abstract：:The medical community is no exception when it comes to structural racism and implicit bias, often present in dangerously subtle ways. To enter a residency program in which one is the only black person seems odd, especially considering the decades-long calls to action for increasing diversity. Unless the societal major...

journal_title：Otolaryngologic clinics of North America

authors： Flagg CA,Liu MF

更新日期：2021-02-01 00:00:00

abstract：:The endoscopic approach to stapes surgery affords unique advantages but is not without its specific challenges. The following reviews the equipment and surgical steps required to perform endoscopic stapes surgery safely and effectively, highlighting tips and potential points of failure through a series of case example...

journal_title：Otolaryngologic clinics of North America

authors： Yancey KL,Manzoor NF,Rivas A

更新日期：2021-02-01 00:00:00

abstract：:Robots under research and development for otology can be classified as collaborative (intervention is constrained by the robot but surgeon directly actuates the end-effector), teleoperated (surgeon remotely controls a tool with modification [eg, tremor reduction] by the robot), or autonomous (surgeon monitors the robo...

journal_title：Otolaryngologic clinics of North America

authors： Riojas KE,Labadie RF

更新日期：2020-12-01 00:00:00

abstract：:Although the majority of attention to the health care impact of COVID-19 has focused on adult first responders and critical care providers, the pandemic has had a profound effect on the entire health care industry, including the pediatric otolaryngology community. This article highlights the unique ramifications of CO...

journal_title：Otolaryngologic clinics of North America

authors： Sobol SE,Preciado D,Rickert SM

更新日期：2020-12-01 00:00:00

abstract：:This article summarizes major and minor complications following transoral robotic surgery in the head and neck. Overall, transoral robotic surgery is extremely safe; however, surgeons must recognize inherent risks associated with major and severe bleeding, dysphagia, and minor complications, including injury to nerves...

journal_title：Otolaryngologic clinics of North America

authors： Sethi RKV,Chen MM,Malloy KM

更新日期：2020-12-01 00:00:00

abstract：:Acute pain management following major head and neck (HN) surgery is complex. Multimodal analgesia (MMA) regimens including acetaminophen, nonsteroidal anti-inflammatory drugs, gabapentinoids, and locoregional anesthetics are safe and effective in this population (including patients undergoing HN free flap surgery). Sp...

journal_title：Otolaryngologic clinics of North America

authors： Bobian M,Gupta A,Graboyes EM

更新日期：2020-10-01 00:00:00

abstract：:Despite recent, major steps forward in our understanding of tinnitus pathophysiology and improved research methodology, tinnitus remains a clear unmet clinical need. Here, the authors identify current active clinical and preclinical development programs of tinnitus drug candidates using publications, databases, and co...

journal_title：Otolaryngologic clinics of North America

authors： Dyhrfjeld-Johnsen J,Cederroth CR

更新日期：2020-08-01 00:00:00

abstract：:Assessment of the nose is critical in evaluating obstructive sleep apnea (OSA) because the nose plays an important role in the physiology of sleep by regulating nasal airway resistance and stimulating ventilation. Nasal obstruction is common in sleep apnea, contributes to OSA, and interferes with tolerance of OSA trea...

journal_title：Otolaryngologic clinics of North America

authors： Cai Y,Goldberg AN,Chang JL

更新日期：2020-06-01 00:00:00

abstract：:Mestizo noses have mesorrhine nasal characteristics. They have a modest osteocartilaginous framework, nasal tips that tend to be bulbous with poor projection and rotation, and skins that tend to be thick and acne prone. A structural rhinoplasty approach is performed, focusing on anatomic findings. Conservative tissue ...

journal_title：Otolaryngologic clinics of North America

authors： Cobo R

更新日期：2020-04-01 00:00:00

abstract：:Cochlear implant is the first approved cranial nerve stimulator that works by directly stimulating the cochlear nerve. The medical and societal impact of this revolutionary device cannot be understated. This article reviews the evolving indications for cochlear implant, patient assessment, surgical approach, and outco...

