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1. Covid-19 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part One

Covid-19 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part One 1 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery Part One Future of Otolaryngology Task Force: Gavin Setzen, MD (Chair), Samantha Anne, MD, Eugene G. Brown III, MD, James C. Denneny III, MD, Marc G. Dubin, MD, Stacey L. Ishman, MD, MPH, Ronald B. Kuppersmith, MD, MBA, and, Richard V. Smith, MD. INTRODUCTION While this document will address many important concerns (...) There are two main documents that will be released. This first document contains general considerations for practice that apply across the specialty. A second forthcoming document will contain subspecialty specific recommendations. These documents were prepared by the Future of Otolaryngology Task Force of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) with input from the AAO-HNS Board of Directors, the Infectious Disease Committee, and Patient Safety and Quality Improvement

2020 American Academy of Otolaryngology - Head and Neck Surgery

2. Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part Two

Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery: Part Two 1 Guidance for Return to Practice for Otolaryngology-Head and Neck Surgery Part Two Future of Otolaryngology Task Force: Gavin Setzen, MD (Chair), Samantha Anne, MD, Eugene G. Brown III, MD, James C. Denneny III, MD, Marc G. Dubin, MD, Stacey L. Ishman, MD, MPH, Ronald B. Kuppersmith, MD, MBA, and, Richard V. Smith, MD. INTRODUCTION While this document will address many important concerns, the environment (...) of daily living but not likely to result in permanent harm, hospitalization, or emergency/urgent care. • Routine priority: Mild temporary interference of ability to work or perform essential activities of daily living but not likely to result in permanent harm, hospitalization, or emergency/urgent care. These documents were prepared by the Future of Otolaryngology Task Force of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) with input from the AAO-HNS Board of Directors

2020 American Academy of Otolaryngology - Head and Neck Surgery

3. Advances in regenerative medicine for otolaryngology/head and neck surgery. Full Text available with Trip Pro

Advances in regenerative medicine for otolaryngology/head and neck surgery. Head and neck structures govern the vital functions of breathing and swallowing. Additionally, these structures facilitate our sense of self through vocal communication, hearing, facial animation, and physical appearance. Loss of these functions can lead to loss of life or greatly affect quality of life. Regenerative medicine is a rapidly developing field that aims to repair or replace damaged cells, tissues, and organs

2020 BMJ

4. CRACKCast E072 – Otolaryngology

CRACKCast E072 – Otolaryngology CRACKCast E072 - Otolaryngology - CanadiEM CRACKCast E072 – Otolaryngology In , by Adam Thomas April 24, 2017 This episode of CRACKCast covers Rosen’s Chapter 72, Otolaryngology. As a broad discipline, there are many common ENT presentations seen daily in the Emergency Department and a solid approach. Shownotes – Rosens in Perspective The Head and neck is home to some tres importante structures. Those painful ears are going to be a common presentation for any

2017 CandiEM

5. Therapeutic Cannabis and Endocannabinoid Signaling System Modulator Use in Otolaryngology Patients Full Text available with Trip Pro

Therapeutic Cannabis and Endocannabinoid Signaling System Modulator Use in Otolaryngology Patients 1) review benefits and risks of cannabis use, with emphasis on otolaryngic disease processes; 2) define and review the endocannabinoid signaling system (ESS); and 3) review state and federal regulations for the use and research of cannabis and ESS modulators.This manuscript is a review of the current literature relevant to the stated objectives.Cannabis (marijuana) use is increasing (...) demonstrated potential benefit for use in many other pathologies including pain, inflammatory states, and malignancy. Data exists demonstrating potential antineoplastic benefit in oral, thyroid, and skin cancers.ESS modulators may play both a causal and therapeutic role in several disorders seen in otolaryngology patients. The use of cannabis and cannabinoids is not without risk. There is a need for further research to better understand both the adverse and therapeutic effects of cannabis use

2018 Laryngoscope investigative otolaryngology

6. Quality of Otology and Neurotology Research in Otolaryngology Journals. (Abstract)

Quality of Otology and Neurotology Research in Otolaryngology Journals. To identify trends in the quality of otology studies published in general otolaryngology journals over a 20-year period.Retrospective analysis.Otologic and neurotologic papers from 1997, 2007, and 2017 were identified in the three general otolaryngology journals with the highest Eigenfactor scores: the Laryngoscope, European Archives of Otorhinolaryngology, and Otolaryngology-Head and Neck Surgery. The studies were reviewed (...) of total publications increased with time. The majority of otology publications in 2017 were lower evidence studies, though significant increases in the number and proportion of high evidence studies in general otolaryngology journals were observed throughout the study period.

2020 Otology and Neurotology

7. International Pediatric Otolaryngology Group (IPOG) Consensus Recommendations: Congenital Cholesteatoma. (Abstract)

International Pediatric Otolaryngology Group (IPOG) Consensus Recommendations: Congenital Cholesteatoma. To provide recommendations to otolaryngologists and allied physicians for the comprehensive management of children who present with signs and symptoms of congenital cholesteatoma.A two-iterative Delphi method questionnaire was used to establish expert recommendations by the members of the International Pediatric Otolaryngology Group, on the preoperative work-up, the perioperative (...) for at least 5 years. First MRI follow-up should be done at 18 months postoperatively if the removal violated the matrix. MRI follow-up duration depends on the initial extent of the cholesteatoma.The goal of preoperative and follow-up consensus from International Pediatric Otolaryngology Group participants is to help manage infants and children with congenital cholesteatoma. The operative techniques may vary, and experienced surgeons must perform these procedures.

