Shows
Voices of OtolaryngologyThe AAO-HNSF Journal: Breaking New Ground with Dr. SchmalbachIn this special Voices of Otolaryngology episode, recorded live in Indianapolis at the AAO-HNSF 2025 Annual Meeting & OTO EXPO, host Rahul K. Shah, MD, MBA, AAO-HNS/F EVP and CEO, sits down with Cecelia E. Schmalbach, MD, MSc, Editor in Chief of Otolaryngology–Head and Neck Surgery and OTO Open. Together, they explore the evolving landscape of academic publishing, from peer review innovation and global collaboration to the integration of artificial intelligence in research and publishing. Dr. Schmalbach shares insights into bringing the journals' editorial operations back in-house, maintaining rigorous review standards, fostering merit-based advancement for reviewers, and her...
2025-12-1628 min
Voices of OtolaryngologyInside the RUC: Why 30 Survey Responses Aren't EnoughIn this engaging floor-recorded conversation from the AAO-HNSF 2025 Annual Meeting & OTO EXPO, host Rahul K. Shah, MD, MBA, AAO-HNS/F EVP and CEO, sits down with R. Peter Manes, MD, associate professor of surgery (otolaryngology) at Yale School of Medicine as well as AAO-HNS/F Board member and Chair of the Academy's Physician Payment Policy (3P) Workgroup. Together they demystify the alphabet soup of CPT, RUC, and RVUs, explaining how every otolaryngologist—academic or private—can influence reimbursement simply by completing the necessary surveys. Dr. Manes offers a candid look at how procedure codes are valued, why honest dat...
2025-12-0923 min
Voices of OtolaryngologyHat Trick: Global Outreach, Research, and Clinical CareIn this on-site conversation from the AAO-HNSF 2025 Annual Meeting & OTO EXPO in Indianapolis, host Rahul K. Shah, MD, MBA, AAO-HNS/F EVP and CEO, sits down with Gregory J. Basura, MD, PhD, Chair of the AAO-HNSF Humanitarian Efforts Committee. They explore the intersection of neuroscience, clinical innovation, and global humanitarian outreach—from Dr. Basura's NIH-funded research in tinnitus neuroimaging to his transformative fellowship and capacity-building work across Africa and beyond. Listeners will hear how early mentorship inspired his lifelong commitment to global otolaryngology, how partnerships in Ghana and Cape Town evolved into the creation of the African Otolo...
2025-11-1824 min
Voices of OtolaryngologyBuilding Global Bridges in Otolaryngology with Maria V. Suurna, MDJoin host Rahul K. Shah, MD, MBA, AAO-HNS/F Executive Vice President and CEO, as he chats with Maria V. Suurna, MD, AAO-HNSF Coordinator for International Affairs, about her journey from Estonia to leading global ENT initiatives. From quarterly Global Grand Rounds to joint meetings spanning continents, Dr. Suurna reveals how the Academy is strengthening international partnerships and expanding access to otolaryngology education worldwide. Resources: Global Grand Rounds: www.entnet.org/ggr AAO-HNSF Volunteer Faculty Application Form: https://forms.office.com/r/BiSufuTCUk More Ways to Listen: Spotify: https://open.spotify.com/show/3UeVLtFdLHDnWnULUPoiin Appl...
2025-07-2219 min
Voices of OtolaryngologyBuilding a Hearing Healthcare Team with Jeffrey S. Weingarten, MDIn this episode of Voices of Otolaryngology, Jeffrey S. Weingarten, MD, shares insights on creating a thriving otolaryngology practice that serves as a true "one-stop shop" for ENT care. Learn how his Detroit-area practice successfully integrates 11 physicians, 17 audiologists, and specially trained staff across six locations. Dr. Weingarten discusses the innovative Certificate Program for Otolaryngology Personnel (CPOP), which trains "OTO Techs" to perform hearing tests, maximizing efficiency while allowing audiologists to work at the top of their license. Discover the benefits of team-based care, billing approaches, operational strategies, and how similar models can be implemented in other practices. The conversation wi...
2025-06-2448 min
Voices of OtolaryngologyHearing Every Child: Rural Healthcare Innovation with Matthew Bush, MD, PhDIn this episode of Voices of Otolaryngology, Matthew Bush, MD, PhD, MBA, AAO-HNSF Coordinator-Elect, Research and Quality, joins Rahul K. Shah, MD, MBA, AAO-HNS/F Executive Vice President and CEO, as they explore how interventions are impacting healthcare delivery for vulnerable populations. Dr. Bush shares insights on innovative approaches to hearing healthcare in rural communities from his groundbreaking patient navigation model that dramatically improved follow-up care rates for pediatric hearing patients. Helpful Resources: Reg-ent: https://www.reg-ent.org AAO-HNSF Clinical Practice Guidelines: https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/
2025-05-2715 min
Voices of OtolaryngologyParallel Paths to Double Your Impact with Sonya Malekzadeh, MDRahul K. Shah, MD, MBA, AAO-HNS/F Executive Vice President and CEO, sits down with Sonya Malekzadeh, MD, leader of the AAO-HNSF Otolaryngology Core Curriculum Editorial Board, Past Board member, Past Coordinator of Education, and Past Women in Otolaryngology Section Chair, during the November 2024 SUO/AADO/OPDO Meeting to discuss Dr. Malekzadeh's multi parallel paths in the Academy and her tenacity to see a need and fill it with engagement and leadership.
2025-01-2114 min
Head and Neck InnovationsCleveland Clinic at the AAO-HNSF 2024 Annual MeetingHost Paul Bryson, MD, MBA previews featured research and presentations from Cleveland Clinic staff, residents, fellows and med students at this week's American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting (AAO-HNSF). Check out ClevelandClinic.org/AAO24 for collaborative opportunities with us, and visit us at Booth #1409 in the exhibit hall - see you in Miami!
2024-09-2407 min
OTO JournalOTO: Safety of Cochlear Implantation in Children 12 Months or Younger – Systematic Review and Meta-analysisThis podcast highlights a systematic review to determine safety of cochlear implantation in pediatric patients 12 months and younger. This research was published in the December 2022 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) The results of this systematic review and meta-analysis involving 269 studies suggest that cochlear implantation in patients 12 months and younger is safe with similar rates of complications to older cohorts. Click here to read the full article
2023-01-1926 minOTO JournalOTO: New Beginnings: RepriseThis podcast concludes the remarkable tenure of John H. Krouse, MD, PhD, MBA, editor in chief of Otolaryngology–Head and Neck Surgery and OTO Open, the official journals of the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF), and welcomes the incoming leadership of Cecelia E. Schmalbach, MD, MSc, as the new editor in chief. In his final podcast, Dr. Krouse ushers in a new era as he discusses with Dr. Schmalbach her plans for the future of both AAO-HNSF journals. Click here to read the article.