journal_title：Otolaryngologic clinics of North America

authors： Naples JG,Ruckenstein MJ

更新日期：2020-02-01 00:00:00

abstract：:Blunt, penetrating trauma to the ear, nose, and throat, and related structures are striking. Injuries may range from simple soft tissue wounds to complex injuries of the face, neck, and brain. Proximity of the cervical spine and airway complicate anesthetic management. A multidisciplinary approach is required. Airway ...

journal_title：Otolaryngologic clinics of North America

authors： Lovich-Sapola J,Johnson F,Smith CE

更新日期：2019-12-01 00:00:00

abstract：:This article summarizes the current management of pediatric thyroid disease, with an emphasis on surgical management. Medical and surgical approaches to hyperthyroidism are reviewed as well as pathways for evaluation of nodules and malignancy. Differences between pediatric and adult thyroid management are highlighted....

journal_title：Otolaryngologic clinics of North America

authors： Dimachkieh AL,Kazahaya K,Chelius DC Jr

更新日期：2019-10-01 00:00:00

abstract：:Advances in pediatric otology have provided new tools to diagnose and manage complex otologic disease. Diffusion-weighted MRI provides the surgeon with a tool to detect recurrent or residual cholesteatoma that may obviate a second look surgery. Surgical trends move toward less invasive surgery. The literature provides...

journal_title：Otolaryngologic clinics of North America

authors： Luu K,Chi D,Kiyosaki KK,Chang KW

更新日期：2019-10-01 00:00:00

abstract：:This article provides a concise review of contemporary options for evaluating voice disorders. Focus is given to patient history and patient-derived voice handicap and quality of life assessments, clinician-derived perceptual analysis of voice, and finally flexible and rigid, high-definition laryngoscopy with videostr...

journal_title：Otolaryngologic clinics of North America

authors： Reghunathan S,Bryson PC

更新日期：2019-08-01 00:00:00

abstract：:Minimally invasive procedures including neurotoxins, dermal fillers, deoxycholic acid, lasers, peels, and microneedling offer powerful, less permanent adjuncts to surgery that are highly effective in select patients. Injectables and skin resurfacing techniques target facial irregularities including wrinkles and fine l...

journal_title：Otolaryngologic clinics of North America

authors： Devgan L,Singh P,Durairaj K

更新日期：2019-06-01 00:00:00

abstract：:With fiber-based lasers that may be passed via the working channel of a flexible laryngoscope, in-office laser laryngeal surgery has become possible. The potassium-titanyl-phosphate laser has several features that make it ideal for laryngeal surgery, and it is now the laser of choice for in-office management of a vari...

journal_title：Otolaryngologic clinics of North America

authors： Tibbetts KM,Simpson CB

更新日期：2019-06-01 00:00:00

abstract：:Active auditory implants, such as the Maxum, provide significantly improved hearing function compared to hearing aids in patients with moderate to severe hearing loss who are not reaching their cochlear hearing potential. The speech perception gap (SPG), defined as PB Max (phonetically balanced maximum) minus word rec...

journal_title：Otolaryngologic clinics of North America

authors： Chang CYJ

更新日期：2019-04-01 00:00:00

abstract：:Osseointegrated auditory devices (OADs) are hearing devices that use an external receiver/processor that stimulates bone conduction of sound via a titanium prosthesis that is drilled into the bone of the cranium. Since their introduction in 1977, OADs have undergone substantial evolution, including changes in manufact...

journal_title：Otolaryngologic clinics of North America

authors： Ghossaini SN,Roehm PC

更新日期：2019-04-01 00:00:00

abstract：:The historical context for quality improvement is provided. Important differences are described between the two overarching types of databases: clinical registries and administrative databases. The pros and cons of each are provided as are examples of their utilization in otolaryngology-head and neck surgery. ...

journal_title：Otolaryngologic clinics of North America

authors： Schneider AL,Lavin JM

更新日期：2019-02-01 00:00:00

abstract：:Humans use cognitive shortcuts, or heuristics, to quickly assess and respond to situations and data. When applied inappropriately, heuristics have the potential to redirect analysis of available information in consistent ways, creating systematic biases resulting in decision errors. Heuristics have greater effect in h...

