Is there a simple approach to facilitating fiberoptic intubation in the difficult airway? Background: Although fiberoptic intubation is one of the more successful and frequently utilized methods to access the difficult […]
Another Option for Allergic Rhinitis?: Study examines long-term safety, efficacy of RF turbinoplasty
When patients with allergic rhinitis don’t respond to medical therapy, an otolaryngologist’s arsenal of treatment includes surgical options. Among these is radiofrequency (RF) turbinate reduction, also known as RF turbinate ablation or turbinoplasty, an office procedure that advocates say is cost-effective and minimally invasive, with fewer complications than other surgical remedies. Some otolaryngologists, however, are still hesitant to use this relatively new therapy.
Lingering Issues: Challenges remain in repairing CSF leaks
Once the province of neurosurgeons, cerebrospinal fluid (CSF) leak repair is now handled mostly by otolaryngologists. This change has occurred over the past couple of decades, during which time the evolution of endoscopic tools and techniques has made possible extracranial rather than intracranial repair. The success rate for repairing these leaks from below has reached about 90 percent, particularly for small leaks.
Old Problem, New Focus: Otolaryngologists tailor allergy treatments to geriatric patients
Allergic rhinitis among the elderly poses a particularly difficult diagnostic challenge for the otolaryngologist. As people age, they undergo immunosenescence. The thymus, which produces T cells against new invaders, atrophies markedly after adolescence, and this decline results in a less robust immune response to bacteria, viruses and presumably allergens (J Pathol. 2007;211(2):144-156). Consequently, physicians have assumed that allergies should decline as people age.
New Study Presents Education Opportunity: Nasal zinc side effects spark discussions about alternative treatments
Arecent study in Archives of Otolaryngology-Head and Neck Surgery on the potential side effects of nasal zinc therapies is the newest staging ground in the debate over how otolaryngologists can advise patients on the benefits of homeopathic treatments in the context of the common cold.
Balloon Dilation Useful for Revision Frontal Sinusotomy
Is the balloon a useful tool for revision frontal sinusotomy to efficiently and safely allow subsequent instrumentation of the frontal outflow tract using larger, more aggressive instruments? Background: Reports of drill-out […]
Intranasal Corticosteroid Not Recommended as Monotherapy for Acute Rhinosinusitis
Is an intranasal corticosteroid (INCS) effective monotherapy for treatment of acute rhinosinusitis? Background: Acute rhinosinusitis is often treated with antibiotics as if it were a bacterial infection; however, estimates suggest that […]
Polydioxanone Foil Can Be Used to Support the Nasal Septum
Is polydioxanone foil an effective material for stabilizing septal segments in nasal septal reconstruction? Background: Post surgical nasal septal integrity must be restored if a functionally and aesthetically healthy nose is […]
Steroid-Impregnated Nasal Dressing Improves Post-ESS Healing
What is the impact of steroid-impregnated absorbable nasal dressing on wound healing and surgical outcomes after endoscopic sinus surgery (ESS)? Background: Wound healing has been a significant determinant of successful outcomes […]
A Patient Experiment
Berrylin J. Ferguson, MD, FACS, FAAOA, associate professor of otolaryngology and director of the Division of Sino-Nasal Disorders and Allergy at the University of Pittsburgh School of Medicine in Pittsburgh, Pa., uses the following form to help determine which allergy treatments will work best for each patient.