The new health system reform law includes a number of quality provisions that physician organizations say are not ready for primetime and won’t be ready in the time frame established by Congress.
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Fibula and Osteocutaneous Radial Forearm Free Flap Are Comparable
Does the osteocutaneous radial forearm free flap (OCRFFF) provide equivalent functional outcomes and improved morbidity compared to the fibular free flap (FFF) in mandibular reconstruction? Background: Although widely used due to […]
Docs Gone Bad: Your top doc just threw a tantrum. Now what?
In the more than ten years that Paul Levine, MD, FACS, has served as chair of otolaryngology and head and neck surgery at the University of Virginia in Charlottesville, he has heard his share of complaints about high-powered surgeons who are difficult to work with.
Evaluating Dysphagia: Maximize exam and swallow studies for diagnostic success
Stroke, muscular dystrophy, Parkinson’s disease, gastroesophageal reflux disease (GERD), head and neck cancer, Zenker’s diverticulum—each of these disparate conditions can cause dysphagia.
Update on Diagnosis and Management of Food Allergies
With the rising prevalence of food allergies and their associated potentially fatal consequences, understanding the pathophysiology of food allergies along with their diagnosis and treatment remains a critical part of otolaryngologic practice.
Hearing Aid Update
Hearing aids-external electronic devices used to help individuals with hearing loss-traditionally consist of a microphone, an analog-to-digital converter, a digital signal processor, a digital-to-analog converter, and a receiver that delivers an acoustic signal into the external auditory canal. In 2008, 97% of all hearing aids sold used digital processing. Catherine V. Palmer, PhD, provides a review of current digital hearing aids.
Experts Debate Pediatric Airway Issues
In a recent debate-style panel, five otolaryngologists addressed topical clinical issues relating to the pediatric airway ranging from adenotonsillectomy in children with obstructive sleep symptoms, to whether cidofovir should be used as a standard treatment in children with recurrent respiratory papillomas.
Evaluation and Management of Patients After Unsuccessful Sleep Apnea Surgery
SAN DIEGO-For patients who undergo surgery for obstructive sleep apnea, failure of surgery to achieve success presents a number of challenges to otolaryngologists. First and foremost is the challenge of correctly assessing the outcome of surgery followed by the need to choose additional therapy tailored to the particular needs of each patient.
In-Office Injection Laryngoplasty: Good Results, but Complications More Likely
Injection laryngoplasty (IL) performed in the office with the patient awake yields similar results as when it is performed with the patient asleep, researchers have found in a case-control study.
Putting the Physician-Patient Relationship First
The otolaryngologists and pediatric surgeons who watched President Obama’s July 22 press conference must have been astonished to hear themselves vilified by the Health Care Reformer-in-Chief.
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