2020 Otology and Neurotology

8. The Effects of Pass/Fail USMLE Step 1 Scoring on the Otolaryngology Residency Application Process. (Abstract)

The Effects of Pass/Fail USMLE Step 1 Scoring on the Otolaryngology Residency Application Process. To investigate how the decision to report United States Medical Licensing Examination (USMLE) Step 1 score as pass/fail will influence future otolaryngology residency application and match processes.Survey study.An anonymous and voluntary survey approved by the Otolaryngology Program Directors Organization was administered to academic faculty members from April 24, 2020 through May 19, 2020.Two

2020 Laryngoscope

9. Using Augmented Reality to Reduce Fear and Promote Cooperation During Pediatric Otolaryngologic Procedures. (Abstract)

Using Augmented Reality to Reduce Fear and Promote Cooperation During Pediatric Otolaryngologic Procedures. This case series examines interactive AR during minor otolaryngologic procedures. Although VR has been successfully used for pediatric vascular access, removing children from comforting people in the real world has resulted in patient anxiety. AR offers a potential advantage, utilizing distracting holographic images when patients maintain eye contact with parents. The primary objective (...) was to determine the effect of AR on fear during pediatric otolaryngologic procedures. Secondary objectives included evaluating pain; procedure compliance; and patient, parent and physician attitudes toward AR, as well as assessing the feasibility of adding AR to a busy outpatient otolaryngologic clinic. Laryngoscope, 2020.© 2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA).

2020 Laryngoscope

10. Virtual Reality as Distraction Analgesia and Anxiolysis for Pediatric Otolaryngology Procedures. (Abstract)

Virtual Reality as Distraction Analgesia and Anxiolysis for Pediatric Otolaryngology Procedures. While virtual reality (VR) has been used as analgesia and anxiolysis for invasive procedures, no literature exists on the use of VR in the pediatric otolaryngology setting. The purpose of this study was to determine the efficacy of VR in reducing pain and anxiety for pediatric otolaryngology patients.A total of 53 patients aged 7-17 undergoing in-office nasal endoscopies were included. Patients were (...) in control group. CEMS scores were significantly reduced in VR group (5.15 ± 0.46 vs. 9.64 ± 5.66, P = .0001) and caregiver anxiety levels were significantly reduced in VR group (11.50 ± 17.67 vs. 27.39 ± 30.48, P = .041) compared to control group. There were no reported side effects. Procedural time did not significantly differ between groups.For pediatric otolaryngology patients undergoing in-office nasal endoscopies, VR is a safe and effective form of distraction analgesia and anxiolysis

2020 Laryngoscope

11. Turn analysis and patient-centredness in paediatric otolaryngology surgical consultations. (Abstract)

Turn analysis and patient-centredness in paediatric otolaryngology surgical consultations. Physician and patient/parent communication is of utmost importance in consultations to improve the shared decision-making (SDM) processes. This study investigated SDM-related outcomes through turn analysis and an assessment of patient-centred dialogue.Multi-centre prospective cohort study analysing audio- and video-recorded patient/parent-physician interactions.Two tertiary paediatric hospitals in Halifax

2020 Clinical Otolaryngology

12. Telemedicine in Otolaryngology in the COVID-19 Era: Initial Lessons Learned. Full Text available with Trip Pro

Telemedicine in Otolaryngology in the COVID-19 Era: Initial Lessons Learned. The COVID-19 pandemic has led to unprecedented global changes in the delivery of healthcare over a short period of time. With the implementation of shelter-in-place orders, otolaryngology clinic visits at our institution were transitioned to telemedicine. This change enabled the rapid characterization of the patients who accepted and declined telemedicine.Cross-sectional analysis.A review was conducted of 525 (...) otolaryngology patients at a tertiary-care referral center with scheduled visits requiring rescheduling to a future date or a telemedicine visit. Visit, demographic information, and reason for deferring telemedicine were collected for analysis.Seventy-two percent of patients declined a telemedicine visit, with the most common reason being the lack of a physical exam (97%). There was an even distribution of demographics between those who accepted and declined visits. There was an association between declining

2020 Laryngoscope

13. Medicare Reimbursement Trends for Facility Performed Otolaryngology Procedures: 2000-2019. (Abstract)

Medicare Reimbursement Trends for Facility Performed Otolaryngology Procedures: 2000-2019. There is a paucity of data regarding financial trends for procedural reimbursements in otolaryngology. The purpose of this study was to evaluate monetary trends in Medicare reimbursement rates for the 20 most commonly billed otolaryngology procedures from 2000 to 2019.Analysis of physician reimbursement..The American Academy of Otolaryngology-Head and Neck Surgery database was queried to determine the 20 (...) most performed otolaryngology procedures. Next, the Physician Fee Schedule Look-Up Tool from the Centers for Medicare and Medicaid Services was utilized to assess each of the top 20 most utilized Current Procedural Terminology (CPT) codes in otolaryngology, and reimbursement data was extracted. All monetary data was adjusted for inflation to 2019 U.S. dollars using changes to consumer price index. Average annual and total percentage change in reimbursement were calculated based on adjusted values