2022-09-0617 min
Voices of Otolaryngology#OTOMTG21 Warm-upAAO-HNSF Annual Meeting Program Coordinator Daniel C. Chelius, Jr. MD is joined by Dr. Anne Marie Visosky as they look forward to the 125th AAO-HNSF Annual Meeting & OTO Experience in Los Angeles, CA, October 3-6, 2021. Learn more and register today at https://www.entannualmeeting.org
2021-09-1545 minOTO JournalOTO: Adherence to American Academy of Otolaryngology–Head and Neck Surgery Clinical Practice Guidelines: A Systematic ReviewThis podcast highlights original research published in the October 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this review was to evaluate clinicians' adherence to these guidelines' recommendations as measured in the literature. In conclusion, adherence to recommendations in the AAO-HNSF guidelines varies widely. These findings highlight areas for further guideline dissemination, research about guideline adoption, and quality improvement Click here to read the full article.
2020-10-0120 minOTO JournalOTO: Predictors of Pediatric Tracheostomy Outcomes in the United StatesThis podcast highlights original research published in the September 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective was to investigate the outcomes of pediatric tracheostomy as influenced by demographics and comorbidities. In conclusion, pediatric tracheostomy requires substantial health care resources with length of stay escalating over recent years. Age, race, region, discharge destination, and comorbidities were associated with differences in length of stay. Click here to read the full article.
2020-09-0117 minVoices of OtolaryngologyFLEX – Focused Lifelong Education XperienceJeffrey P. Simons, MD, AAO-HNSF Coordinator for Education, is joined by Richard V. Smith, MD, past Coordinator for Education for a discussion on FLEX, AAO-HNSF's new flagship education product. FLEX – Focused Lifelong Education Xperience launching in September, is positioned to enhance otolaryngology education through creative and contemporary learning modalities spanning across the specialty.
2020-08-2727 minVoices of Otolaryngology#OTOMTG20: Discussion with the ExpertsMinka L. Schofield, MD, member of the Annual Meeting Program Committee, moderates a podcast discussion with Mark K. Wax, MD, Annual Meeting Program Coordinator, and Daniel C. Chelius, Jr., MD, Coordinator-Elect, to discuss the innovative plans for the AAO-HNSF 2020 Virtual Annual Meeting & OTO Experience. Listen for more details about how attendees can engage with colleagues from around the world in this virtual format while having access to 300+ hours of education and science, from ePosters and Oral Scientific Presentations to Panel Presentations, Expert Lectures, the International Symposium, and more! Dr. Schofield aptly noted, "Even though the theme was chosen prior to...
2020-08-1343 minOTO JournalOTO: Effect of HPV Status on Survival of Oropharynx Cancer with Distant MetastasisThis podcast highlights original research published in the August 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Human papillomavirus (HPV)–positive oropharynx squamous cell carcinoma (OPSCC) is known to have improved survival over HPV-negative disease. However, it is largely unknown whether HPV status similarly affects survival in patients presenting with distant metastatic disease. We queried the National Cancer Database for OPSCC with distant metastasis. In conclusion, HPV-positive OPSCC has improved survival in the setting of distant metastatic presentation as compared with HPV-ne...
2020-08-0219 minOTO JournalOTO: Trends in Ambulatory Surgery Center Utilization for Otolaryngologic Procedures among Medicare Beneficiaries, 2010-2017This podcast highlights original research published in the June 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Surgical care is increasingly shifting to freestanding ambulatory surgical centers (ASCs). The extent to which otolaryngologists use ASCs has implications for patient safety and health care spending. This study characterizes trends in utilization and resultant financial implications for common otolaryngologic procedures performed at ASC and hospital outpatient departments (HOPDs). In conclusion, otolaryngologists shifted outpatient surgical care from HOPDs to ASCs between 2010 and 2017, with resultant redu...
2020-07-1118 minVoices of OtolaryngologyCovid-19: E:18 - AfricaDuane J. Taylor, MD, AAO-HNS/F President, and Medical Director of Le Visage ENT & Facial Plastic Surgery, in Bethesda, Maryland, United States, is joined by Gayle E. Woodson, MD, AAO-HNS/F Past President, Professor Emeritus and Former Chair of Otolaryngology at Southern Illinois University, and visiting Professor at Kilimanjaro Christian Medical Center in Tanzania; Titus S. Ibekwe, MBBS, FWACS, Professor and Head of the Department of Otorhinolaryngology at the University of Abuja and University of Abuja Teaching Hospital in Nigeria, and former Vice Chair to the AAO-HNSF International Advisory Board; Johannes J. Fagan, MBChB, FCS(SA), Leon Goldman Professor...
2020-07-0856 minOTO JournalOTO: Special Issue on COVID-19This podcast highlights two original research papers published in the July 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The first paper is: "Olfactory Dysfunction: A Highly Prevalent Symptom of COVID-19 With Public Health Significance". The objective of this study was to review the scientific evidence about anosmia in COVID-19. In conclusion, current evidence shows that OD is highly prevalent in COVID-19, with up to 80% of patients reporting subjective OD and objective olfactory testing potentially showing even higher prevalence. OD is frequently accompanied by t...
2020-07-0222 minOTO JournalOTO: Clinical Consensus Statement: Ankyloglossia in ChildrenThis podcast highlights original research published in the May 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective was to identify and seek consensus on issues and controversies related to ankyloglossia and upper lip tie in children by using established methodology for American Academy of Otolaryngology–Head and Neck Surgery clinical consensus statements. In conclusion, this expert panel reached consensus on several statements that clarify the diagnosis, management, and treatment of ankyloglossia in children 0 to 18 years of age. Lack of consen...
2020-06-0125 minVoices of OtolaryngologyCOVID-19: E17-ResidentsSonya Malekzadeh, MD, Residency Program Director and Professor of Otolaryngology at Georgetown University School of Medicine, is joined by Stacey T. Gray, MD, Residency Program Director at Harvard Medical School and Director of the Sinus Center at Massachusetts Eye and Ear; Jeffrey P. Simons, MD, AAO-HNSF Coordinator of Education and Professor of Otolaryngology at the University of Pittsburgh School of Medicine; Richard V. Smith, MD, past AAO-HNSF Coordinator of Education and Interim Chair of the Department of Otolaryngology-Head and Neck Surgery at Albert Einstein College of Medicine; and Carla V. Valenzuela, MD, a PGY3 Resident at Washington University School...
