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ENTtoday: September 2006

Departments

Optical Coherence Tomography Offers Noninvasive Way to Visualize Tissues of the Larynx: This emerging technology could improve testing for laryngeal cancers

Optical coherence tomography (OCT) provides a method to view tissues at the micron level, and for the delicate tissues of the vocal folds, this procedure offers much of the cellular information of a biopsy without the associated morbidity.

HPV-Oropharyngeal Cancer Link May Affect Cancer Screening and Prognosis: The link offers potential for improved detection and prevention, but more research is needed

Oropharyngeal cancers, including cancers of the tonsils, soft palate, posterior pharynx, and base of the tongue are not diseases that most otolaryngologists-head and neck surgeons come across in their day-to-day practice.

New Medicaid Changes in West Virginia and Kentucky May Affect Otolaryngology Practice

People of different political persuasions generally agree that the health care system in the United States is in deep trouble, but there is no consensus on how to fix it.

When it Comes to Sleep-Disordered Breathing, Be Sure to Evaluate the Whole Patient

If at first you don’t succeed, try, try again.

The Etiology of Chronic Rhinosinusitis Remains Unclear

Chronic rhinosinusitis (CRS) is defined as inflammatory disease of the sinuses that lasts for more than eight weeks; however, a specific etiology of this complex condition remains largely unknown.

US Needs to Rethink Spending for Chronic Illnesses, Dartmouth Study Says

A new study from Dartmouth Medical School documents “staggering variations in how hospitals care for chronically ill elderly patients.” The study points to problems with quality and faults Medicare for unnecessary spending.

Percutaneous Dilation Tracheotomy Can Be a Safe, Effective Nonsurgical Option

Percutaneous dilation tracheotomy (PDT) is becoming an accepted and increasingly popular alternative to surgical, or open, tracheotomy, particularly in the treatment of critically ill patients requiring prolonged intubation and mechanical ventilation.

Gene Therapy: A Promising Role in Otolaryngology

After a hiatus associated with a checkered past, gene therapy is again showing promise in several fields of medicine, and otolaryngology is no exception.

Recurrent Respiratory Papillomatosis: Researchers Advancing Toward Prevention

Recurrent respiratory papillomatosis (RRP) begins with a pretty small virus, relatively speaking, but it can lead to some pretty big problems for both the patient and the treating physician.

Drop-In Clinics May Help with Patient Care-But Close Oversight is Necessary

Drop-in retail clinics staffed by nurse practitioners or physician’s assistants may represent a fundamental and permanent change in how patients receive minor primary care in this country, providing affordable care and convenience-but do they serve the long-term health interests of otolaryngology patients and the doctors who treat them?

When Dealing with Insurers, Electronic Payment Tools May be an Otolaryngologist’s Best Friend

The business side of medical practice can sometimes be a bigger challenge than ferreting out a difficult diagnosis.

Keeping Watch for Skin Cancers on the Head and Neck

As summer draws to a close, the warm-weather message to wear sunblock and shield your skin from UV rays quiets down—but the risk of developing skin cancer remains.

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