2020 Laryngoscope

14. Factors Associated With Distribution of Female Otolaryngology Residents in United States. (Abstract)

Factors Associated With Distribution of Female Otolaryngology Residents in United States. The gender balance within medicine, and specifically within otolaryngology, is equalizing. It is important to determine the factors that impact the distribution of female residents among otolaryngology programs in the United States to better understand factors that may affect these changing trends.Retrospective Study.Cross-sectional analysis was performed using data from 2018 of otolaryngology residents

2020 Laryngoscope

15. Academic and Gender Differences Among U.S. Otolaryngology Board Members. (Abstract)

Academic and Gender Differences Among U.S. Otolaryngology Board Members. To determine the representation of women in leadership positions within otolaryngology societies and to compare their academic rank and research productivity to men.The leadership positions of all U.S. otolaryngology societies were compiled. The Medicare Physician Compare database was used to obtain gender and medical school graduation year for all otolaryngologists. An online search was used to determine board member's (...) of those in leadership positions (52%).Leadership positions in otolaryngology societies reflect the changing demographic of otolaryngologists in the United States. There is proportionate representation, and the more recently graduated female physicians show the same research productivity as their male counterparts.4 Laryngoscope, 2020.© 2020 American Laryngological, Rhinological and Otological Society Inc, \"The Triological Society\" and American Laryngological Association (ALA).

2020 Laryngoscope

16. American Neurotology Society, American Otological Society, and American Academy of Otolaryngology - Head and Neck Foundation Guide to Enhance Otologic and Neurotologic Care During the COVID-19 Pandemic. (Abstract)

American Neurotology Society, American Otological Society, and American Academy of Otolaryngology - Head and Neck Foundation Guide to Enhance Otologic and Neurotologic Care During the COVID-19 Pandemic. : This combined American Neurotology Society, American Otological Society, and American Academy of Otolaryngology - Head and Neck Surgery Foundation document aims to provide guidance during the coronavirus disease of 2019 (COVID-19) on 1) "priority" of care for otologic and neurotologic patients

2020 Otology and Neurotology

17. Qualitative evaluation of paediatric surgical otolaryngology content on YouTube. (Abstract)

Qualitative evaluation of paediatric surgical otolaryngology content on YouTube. This study evaluated the quality of YouTube content focusing on common paediatric otolaryngology procedures, as this content can influence the opinions and medical decisions of patients.A total of 120 YouTube videos were compiled to review using the terms 'adenoid removal', 'adenoidectomy', 'ear tubes', 'tympanostomy', 'tonsil removal' and 'tonsillectomy'. The Discern criteria was used to rate the quality of health

2020 Journal of Laryngology & Otology

18. Otolaryngology residents' perceptions of endoscopic ear surgery during surgical training. (Abstract)

Otolaryngology residents' perceptions of endoscopic ear surgery during surgical training. The introduction of endoscopic ear surgery has implications for the training of otolaryngology residents.To report on the status of endoscopic ear surgery and assess the effects of this new technology on otolaryngology training in Singapore, from the residents' perspective.An anonymous survey was conducted amongst all Singaporean otolaryngology residents. Residents' exposure to, and perceptions

2020 Journal of Laryngology & Otology

19. Current innovations in otolaryngology medical education in the UK: a systematic literature review. (Abstract)

Current innovations in otolaryngology medical education in the UK: a systematic literature review. Recent studies have indicated a lack of ENT training at the undergraduate and post-graduate levels. This study aimed to review the impact of recent educational innovations in improving ENT training for medical students and junior doctors in the UK.Three independent investigators conducted a literature search of published articles on ENT education. Included studies were analysed using qualitative

2020 Journal of Laryngology & Otology

20. Non-technical skills and otolaryngology: systematic review. (Abstract)

Non-technical skills and otolaryngology: systematic review. This study aimed to assess the published literature on non-technical skills in otolaryngology surgery and examine the applicability of any research to others' practice, and to explore how the published literature can identify areas for further development and guide future research.A systematic review was conducted using the following key words: 'otolaryngology', 'otorhinolaryngology', 'ENT', 'ENT surgery', 'ear, nose and throat surgery (...) ', 'head and neck surgery', 'thyroid surgery', 'parathyroid surgery', 'otology', 'rhinology', 'laryngology' 'skull base surgery', 'airway surgery', 'non-technical skills', 'non technical skills for surgeons', 'NOTSS', 'behavioural markers' and 'behavioural assessment tool'.Three publications were included in the review - 1 randomised, controlled trial and 2 cohort studies - involving 78 participants. All were simulation-based studies involving training otolaryngology surgeons.Little research has been

2020 Journal of Laryngology & Otology

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