journal_title：Otolaryngologic clinics of North America

authors： Balakrishnan K,Arjmand EM

更新日期：2019-02-01 00:00:00

abstract：:Bell palsy and traumatic facial nerve injury are two common causes of acute facial palsy. Most patients with Bell palsy recover favorably with medical therapy alone. However, those with complete paralysis (House-Brackmann 6/6), greater than 90% degeneration on electroneurography, and absent electromyography activity m...

journal_title：Otolaryngologic clinics of North America

authors： Sun DQ,Andresen NS,Gantz BJ

更新日期：2018-12-01 00:00:00

abstract：:This article presents an approach to reanimation of the midface in long-standing flaccid facial palsy by means of functional free gracilis transfer and static facial suspension. ...

journal_title：Otolaryngologic clinics of North America

authors： Jowett N,Hadlock TA

更新日期：2018-12-01 00:00:00

abstract：:Nasal obstruction is one of the most common problems seen by pediatric otolaryngologists. Prompt treatment of nasal obstruction can be critical in newborns and infants because of their obligatory nasal breathing. Older children will typically have more inflammatory, infectious, or traumatic causes of nasal obstruction...

journal_title：Otolaryngologic clinics of North America

authors： Smith MM,Ishman SL

更新日期：2018-10-01 00:00:00

abstract：:Management of head and neck cancer in the elderly patient is particularly challenging given the high morbidity associated with treatment. Surgery, radiotherapy, and chemotherapy have all been demonstrated as effective in older patients; however, older patients are more susceptible to treatment-induced toxicity, which ...

journal_title：Otolaryngologic clinics of North America

authors： Cervenka BP,Rao S,Bewley AF

更新日期：2018-08-01 00:00:00

abstract：:Chronic ear disease is a major cause of acquired hearing loss in the developing world. It is prevalent on every continent, but occurs more commonly in poorer nations owing to a lack of preventative measures. This article outlines the particular challenges in treating this disease in the developing world, including a d...

journal_title：Otolaryngologic clinics of North America

authors： Master A,Wilkinson E,Wagner R

更新日期：2018-06-01 00:00:00

abstract：:In North America, underserved and vulnerable populations experience poorer health outcomes despite greater per capita health care expenditures. Biologic, behavioral, and socioeconomic factors lead to more advanced disease presentation that may necessitate disparate treatment. Additionally, vulnerable populations are m...

journal_title：Otolaryngologic clinics of North America

authors： Westerberg BD,Lango MN

更新日期：2018-06-01 00:00:00

abstract：:Otosclerosis surgery is performed through a transcanal approach and requires long, thin instruments with submillimetric precision and precise amplitude of motion. The functional outcomes and complications of otosclerosis surgery depend on the experience of the surgeon. Thus, any technological assistance that can enhan...

journal_title：Otolaryngologic clinics of North America

authors： Nguyen Y,Bernardeschi D,Sterkers O

更新日期：2018-04-01 00:00:00

abstract：:Vascular tumors are benign neoplasms, which result from proliferating endothelial cells. These lesions present during infancy or childhood, may affect any location, and exhibit postnatal growth. Local complications include bleeding, tissue destruction, and pain whereas systemic sequelae include thrombocytopenia, conge...

journal_title：Otolaryngologic clinics of North America

authors： Goss JA,Greene AK

更新日期：2018-02-01 00:00:00

abstract：:Lymphatic malformations (LMs) occur in 2.8 to 5 per 100,000 live births. Most involve the head and neck and they are equally common in men and women. They are developmental anomalies of unknown cause, although recent evidence suggests that an upregulation of the mammalian target of rapamycin (mTOR) pathway may be a ca...

journal_title：Otolaryngologic clinics of North America

authors： Waner M,O TM

更新日期：2018-02-01 00:00:00

abstract：:There are several advances in diagnosis and management for the otolaryngologist treating allergy. These include new technologies and the refinement of current techniques, and reflect overall trends in health care toward personalized medicine. Local immunoglobulin, urinary leukotriene E4, lipidomics, microRNA within ex...