2020-05-2652 minVoices of OtolaryngologyAAO-HNS Coronavirus Disease (COVID-19) Podcast Series Episode 11: What Will Be the "New Normal" Otolaryngology Practice? And How has COVID-19 Affected It?James C. Denneny III, MD, AAO-HNS/F EVP/CEO; Eugene G. Brown III, MD, Partner at Charleston ENT & Allergy Associates, and Board, OASIS Clinically Integrated Network; Cecilia E. Schmalbach, MD, Professor & Chair, Department of Otolaryngology–Head & Neck Surgery at Temple University, Director, Temple Head & Neck Institute, and AAO-HNSF Coordinator for Research and Quality; Joel Selanikio, MD, physician, technologist, entrepreneur, emergency responder, TED speaker and medical futurist.
2020-04-2941 minOTO JournalOTO: Health Disparities in the Access and Cost of Health Care for Otolaryngologic ConditionsThis podcast highlights original research published in the April 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to demonstrate whether race, education, income, or insurance status influences where patients seek medical care and the cost of care for a broad range of otolaryngologic diseases in the United States. In this study, significant racial and socioeconomic discrepancies exist in the utilization and cost of health care for otolaryngologic conditions in the United States. Cli...
2020-04-2722 minOTO JournalOTO: Clinical Practice Guideline: Ménière's Disease, Part 2This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Ménière's Disease", published as a supplement to the April 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The primary purpose of this clinical practice guideline is to improve the quality of the diagnostic workup and treatment outcomes of Ménière's disease. To achieve this purpose, the goals of this guideline are to use the best available published scientific and/or clinical evidence to enhance diagnostic accuracy and appropriate therapeutic interven...
2020-04-2723 minOTO JournalOTO: Clinical Practice Guideline: Ménière's Disease, Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Ménière's Disease", published as a supplement to the April 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The primary purpose of this clinical practice guideline is to improve the quality of the diagnostic workup and treatment outcomes of Ménière's disease. To achieve this purpose, the goals of this guideline are to use the best available published scientific and/or clinical evidence to enhance diagnostic accuracy and appropriate therapeutic interven...
2020-04-2726 minOTO JournalOTO: Temporal Trajectory of Body Image Disturbance in Patients with Surgically Treated Head and Neck CancerThis podcast highlights original research published in the March 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to characterize the temporal trajectory of body image disturbance (BID) in patients with surgically treated head and neck cancer (HNC). In conclusion, in this cohort of patients surgically treated for HNC, BID worsens posttreatment before returning to pretreatment (baseline) levels at 9 months posttreatment. However, 4 in 10 patients will experience a protracted course with persistent posttreatment body image concerns, and half...
2020-03-0316 minOTO JournalOTO: Dysphagia Screening for Pneumonia Prevention in a Cancer Hospital: Results of a Quality/Safety InitiativeThis podcast highlights original research published in the February 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Hospital-acquired aspiration pneumonia remains a rare but potentially devastating problem. The best means by which to prevent aspiration in a cancer hospital population has not been evaluated. The aim of this study was to evaluate the impact of dysphagia screening on aspiration pneumonia rates in an acute care oncology hospital. In conclusion, nursing-initiated dysphagia screening did not decrease aspiration pneumonia rates. The causes of aspi...
2020-02-0523 minOTO JournalOTO: Impact of Neck Disability on Health-Related Quality of Life among Head and Neck Cancer SurvivorsThis podcast highlights original research published in the January 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Although neck impairment has been described following surgical resection, limited studies have investigated its prevalence in nonsurgical treatment. The purpose of this study is to determine the prevalence and predictors of neck disability following head and neck cancer (HNC) treatment and to explore its association with quality of life (QOL). In conclusion, this study revealed a high prevalence of neck disability following nonsurgical treatment. Whil...
2020-01-0721 minOTO JournalOTO: Clinical Practice Guideline: Nosebleed (Epistaxis), Part 2This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Nosebleed (Epistaxis)", published as a supplement to the January 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. For the purposes of this guideline, we define the target patient with a nosebleed as a patient with bleeding from the nostril, nasal cavity, or nasopharynx that is sufficient to warrant medical advice or care. This includes bleeding that is severe, persistent, and/or recurrent, as well as bleeding that impacts a patient's quality of life...
2020-01-0716 minOTO JournalOTO: Clinical Practice Guideline: Nosebleed (Epistaxis), Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Nosebleed (Epistaxis)", published as a supplement to the January 2020 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. For the purposes of this guideline, we define the target patient with a nosebleed as a patient with bleeding from the nostril, nasal cavity, or nasopharynx that is sufficient to warrant medical advice or care. This includes bleeding that is severe, persistent, and/or recurrent, as well as bleeding that impacts a patient's quality of life...
2020-01-0716 minVoices of OtolaryngologyUnconscious BiasThis podcast features David Brown, MD, and Lawrence M. Simon, MD, discussing Unconscious Bias and how it affects decision-making, team building, and communication. Establishing a foundational understanding of unconscious bias is critical to mitigating its effects. This podcast was recorded at the AAO-HNSF 2019 Annual Meeting & OTO Experience.
2020-01-0221 minOTO JournalOTO: Postoperative Opioid Prescribing and Consumption Patterns after TonsillectomyThis podcast highlights original research published in the December 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Despite increased concern with the opioid epidemic, literature remains scant regarding narcotic prescription and use following tonsillectomy. In conclusion, patient-reported narcotic use is significantly lower than the amount prescribed after tonsillectomy for benign disease. Providers can use these data to adjust narcotic-prescribing patterns while maintaining appropriate pain management for patients undergoing tonsillectomy. Click here to read the full article.
2019-12-0915 minOTO JournalOTO: Postoperative Bleeding Associated with Ibuprofen Use after Tonsillectomy: A Meta-analysisThis podcast highlights original research published in the November 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to better quantify the risk of ibuprofen-associated posttonsillectomy hemorrhage (PTH). In conclusion, our meta-analysis of available cohort studies and randomized controlled trials (RCTs) shows possible increased tendency to PTH with the use of ibuprofen. This has not been demonstrated in other studies and systematic reviews because their analyses were limited by use of multiple nonsteroidal anti-inflammatory drugs and inclusi...
