Showing papers in "Otolaryngologic Clinics of North America in 2019"

TL;DR: Current understanding of the natural history and quality of life burden of RRP, and basic science advancements in prevention and treatment are summarized.

TL;DR: Five key drivers have been found to improve the quality of care for tracheostomy patients: multidisciplinary synchronous ward rounds, standardization of care protocols, appropriate interdisciplinary education and staff allocation, patient and family involvement and use of data to drive improvement.

TL;DR: 2 major categories are discussed: cognitive biases, which affect how the authors perceive and interpret clinical data; and implicit biases,Which affect howwe perceive and respond to other individuals, and also discusses approaches to recognize and alleviate bias effects.

TL;DR: There is increasing evidence that osseointegration is primarily an immune-mediated process with the key players being the complement cascade and macrophages, which form part of the host innate immunity.

TL;DR: Surgical techniques aim to decrease redundant polypoid mucosa in order to improve voice and restore the glottic airway in patients with Reinke's edema.

TL;DR: The latest evidence on the diagnosis and management of tongue-tie is presented and some of the controversies and gaps in the existing evidence are outlined.

TL;DR: Tissue neutralization before BB removal (ie, honey or sucralfate/Carafate®) is an effective way to reduce the rate of BB injury.

TL;DR: Phonosurgery, to adjust pitch, can be an important adjunct to relieve the patient from active pitch elevation of voice to free them to focus on the other adjustments needed and learned through behavioral training with speech and voice therapy.

TL;DR: Benign laryngeal lesions are often the result of phonotraumatic forces on the vocal folds and thus classically are treated with a combination of voice therapy and phonomicrosurgical techniques to minimize inadvertent additional trauma.

TL;DR: The spectrum of nonsurgical cosmetic procedures to rejuvenate and optimize the face is addressed, including neurotoxins, dermal fillers, deoxycholic acid, lasers, peels, and microneedling.

TL;DR: The most common benign lesions of the larynx in pediatrics are vocal nodules, vocal fold polyps, cysts, granulomas, ectasias, sulcus vocalis, and vascular lesions, including hemangioma and postcricoid cushion.

TL;DR: The Envoy Esteem offers a technologically advanced method to provide improvements in hearing and is available in the United States, whereas the Carina system is currently not available inThe United States.

TL;DR: Since their introduction in 1977, OADs have undergone substantial evolution, including changes in manufacturing of the implant, improvements in the external sound processor, and simplification of implantation techniques.

TL;DR: The article describes the unique benefits and challenges of transcanal (and transmastoid) endoscopic ear surgery (EES) for management of middle ear disease in children and describes differences in anatomy between the pediatric and adult ear.

TL;DR: The ability to preserve hearing outcomes with cochlear implantation will continue to evolve as surgical techniques improve with the use of continuous feedback during the procedure as well as with intraoperative delivery of drugs and robot assistance.

TL;DR: The origin and value of aerodigestive programs within the modern health care landscape is described, serving as a primer for providers and administrators investigating how to facilitate aerodIGestive or similar programs.

TL;DR: Evaluation of persistent OSA should focus on identifying the causes of upper airway obstruction and interventions should be tailored to address the patient's symptomatology, sites of obstruction, and preference for surgical versus medical management.

TL;DR: The Sophono and Baha Attract are safe and considered cosmetically superior to the percutaneous Baha Connect and Ponto; however, owing to indirect connectivity between processor and implant, there is on average 5- to 7-db less gain when compared with per cutaneous bone-anchored implants.

TL;DR: A comprehensive review of the indications and technical details of in-office potassium-titanyl-phosphate laser laryngeal surgery, and a summary of the existing literature regarding outcomes of these procedures are provided.

TL;DR: Focus is given to patient history and patient-derived voice handicap and quality of life assessments, clinician-derived perceptual analysis of voice, and flexible and rigid, high-definition laryngoscopy with videostroboscopy to fully evaluate laryngeal function and biomechanics.

TL;DR: Indications, techniques, and complications encountered during pediatric bronchoscopy are highlighted, with particular focus on anesthetic management of the pediatric airway.

TL;DR: The growing popularity and increasing evidence in the literature supports otoendoscopy as a means to minimize invasiveness while eradicating disease in previously difficult to reach anatomic locations.

TL;DR: Characterized by glottic insufficiency, dysphonia in the elderly typically presents as a deterioration of voice quality, altered pitch and fundamental frequency, vocal fatigue, and strain.

TL;DR: Simulation-based education (SBE) has become pervasive in health care training and medical education, and is even more important in subspecialty training whereby providers such as otolaryngologists and anesthesiologists share overlapping patient concerns because of the proximity of the surgical airway.

TL;DR: Efficacy, approaches, post-procedure management, and common complications of in-office laryngeal injections are outlined and supporting evidence discussed.

TL;DR: Ultrasound-guided fine needle aspiration (USgFNA) is an integral part of clinician-performed ultrasonography because it allows cytologic diagnosis of suspicious lesions and also allows for imaging procedures expanding the otolaryngologist's armamentarium.

TL;DR: Multiple methods for regional anesthesia and acute pain management are discussed, including indications and techniques for decreasing perioperative opioid requirements and enhancing recovery.

TL;DR: Pediatric dysphonia is common; however, not all vocal fold pathology in children is due to nodules, and there are several medialization procedures available for children with VFMI due to recurrent laryngeal nerve injury.

TL;DR: In this paper, the authors used predictive factors and a detailed preoperative evaluation to predict which airway strategies are likely to be successful or likely to fail in otolaryngologic surgery.

TL;DR: Key characteristics will be discussed that enhance this process for being a mechanism for driving positive PSQI culture change that permeates the department.