journal_title：Otolaryngologic clinics of North America

authors： Marino MJ,Luong AU

更新日期：2017-12-01 00:00:00

abstract：:Allergic rhinitis is often associated with asthma and has significant impacts on health care costs and productivity in the United States. Although allergen avoidance and pharmacotherapy are effective, allergen-specific immunotherapy is the only treatment that may lead to improved allergy symptoms even after treatment ...

journal_title：Otolaryngologic clinics of North America

authors： Roxbury CR,Lin SY

更新日期：2017-12-01 00:00:00

abstract：:American health care is facing an epidemic of medical errors. A major cause of these errors is poor teamwork. Crisis resource management (CRM) is a set of teamwork principles derived from the airline industry. Medical simulation is an educational tool that affords health care providers a means of improving teamwork by...

journal_title：Otolaryngologic clinics of North America

authors： Volk MS

更新日期：2017-10-01 00:00:00

abstract：:Simulation is rapidly expanding across medicine as a valuable component of trainee education. For procedural simulation, development of low-cost simulators that allow a realistic, haptic experience for learners to practice maneuvers while appreciating anatomy has become highly valuable. Otolaryngology has seen signifi...

journal_title：Otolaryngologic clinics of North America

authors： VanKoevering KK,Malloy KM

更新日期：2017-10-01 00:00:00

abstract：:This article presents a summary of the current simulation training for otologic skills. There is a wide variety of educational approaches, assessment tools, and simulators in use, including simple low-cost task trainers to complex computer-based virtual reality systems. A systematic approach to otologic skills trainin...

journal_title：Otolaryngologic clinics of North America

authors： Wiet GJ,Sørensen MS,Andersen SAW

更新日期：2017-10-01 00:00:00

abstract：:Simulation-based boot camps are growing in popularity and are effective in onboarding novice residents with new knowledge, skills, and behaviors. These intensive and immersive courses may be used to train residents and allied health professionals in specific procedures, teamwork, and management of rare clinical scenar...

journal_title：Otolaryngologic clinics of North America

authors： Yeh DH,Fung K,Malekzadeh S

更新日期：2017-10-01 00:00:00

abstract：:With increases in survivorship for patients with head and neck cancer, attention is turning to quality-of-life issues for survivors. Care for these patients is multifaceted. Dysphagia and issues of voice/speech, airway obstruction, neck and shoulder dysfunction, lymphedema, and pain control are important to address. R...

journal_title：Otolaryngologic clinics of North America

authors： Jamal N,Ebersole B,Erman A,Chhetri D

更新日期：2017-08-01 00:00:00

abstract：:Technological advancement in the operating room is evolving into a dynamic system mirroring that of the aeronautics industry. Through data visualization, information is continuously being captured, collected, and stored on a scalable informatics platform for rapid, intuitive, iterative learning. The authors believe th...

journal_title：Otolaryngologic clinics of North America

authors： Kassam AB,Rovin RA,Walia S,Chakravarthi S,Celix J,Jennings J,Khalili S,Gonen L,Monroy-Sosa A,Fukui MB

更新日期：2017-06-01 00:00:00

abstract：:Surgical management of clival lesions presents numerous therapeutic challenges because of the close proximity of surrounding critical structures. With a detailed understanding of the endoscopic endonasal approach and relevant considerations, appropriate lesions can be removed in a safe and minimally invasive manner. U...

journal_title：Otolaryngologic clinics of North America

authors： Folbe AJ,Svider PF,Liu JK,Eloy JA

更新日期：2017-04-01 00:00:00

abstract：:The transnasal endoscopic resection of ventral skull base lesions represents a safe and effective method for the surgical management of sinonasal and ventral skull base malignancies in carefully selected cases. The goal of surgery is complete removal of all tumor with negative resection margins while maintaining the k...

journal_title：Otolaryngologic clinics of North America

authors： Alokby G,Casiano RR

更新日期：2017-04-01 00:00:00

abstract：:Chronic rhinosinusitis (CRS) is a prevalent condition that is heterogeneous in disease characteristics and multifactorial in cause. Although sinonasal mucosal inflammation in CRS is often either reversible or well-managed medically and surgically, a significant proportion of patients has a refractory form of CRS despi...

journal_title：Otolaryngologic clinics of North America

authors： Halderman A,Lane AP

更新日期：2017-02-01 00:00:00