2019-11-0115 minOTO JournalOTO: Balloon Sinuplasty Utilization in the Pediatric Population: A National Database PerspectiveThis podcast highlights original research published in the October 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Balloon sinuplasty (BS) is a surgical management option in the treatment of chronic rhinosinusitis. The purpose of this study was to examine BS utilization among children with a national database. In conclusion, rates of BS performance in the pediatric population have not increased over time. Results showed no difference in readmission rates between BS and ESS. BS was associated with higher costs as compared with E...
2019-10-0215 minVoices of OtolaryngologyAAO-HNSF Future of EducationThis has been an exciting time for Foundation education. From spending this past year on an extensive assessment of the Academy's education offerings to charting a course for the future of education. Richard V. Smith, MD, and Jeffrey P. Simons, MD, share their vision in this interview captured at the 2019 Annual Meeting & OTO Experience in New Orleans, LA.
2019-09-2511 minOTO JournalOTO: Rethinking Malignancy Risk in Indeterminate Thyroid Nodules with Positive Molecular Studies: Southern California Permanente ExperienceThis podcast highlights original research published in the September 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to recognize that thyroid nodules with atypia of undetermined significance/follicular lesion of undetermined significance (AUS/FLUS; Bethesda III) have different risks of malignancy based on genetic mutation and to consider molecular testing of nodules with AUS/FLUS to help avoid unnecessary morbidity or cost. In conclusion, not all molecular mutations in thyroid nodules with AUS/FLUS have a high...
2019-09-0322 minOTO JournalOTO: Barriers Pushed Aside: Insights on Career and Family Success from Women Leaders in Academic OtolaryngologyThis podcast highlights original research published in the August 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Although the literature adequately identifies the current gender inequality that exists in academic otolaryngology and describes the barriers to advancement of women in academic medicine, there is little information regarding the daily details of how successful women in academic otolaryngology achieve work-life balance. This study was designed to better understand how women in academic otolaryngology achieve work-life balance while negotiating family and childrearing commitments, clinical workload, and sc...
2019-08-0824 minOTO JournalOTO: Clinical Practice Guideline: Sudden Hearing Loss (Update), Part 2This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Sudden Hearing Loss (Update)", published as a supplement to the August 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This guideline update provides evidence-based recommendations for the diagnosis, management, and follow-up of patients who present with sudden hearing loss. It focuses on sudden sensorineural hearing loss in adult patients aged ≥18 years and primarily on those with idiopathic sudden sensorineural hearing loss. Prompt recognition and management of sudden sensorineural hearing loss may improve hearing...
2019-08-0115 minOTO JournalOTO: Clinical Practice Guideline: Sudden Hearing Loss (Update), Part 1This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Sudden Hearing Loss (Update)", published as a supplement to the August 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This guideline update provides evidence-based recommendations for the diagnosis, management, and follow-up of patients who present with sudden hearing loss. It focuses on sudden sensorineural hearing loss in adult patients aged ≥18 years and primarily on those with idiopathic sudden sensorineural hearing loss. Prompt recognition and management of sudden sensorineural hearing loss may improve hearing...
2019-08-0119 minOTO JournalOTO: Comparison of Transmastoid and Middle Fossa Approaches for Superior Canal Dehiscence Repair: A Multi-institutional StudyThis podcast highlights original research published in the July 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to compare outcomes for patients undergoing a transmastoid approach versus a middle fossa craniotomy approach with plugging and/or resurfacing for repair of superior semicircular canal dehiscence. Outcome measures include symptom resolution, hearing, operative time, hospital stay, complications, and revision rates. In conclusion, both the transmastoid approach and the middle fossa craniotomy approach for repair of superior canal dehisce...
2019-07-0117 minOTO JournalOTO: The Role of Cognitive Evaluation in Predicting Successful Audiometric Testing among ChildrenThis podcast highlights original research published in the June 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to determine the role of cognitive testing in predicting age-appropriate audiometric responses among children aged 30 to 42 months. In conclusion, the DAYC-2 is a useful screen to identify children likely to complete an age-appropriate audiogram. Click here to read the full article.
2019-06-1716 minVoices of OtolaryngologyBienvenido al podcast internacional de #OTOMTG19Stefanie Goncalves, MD, invita y ofrece una descripción general de la Reunión Anual AAO-HNSF 2019 y la Experiencia OTO para los Asistentes Internacionales. Aprenda más en https://www.entannualmeeting.org.
2019-06-0603 minVoices of OtolaryngologyBem-vindo ao podcast internacional de #OTOMTG19Stefanie Gonçalves, MD, oferece um convite e uma visão geral do Encontro Anual da AAO-HNSF 2019 e da OTO Experiência para participantes internacionais. Saiba mais em https://www.entannualmeeting.org.
2019-06-0603 minVoices of OtolaryngologyInternational Welcome to #OTOMTG19 Podcast (English)Stefanie Goncalves, MD offers an invitation and overview of the AAO-HNSF 2019 Annual Meeting & OTO Experience for International Attendees. Learn more at https://www.entannualmeeting.org.
2019-06-0604 minOTO JournalOTO: Unsolicited Patient Complaints among OtolaryngologistsThis podcast highlights original research published in the May 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objectives of this study were to (1) analyze unsolicited patient complaints (UPCs) among otolaryngologists, (2) identify risk factors for UPCs, and (3) determine the impact of physician feedback on subsequent UPCs. In conclusion, systematic monitoring and respectful sharing of peer-comparative patient complaint data offers an intervention associated with UPCs and concomitant malpractice risk reduction. Collegial feedback over time increases the response rate, but a small proportion of phys...
2019-05-0119 minOTO JournalOTO: Balloon Dilation of the Eustachian Tube: 12-Month Follow-up of the Randomized Controlled Trial Treatment GroupThis podcast highlights original research published in the April 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Obstructive eustachian tube dysfunction (OETD) affects up to 5% of adults; however, available treatment strategies have limitations. It was previously reported that balloon dilation of the eustachian tube (BDET) with the eustachian tube balloon catheter + medical management (MM) results in a significantly higher proportion of subjects with normalized tympanograms versus MM alone at 6- and 24-week follow-up. The current analysis extends these initial findings by investigating the durabi...
2019-04-0322 minOTO JournalOTO: The Role of Oral Steroids in the Treatment of Phonotraumatic Vocal Fold Lesions in WomenThis podcast highlights original research published in the March 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objectives of this study were (1) to determine the short-term effectiveness of oral steroids in women with benign vocal fold lesions and (2) to determine the effectiveness of adjuvant oral steroids in women undergoing voice therapy for benign vocal fold lesions. In conclusion, a short course of oral steroids did not benefit women with phonotraumatic vocal fold lesions. In addition, steroids had little beneficial effect when us...
