career Development

Empathy Training as a Tool to Improve Medical Outcomes

Patients who feel their physicians are empathetic have better medical outcomes, and are more likely to adhere to treatment recommendations for preventive tests, such as mammograms and colonoscopies

Ancient Remedy for Chronic Rhinosinusitis Comes with Fresh Warnings

Recent deaths from sinus irrigation with contaminated tap water sparked a warning from the Centers for Disease Control and Prevention, and Food and Drug Adminstration, to use distilled, filtered or boiled water in preparing solutions

New Excise Tax Applicable to Otolaryngologist Devices

A provision in the Affordable Care Act (ACA) that places an excise tax on the sale of medical devices would apply to some tools used by otolaryngologists

Career Development

Part-Time Work Appeals to Increasing Number of Physicians

A survey from 2010 reports that 21% of physicians in the United States are working part-time, compared with 13% in 2005

Career Development

How Much Weight Should Otolaryngologists Give Physician Rankings?

Assessing how "good" a doctor is calls into play many different factors that aren’t easily quantifiable

Career Development

Avoiding Career Burnout Can Be a Challenge for Otolaryngologists

While ENTs tend to be less stressed than physicians in other specialties, they’re no strangers to exhaustion

Incisionless Procedure Offers Less Invasive Treatment for Reflux

Transoral incisionless fundoplication (TIF) shows promise for patients with gastroesophageal reflux disease

Career Development

Empathy for Patients on the Decline Among Medical Students and Residents

Studies show that distress, burnout, and depression in medical students and residents have contributed to a recent decrease in their empathy for patients

Tips for Treating Chronic Rhinosinusitis with Nasal Irrigation

Nasal irrigation can be an effective therapy for chronic rhinosinusitis, provided patients—especially children—are shown safe and proper irrigation techniques

Tests Emerging as Standards for Diagnosing HPV-Positive Oropharyngeal Cancer

Immunohistochemical analysis of p16 expression levels in tumor tissues, and it situ hybridization to detect many types of onocogenic HPV, are often used either alone, or in combination

Other

HPV Related to Rise in Head and Neck Cancers

Over the past 15 years, a distinct subgroup of head and neck cancers caused by the human papillomavirus (HPV) has emerged, particularly among white males between 45 and 54 years of age

Pediatric Tonsillectomies on the Rise

Number of tonsillectomies on children has significantly increased since 1996, while more tonsillectomies are being performed in an outpatient setting

CAM Therapy Effective in Treating Chronic Sinusitis

 Activated hexose correlated compound (AHCC) and ginseng are some doctor-recommended, go-to complementary and alternative medicine treatments for patients with chronic sinusitis

Testing Recommendation for Children with Sleep-Disordered Breathing

Before determining the need for tonsillectomy, it is highly beneficial to refer children with sleep-disordered breathing for polysomnography (PSG)

TRIO Best Practices

Is Polysomnagraphy Required Prior to T+A for Diagnosis of OSA versus Mild Sleep Disordered Breathing in Children?

Polysomnography (PSG) has been recommended by the American Academy of Pediatrics as the gold standard for the diagnosis of obstructive sleep apnea (OSA) versus mild sleep disordered breathing (SDB) prior to tonsillectomy and adenoidectomy (T+A) in children. Mild SDB includes primary snoring and upper airway resistance syndrome. Controversy exists regarding the accuracy of history and physical exam (H+P) alone in children for the diagnosis of OSA versus mild SDB prior to T+A. Thus, PSG has been recommended to confirm the diagnosis

TRIO Best Practices

Are Routine Dissolvable Nasal Dressings Necessary Following ESS?

Nasal dressings have frequently been advocated to improve wound healing and prevent ongoing bleeding after endoscopic sinus surgery (ESS). Initial experience focused on removable nasal packing materials; however, their adverse effect profile, such as pain/discomfort and mucosal trauma, has driven the development of absorbable biomaterials. Despite these developments, there is still little agreement on the optimal choice of nasal dressing or whether nasal dressings are required at all

Literature Reviews

Endoscopic Sandwich Technique for Moderate Nasal Septal Perforations

What would be a good surgical technique for the treatment of nasal septal perforations with diameters of 1 to 2 cm? Background: Surgical therapy is required for nasal septal perforation, […]

Literature Reviews

Researchers Develop Clinically Relevant Animal Model for Subglottic Injury

Can a clinically aligned, reproducible model for subglottic injury be developed? Background: Animal models for subglottic stenosis (SGS) have been invaluable in understanding the underlying mechanisms and in developing new […]

Literature Reviews

Comparison of Drug-Induced Sleep Endoscopy and Lateral Cephalometry

What are the associations between findings from drug-induced sleep endoscopy (DISE) and lateral cephalometry in obstructive sleep apnea (OSA)? Background: Because surgical treatment of OSA is directed at specific regions […]

Literature Reviews

Tests Lead to Recommendations for Preventing Music-Induced Hearing Loss

What is the impact of personal music players, earphones and music styles on output and preferred listening levels (PLL)? Background: In the U.S., more than 48 percent of the general […]

Literature Reviews

Propranolol Reduces Size and Blood Vessel Density of Infantile Hemangiomas

Can the effect of propranolol on infantile hemangiomas be quantified? Background: The utilization of propranolol for the treatment of infantile hemangiomas is efficacious and is considered the first-line treatment. Many […]

Literature Reviews

No Benefit from Post-Operative Corticosteroids in Pediatric Tonsillectomy Patients

Does the administration of systemic steroids during the post-operative course affect the morbidity associated with tonsillectomy surgery? Background: Tonsillectomy is one of the most common surgical procedures performed in North […]

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