2019-03-0715 minOTO JournalOTO: Clinical Practice Guideline: Tonsillectomy in Children (Update), Part 2This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Tonsillectomy in Children (Update)", published as a supplement to the February 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of a 2011 guideline developed by the American Academy of Otolaryngology–Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes t...
2019-02-0517 minOTO JournalOTO: Clinical Practice Guideline: Tonsillectomy in Children (Update), Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Tonsillectomy in Children (Update)", published as a supplement to the February 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of a 2011 guideline developed by the American Academy of Otolaryngology–Head and Neck Surgery Foundation provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 to 18 years of age under consideration for tonsillectomy. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes...
2019-02-0518 minOTO JournalOTO: Impact of PET/CT on Staging and Treatment of Advanced Head and Neck Squamous Cell CarcinomaThis podcast highlights original research published in February 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to understand the effects of positron emission tomography/computed tomography (PET/CT) evaluation on patients with previously untreated head and neck squamous cell carcinoma (HNSCC) with clinical evidence of regional lymph node involvement. In conclusion, when added to more conventional patient evaluation, PET/CT results in changes to the TNM categories, but overall staging and treatment were less frequently affect...
2019-02-0521 minOTO JournalOTO: Peripheral Vestibular System Histopathologic Changes following Head Injury without Temporal Bone FractureThis podcast highlights original research published in the January 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Vestibular symptoms such as dizziness and vertigo are common after head injury and may be due to trauma to the peripheral vestibular system. The pathophysiology of peripheral vestibular symptoms following head injury without temporal bone (TB) fracture, however, is not well understood. Herein, this study investigates the histopathology of the peripheral vestibular system of patients who sustained head injury without a TB fracture. In conclusion, otopathologic analysis...
2019-01-1422 minOTO JournalOTO: Balloon Catheter Dilation of the Sinuses: A 2011-2014 MarketScan AnalysisThis podcast highlights original research published in the December 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This retrospective study uses a large national claims-based database to analyze recent practice patterns related to balloon catheter dilation (BCD) of the sinuses. In conclusion, BCD, especially in the office, has risen in popularity since the introduction of Current Procedural Terminologycodes in 2011. This study reveals significant differences in demographics and comorbidities between patients undergoing BCD and those undergoing FESS. Such disparities may highlight the need f...
2018-12-0312 minOTO JournalOTO: Prevalence and Risk Factors of Suicidal Ideation among Patients with Head and Neck Cancer: Longitudinal StudyThis podcast highlights original research published in the November 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study was to (1) determine 1-year period prevalence of suicidal ideation, suicide attempt, and completed suicide among patients newly diagnosed with a first occurrence of head and neck cancer (HNC). (2) Characterize stability and trajectory of suicidal ideation over the year following cancer diagnosis. (3) Identify patients at risk of suicidal ideation. In conclusion, suicide prevention strategies are clearly needed as part of routin...
2018-11-0122 minOTO JournalOTO: Risk Factors for Posttracheostomy Tracheal StenosisThis podcast highlights original research published in the October 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study was to determine the incidence of posttracheostomy tracheal stenosis and to investigate variables related to the patient, hospitalization, or operation that may affect stenosis rates. In conclusion, greater than 10 days of orotracheal intubation prior to tracheostomy and endotracheal tube cuff pressure ≥30 mm H2O were associated with greater rates of subsequent tracheal stenosis. The only patient-related factor associated with tracheal...
2018-10-0116 minOTO JournalOTO: Increasing Industry Involvement in Otolaryngology: Insights from 3 Years of the Open Payments DatabaseThis podcast highlights original research published in the September 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study was to characterize industry payments to otolaryngologists in 2016 versus 2014 and 2015. In conclusion, industry compensation to otolaryngologists is increasing and increasingly unequal, although it is still less than that in most other specialties. In otolaryngology, the Open Payments Database has not decreased physician-industry relationships as intended. Click here to read the full article.
2018-09-0415 minOTO JournalOTO: Time, Resident Involvement, and Supply Drive Cost Variability in Septoplasty with Turbinate ReductionThis podcast highlights original research published in the August 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to determine factors that influence cost variability in septoplasty with inferior turbinate reduction. For septoplasty with inferior turbinate reduction, the greatest driver of cost variation was operative time. Resident involvement correlated with increased time and cost. Supply costs had a much smaller impact. When subanalyzed by resident year, junior resident–involved cases were significantly longer than no-resident cases. ...
2018-08-0216 minOTO JournalOTO: Randomized Controlled Trial Examining the Effects of Balloon Catheter Dilation on "Sinus Pressure" / Barometric HeadachesThis podcast highlights original research published in the July 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to determine if balloon catheter dilation of sinus ostia affects the severity or frequency of headache among patients who have barometric pressure–related "sinus" headache. Subjects with sinus pressure headache without evidence of mucosal thickening on computed tomography had no significant difference in outcomes between active treatment (balloon dilation of sinus ostia) and placebo (nasal dilation). Further study on the...
2018-07-0313 minOTO JournalOTO: From Burnout to Wellness: A Professional ImperativeThis podcast highlights original research published in the June 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Professional burnout is a barrier to physician wellness. Burnout is prevalent across medicine, and otolaryngology as a specialty ranks near the mean. We review burnout levels in various subgroups of otolaryngology, including academic chairs, faculty, and residents. Risk factors of burnout are discussed, which differ by subgroup. Finally, we propose measures that could help minimize burnout and promote healthy and satisfying careers. Click...
2018-06-0116 minOTO JournalOTO: Evidence-Based Use of Perioperative Antibiotics in OtolaryngologyThis podcast highlights original research published in the May 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study is to identify and clarify current evidence supporting and disputing the effectiveness of perioperative antibiotic use for common otolaryngology procedures. Evidence does not support the use of perioperative antibiotics for most otolaryngologic procedures. Antibiotic overuse and variability among providers may be due to lack of formal practice guidelines. This review can help otolaryngologists understand current evidence so they can make i...
2018-05-0120 minOTO JournalOTO: Antithrombotic Therapy for Venous Thromboembolism and Prevention of Thrombosis in Otolaryngology–Head and Neck Surgery: State of the Art ReviewThis podcast highlights a state-of-the-art literature review published in the April 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The aim of this report is to present a cohesive evidence-based approach to reducing venous thromboembolism (VTE) in otolaryngology–head and neck surgery. VTE prevention includes deep venous thrombosis and pulmonary embolism. Despite national efforts in VTE prevention, guidelines do not exist for otolaryngology–head and neck surgery in the United States. Otolaryngologists should consider an individualized and risk-stratified plan for perioperative thrombopr...
2018-04-0214 minOTO JournalOTO: Clinical Practice Guideline: Hoarseness (Dysphonia) (Update), Part 2This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)", published as a supplement to the March 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This guideline provides evidence-based recommendations on treating patients who present with dysphonia, which is characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication and/or quality of life. Dysphonia affects nearly one-third of the population at some point in its life. This guideline applies to all age groups evaluated in a set...
2018-03-2328 minOTO JournalOTO: Clinical Practice Guideline: Hoarseness (Dysphonia) (Update), Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)", published as a supplement to the March 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This guideline provides evidence-based recommendations on treating patients who present with dysphonia, which is characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication and/or quality of life. Dysphonia affects nearly one-third of the population at some point in its life. This guideline applies to all age groups evaluated in a set...
2018-03-1421 minOTO JournalOTO: Effectiveness of Transmastoid Plugging for Semicircular Canal Dehiscence SyndromeThis podcast highlights original research published in the March 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Objectives: (1) Evaluate changes in subjective symptoms in patients following transmastoid canal plugging for superior semicircular canal dehiscence (SSCD) syndrome. (2) Quantify changes in hearing in patients who have undergone transmastoid canal plugging for SSCD syndrome. In our study, patients with SSCD demonstrated excellent hearing outcomes and resolution of most otologic symptoms after surgical repair. Transmastoid canal plugging, which has been described to date only in small...
2018-03-0119 minOTO JournalOTO: Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar AbscessThis podcast highlights original research published in the February 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This study was performed to determine whether the efficacy and safety of medical management of uncomplicated peritonsillar abscess (PTA) presenting in the emergency department is equivalent to medical plus surgical therapy. In conclusion, compared to ST, MT appears to be equally safe and efficacious, with less pain, opioid use, and days off work, especially if patients with PTA present without trismus. MT for PTAs reduce...
2018-02-0119 minOTO JournalOTO: Polysomnographic Oxygen Saturation Findings for Preteen Children versus AdolescentsThis podcast highlights original research published in the January 2018 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Home oximetry is commonly used to screen for obstructive sleep apnea (OSA) in children; however, normal oxygen desaturation levels by disease severity are not well known. It was our objective to determine if oxygen saturation levels differed by OSA severity category in children and if these differences were similar for preteen children and adolescents. In conclusion, adolescents have longer sleep times and higher obstructive apnea...
2018-01-1114 minOTO JournalOTO: Residual Cholesteatoma during Second-Look Procedures following Primary Pediatric Endoscopic Ear SurgeryThis podcast highlights original research published in the December 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to determine the rate of residual cholesteatoma during planned second-look procedures in pediatric patients following primary cholesteatoma resection using endoscopic and microscopic operative approaches. In conclusion, residual cholesteatoma rates during planned second-look procedures were similar between the study groups. Use of the endoscope led to a lower rate of mastoidectomy for cases with similar disease extent. Cl...
2017-12-1217 minOTO JournalOTO: Cross-sectional Analysis of the Relationship between Paranasal Sinus Balloon Catheter Dilations and Industry Payments among OtolaryngologistsThis podcast highlights original research published in the November 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to characterize the relationship between industry payments and use of paranasal sinus balloon catheter dilations (BCDs) for chronic rhinosinusitis. Physicians with Medicare claims with Current Procedural Terminology codes 31295 to 31297 were identified and cross-referenced with industry payments. Multivariate linear regression controlling for age, race, sex, and comorbidity in a physician's Medicare population was performed to identify associations between use of BCDs and indust...
2017-11-0117 minOTO JournalOTO: US Food and Drug Administration Clearance of Moderate-Risk Otolaryngologic Devices via the 510(k) Process, 1997-2016This podcast highlights original research published in the October 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The US Food and Drug Administration (FDA) clears moderate-risk devices via the 510(k) process based on substantial equivalence to previously cleared devices; evidence of safety and effectiveness is not required. We characterized the premarket evidence supporting FDA clearance of otolaryngologic devices. The FDA cleared most moderate-risk otolaryngologic devices for marketing via the 510(k) process without clinical evidence of safety and effectiveness. Otolaryngologists should be aware...
2017-10-0622 minOTO JournalOTO: Evaluation of the Neck Mass in Adults: Clinical Practice Guideline, Part 2This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Evaluation of the Neck Mass in Adults", published as a supplement to the September 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Neck masses are common in adults, but often the underlying etiology is not easily identifiable. While infections cause most of the neck masses in children, most persistent neck masses in adults are neoplasms. Malignant neoplasms far exceed any other etiology of adult neck mass. Importantly, an asymptomatic neck mass may be the...
2017-09-1415 minOTO JournalOTO: Evaluation of the Neck Mass in Adults: Clinical Practice Guideline, Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Evaluation of the Neck Mass in Adults", published as a supplement to the September 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Neck masses are common in adults, but often the underlying etiology is not easily identifiable. While infections cause most of the neck masses in children, most persistent neck masses in adults are neoplasms. Malignant neoplasms far exceed any other etiology of adult neck mass. Importantly, an asymptomatic neck mass may be the...
2017-09-1413 minOTO JournalOTO: Tonsillectomy in Children with Down Syndrome: A National Cohort of InpatientsThis podcast highlights original research published in the September 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective for this study was to describe the cost, length of stay, and incidence of postoperative hemorrhage associated with Down syndrome (DS) patients undergoing tonsillectomy in a national sample of inpatient children. Across the United States, children with DS hospitalized for tonsillectomy have an increased length of stay and cost of care. These data also suggest an increased risk of postoperative hemorrhage during the ini...
2017-09-1415 minOTO JournalOTO: Intranasal Steroid Use for Otitis Media with Effusion: Ongoing Opportunities for Quality ImprovementThis podcast highlights original research published in the August 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Our objectives were (1) to assess patterns of intranasal steroid administration when otitis media with effusion (OME) has been diagnosed in children, (2) to investigate whether usage varies according to visit setting, and (3) to determine if practice gaps are such that quality improvement could be tracked. Despite randomized controlled trials showing a lack of efficacy for isolated OME, nasal steroids continue to be used in treating childr...
2017-08-0216 minOTO JournalOTO: A Novel Patient Safety Event Reporting Tool in OtolaryngologyThis podcast highlights original research published in the July 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. A pilot study of an anonymous, voluntary, event reporting system made available to all members of the American Academy of Otolaryngology—Head and Neck Surgery was performed. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) index was used to classify error types. Descriptive statistics were used to summarize submissions to the database. This preliminary descriptive analysis of a novel otolaryngology patient...
2017-07-0316 minOTO JournalOTO: The State of the Otolaryngology Match: A Review of Applicant Trends, "Impossible" Qualifications, and ImplicationsThis podcast highlights original research published in the June 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This State of the Art Review aims (1) to define recent qualifications of otolaryngology resident applicants by focusing on United States Medical Licensing Examination (USMLE) scores, Alpha Omega Alpha (AOA) status, and research/publications and (2) to summarize the current literature regarding the relationship between these measures and performance in residency. The consistent decline in applications for otolaryngology residency is concerning and reflects a need for change...
2017-06-0118 minOTO JournalOTO: Staged Surgery for Advanced Thyroid Cancers: Safety and Oncologic Outcomes of Neural Monitored SurgeryThis podcast highlights original research published in the May 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This study evaluates oncologic results and safety of neural monitored, staged thyroid cancer surgery for management of advanced thyroid cancer. In conclusion, a neural monitored, staged surgical approach was conducted without significant adverse events in this small sample and represents and effective alternative strategy option to simultaneous bilateral surgery in the management of thyroid cancer with extensive neck metastases. Click here to r...
2017-05-0121 minOTO JournalOTO: Thyroid Ultrasound-Guided Fine-Needle Aspiration Cytology Results: Observed Increase in Indeterminate Rate over the Past DecadeThis podcast highlights original research published in the April 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective for this study was to evaluate changes in distribution of reported thyroid nodule fine-needle aspiration (FNA) cytopathology results since implementation of the Bethesda classification and revised 2015 American Thyroid Association (ATA) guidelines for selecting nodules for biopsy. We observed a significantly increased proportion of indeterminate cytology and corresponding decrease in benign nodules compared with an earlier sample, predominately from an increase in AUS/FLUS. M...
2017-04-0314 minOTO JournalOTO: Benign Paroxysmal Positional Vertigo: Clinical Practice Guideline (Update), Part 2 This podcast discusses the implications for primary care providers and patients of "Clinical Practice Guideline (Update): Benign Paroxysmal Positional Vertigo", published as a supplement to the March 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of a 2008 guideline from the American Academy of Otolaryngology—Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as a disorder of the inner ear characterized by repeated episodes of positional vertigo. Changes from the prior guideline include a consumer advocate...
2017-03-0120 minOTO JournalOTO: Benign Paroxysmal Positional Vertigo: Clinical Practice Guideline (Update), Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline (Update): Benign Paroxysmal Positional Vertigo", published as a supplement to the March 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of a 2008 guideline from the American Academy of Otolaryngology—Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as a disorder of the inner ear characterized by repeated episodes of positional vertigo. Changes from the prior guideline include a consumer advocate added to the update g...
2017-03-0118 minOTO JournalOTO: Complications Associated with Mortality after Head and Neck Surgery: An Analysis of the NSQIP DatabaseThis podcast highlights original research published in the March 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective for this study was to determine which complications, as defined by the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database, correlate with 30-day mortality in surgery for malignancies of the head and neck. NSQIP data from 2005 to 2014 were queried for ICD-9 codes head and neck malignancies. Multivariate logistic regression was used to examine the correlation of individual complications with 30-day mortality. The...
2017-03-0118 minOTO JournalOTO: Improving Nasal Form and Function after Rhinoplasty: Clinical Practice Guideline, Part 2This podcast discusses the implications for primary care providers and patients of "Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty", published as a supplement to the February 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The primary purpose of this guideline is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care...
2017-02-0117 minOTO JournalOTO: Improving Nasal Form and Function after Rhinoplasty: Clinical Practice Guideline, Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty", published as a supplement to the February 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The primary purpose of this guideline is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care. The target audience is any...
2017-02-0124 minOTO JournalOTO: Integrative Medicine in Head and Neck CancerThis podcast highlights original research published in the February 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Complementary and alternative medicine, or integrative medicine, has become increasingly popular among patients with head and neck cancer. Despite its increasing prevalence, many patients feel uncomfortable discussing such therapies with their physicians, and many physicians are unaware and underequipped to evaluate or discuss their use with patients. The aim of this article is to use recent data to outline the decision making inherent to integrative medicine utilizat...
2017-01-1915 minOTO JournalOTO: Earwax (Cerumen Impaction): Clinical Practice Guideline (Update), Part 2This podcast discusses the implications for primary care providers and patients of "Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)", published as a supplement to the January 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidencebased recommendations on managing cerumen impaction. Cerumen impaction is defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both. The primary purpose of this...
2016-12-2819 minOTO JournalOTO: Earwax (Cerumen Impaction): Clinical Practice Guideline (Update), Part 1This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)", published as a supplement to the January 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidencebased recommendations on managing cerumen impaction. Cerumen impaction is defined as an accumulation of cerumen that causes symptoms, prevents assessment of the ear, or both. The primary purpose of this guideline is to help...
2016-12-2816 minOTO JournalOTO: Medications for Allergic Rhinitis: An Opportunity for Quality Improvement?This podcast highlights original research published in the January 2017 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Adherence to the allergic rhinitis clinical practice guideline is being considered as a potential focus for national performance metrics. To help inform this discussion, we assessed patient- and clinician-reported medication administration among nationally representative populations of patients with allergic rhinitis. Within the National Health and Nutrition Examination Survey, an estimated 29.2 million patients were diagnosed with "hay fever," while 92.2 million were diagnosed with "allergies." Patients with s...
2016-12-2815 minOTO JournalOTO: The Impact of Angiotensin-Modulating Antihypertensives on Time Interval to Revision Surgery for Nasal PolypsThis podcast highlights original research published in the December 2016 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) have been shown to suppress expression of periostin, a matricellular protein that is markedly elevated in nasal polyp tissue. The purpose of this study was to determine whether use of these antihypertensive agents affects the time to revision sinus surgery in patients with polyp regrowth. Use of ACEIs and ARBs is associated with an increased time to...
2016-11-3015 minOTO JournalOTO: Voice Outcomes following a Single Office-Based Steroid Injection for Vocal Fold ScarThis podcast highlights original research published in the November 2016 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Persistent dysphonia from vocal fold scar remains a clinical challenge, with current therapies providing inconsistent outcomes. The objective of this study was to evaluate voice outcomes after a single office-based steroid injection. Office-based steroid injection combined with voice therapy for mild/moderate vocal fold scar is associated with improved patient-reported and functional voice measures. These findings provide preliminary support for this approach. Importantly, the procedure is low ris...
2016-11-0113 minOTO JournalOTO: AAO-HNS Adult Sinusitis 2015 Clinical Practice Guideline, Part 2This podcast highlights the updated clinical practice guideline on adult sinusitis that is published as an April 2015 supplement to Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. In the first of two podcasts for this supplement, Editor in chief John Krouse is joined by authors Ashok Kumar and Maggie Kramper in discussing key findings from the guideline in the diagnosis and treatment of adults with symptoms of sinusitis and their implications for primary care health providers and patients.
Sinusitis affects about 1 i...
2015-04-0216 minOTO JournalOTO: AAO-HNS Adult Sinusitis 2015 Clinical Practice Guideline, Part 1This podcast highlights the updated clinical practice guideline on adult sinusitis that is published as an April 2015 supplement to Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. In the first of two podcasts for this supplement, Editor in chief John Krouse is joined by lead author Richard Rosenfeld and co-author Richard Orlandi in discussing key findings from the guideline in the diagnosis and treatment of adults with symptoms of sinusitis.
Sinusitis affects about 1 in 8 adults in the United States, resulting in m...
2015-04-0212 minOTO JournalOTO: AAO-HNS Clinical Practice Guideline on Allergic Rhinitis Part 2This podcast highlights a clinical practice guideline on allergic rhinitis that is published as a February 2015 supplement to Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. In the second of two podcasts for this supplement, Editor in chief John Krouse is joined by co-authors Jesse Hackell and Mark Dykewicz in discussing implications of the guidelines for primary care physicians and pediatricians.
Allergic rhinitis is the most common chronic condition affecting children in the United States today. It is responsible for impaired quality of l...
2015-02-0221 minOTO JournalOTO: AAO-HNS Clinical Practice Guideline on Allergic Rhinitis Part 1This podcast highlights a clinical practice guideline on allergic rhinitis that is published as a February 2015 supplement to Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. In the first of two podcasts for this supplement, Editor in chief John Krouse is joined by lead author Michael Seidman and co-author Sandra Lin in discussing key findings from the guideline in the diagnosis and treatment of patients with allergic rhinitis.
Allergic rhinitis is a common condition affecting both children and adults. It affects about 1 in 6 A...
2015-02-0220 minOTO JournalOTO: AAO-HNS Clinical Practice Guideline on Tinnitus Part 2This podcast highlights a clinical practice guideline on tinnitus that is published as an October 2014 supplement to Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. In the second of two podcasts for this supplement Editor in chief Richard Rosenfeld is joined by co-authors James Henry and Deena Hollingsworth in discussing the importance of rehabilitation and coping strategies in managing patients with tinnitus.
2014-10-0116 minOTO JournalOTO: AAO-HNS Clinical Practice Guideline on Tinnitus, Part 1This podcast highlights a clinical practice guideline on tinnitus that is published as an October 2014 supplement to Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. In the first of two podcasts for this supplement Editor in chief Richard Rosenfeld is joined by lead author David Tunkel and co-author Carol Bauer in discussing implications of the guideline for clinicians who manage patients with tinnitus.
2014-10-0120 minOTO JournalOTO: AAO-HNS Sudden Hearing Loss Guideline: Content and ControversiesThis podcast is the second in a two-part series highlighting the Clinical Practice Guideline on Sudden Hearing Loss, which is a supplement to the March 2012 edition of Otolaryngology – Head and Neck Surgery, the official journal of the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld, MD, MPH is joined by guideline assistant chair Sujana S. Chandrasekhar, MD, and co-author Seth R. Schwartz, in discussing the how the guideline was developed and what steps were taken to ensure it is trustworthy.
Click here to read the full article.
2012-03-0827 minOTO JournalOTO: AAO-HNS Sudden Hearing Loss Guideline: Validity and MethodologyThis podcast is the first in a two-part series highlighting the Clinical Practice Guideline on Sudden Hearing Loss, which is a supplement to the March 2012 edition of Otolaryngology – Head and Neck Surgery, the official journal of the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld, MD, MPH is joined by lead author Robert J. Stachler, MD, and co-author Seth R. Schwartz, in discussing the how the guideline was developed and what steps were taken to ensure it is trustworthy.
Click here to read the full article.
2012-03-0625 minOTO JournalOTO: Impact of the Patient Protection and Affordable Care Act of 2010 on OtolaryngologyThis podcast highlights a commentary appearing in the May 2012 edition of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld, MD, MPH, is joined by Gordon H. Sun, MD, lead author and David Nielsen, EVP and CEO of the AAO-HNS, in a timely discussion of health care reform its impact on otolaryngology practice and research.
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2012-03-0114 minOTO JournalOTO: Evidence-based medicine in health care reformThis podcast highlights a commentary appearing in the October 2011 edition of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld, MD, MPH, is joined by Gordon Hughes, MD, corresponding author and Director of Clinical Trials at the National Institute on Deafness and Other Communicative Disorders (NIDCD), and David Nielsen, EVP and CEO of the AAO-HNS, in a lively discussion of health care reform and the role of evidence-based medicine.
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2011-10-1715 minOTO JournalOTO: AAO-HNS Tonsillectomy Clinical Practice Guideline: Part 1, Frequent Throat InfectionPART 1: In this podcast AAO-HNS Journal Editor, Richard Rosenfeld, is joined by Reginald Baugh, Sanford Archer, and Ron Mitchell in discussing the Clinical Practice Guideline, Tonsillectomy in Children. An overview of the guideline is presented followed by recommendations on selecting the best candidates or surgery or watchful waiting.
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2011-01-0433 minOTO JournalOTO: AAO-HNS Tonsillectomy Clinical Practice Guideline: Part 3, Perioperative ManagementPART 3: In this podcast AAO-HNS Journal Editor, Richard Rosenfeld, is joined by Reginald Baugh, Sanford Archer, and Ron Mitchell in discussing the Clinical Practice Guideline, Tonsillectomy in Children. An overview of the guideline is presented followed by recommendations on selecting the best candidates or surgery or watchful waiting.
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2011-01-0429 minOTO JournalOTO: AAO-HNS Tonsillectomy Clinical Practice Guideline: Part 2, Sleep-Disordered BreathingPART 2: In this podcast AAO-HNS Journal Editor, Richard Rosenfeld, is joined by Reginald Baugh, Sanford Archer, and Ron Mitchell in discussing the Clinical Practice Guideline, Tonsillectomy in Children. An overview of the guideline is presented followed by recommendations on selecting the best candidates or surgery or watchful waiting.
Click here to read the full article.
2011-01-0420 min