Point-of-Care Imaging in Otolaryngology
AbstractPurpose of ReviewPoint-of-care imaging (POCI) has been defined as, “an imaging test carried out at or close to the point-of-care, at the time and place of care delivery.” The American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS) strongly supports POCI to provide patients with timely and effective care. In this review, we demonstrate the value o f POCI for all stakeholders including the patient, the otolaryngologist, and the healthcare system.Recent FindingsIn-office imaging has become more accessible to physician offices in recent years due to improved technology and reduced costs. Additionally...
Source: Current Otorhinolaryngology Reports - March 22, 2024 Category: ENT & OMF Source Type: research

Hearing Health Equity: Access and Utilization of Implantable Devices
The objective of this review is to evaluate factors influencing equity of hearing healthcare and implantable devices.Recent FindingsHearing healthcare inequities are pervasive and persistent. With attention to cochlear implantation, this review describes the disconnects, delays, and different outcomes of patients with hearing loss based on geographic context, socioeconomic status, education, race, and ethnicity. Additionally, approaches to address these inequities are described.SummaryA wide range of social factors impact access and utilization of hearing healthcare, and specifically cochlear implantation. It is critical t...
Source: Current Otorhinolaryngology Reports - March 19, 2024 Category: ENT & OMF Source Type: research

Engagement with Healthcare Payers: Lessons Learned
AbstractPurpose of ReviewThe current healthcare landscape necessitates a greater emphasis on managing payer contracts and connections. However, many providers do not have an effective roadmap for navigating this process.Recent FindingsCurrent practice expense increases greatly outpace reimbursement gains. To improve reimbursement, providers must create a contracting strategy that addresses payers ’ goals which include cost containment, quality of care, and network adequacy. To accomplish this, providers need effective lines of communication with their payers and maintain consistent communication channels. They must utili...
Source: Current Otorhinolaryngology Reports - March 12, 2024 Category: ENT & OMF Source Type: research

The Role of Steroids in Performing Voice
AbstractPurpose of ReviewThis review seeks to illuminate the challenges that arise in the use of steroids in the context of a performing voice, to review pharmacologic principles that can help to guide dosing regimens, to examine emerging science about the mechanistic action of glucocorticoids, and to provide a useful guide for clinicians who treat vocal performers.Recent FindingsThough perceptions and mythologies abound, most saliently (1) the incidence of vocal fold hemorrhage while taking oral steroids is extremely low; (2) appropriate dosing is likely to involve regimens that meet or exceed 30 mg oral Prednisone-equiva...
Source: Current Otorhinolaryngology Reports - March 1, 2024 Category: ENT & OMF Source Type: research

Experimental Models of Sinonasal Tumors for Preclinical Testing of Candidate Targeted Therapies
AbstractPurpose of ReviewThis paper aims to describe the available in vitro and in vivo models of different sinonasal cancer subtypes as tools both for improving our knowledge of the signaling pathways involved in tumorigenesis and for evaluating the response to candidate therapeutic inhibitors in a preclinical setting.Recent FindingsStarting as far back as 1981, in vitro tumor models have been established from sinonasal malignancies. However, especially in the last decade, new cell lines have been presented fully annotated with clinical and genetic data, making them ideal for testing candidate anti-cancer agents targeting...
Source: Current Otorhinolaryngology Reports - March 1, 2024 Category: ENT & OMF Source Type: research

Correction to: Bridging the Gap: Musical and Pedagogical Terms for Voice Care Professionals
(Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - March 1, 2024 Category: ENT & OMF Source Type: research

The Role of Steroids in Performing Voice
AbstractPurpose of ReviewThis review seeks to illuminate the challenges that arise in the use of steroids in the context of a performing voice, to review pharmacologic principles that can help to guide dosing regimens, to examine emerging science about the mechanistic action of glucocorticoids, and to provide a useful guide for clinicians who treat vocal performers.Recent FindingsThough perceptions and mythologies abound, most saliently (1) the incidence of vocal fold hemorrhage while taking oral steroids is extremely low; (2) appropriate dosing is likely to involve regimens that meet or exceed 30 mg oral Prednisone-equiva...
Source: Current Otorhinolaryngology Reports - December 2, 2023 Category: ENT & OMF Source Type: research

Approach Selection for Planum Sphenoidale and Tuberculum Sellae Meningiomas
AbstractPurpose of ReviewTuberculum sellae (TS) and planum sphenoidale (PS) meningiomas are common lesions of anterior skull base posing a surgical challenge due to their proximity to the optic apparatus and vessels of the anterior circle of Willis.Recent FindingsTraditionally, these lesions were attacked surgically via large transcranial approaches. However, with the advent and evolution of expanded endoscopic endonasal approaches as well as development of the minimally invasive “eye-brow” approaches, different choices of approach became available for these lesions. Regardless, the wide, yet smooth spectrum of anatomi...
Source: Current Otorhinolaryngology Reports - December 1, 2023 Category: ENT & OMF Source Type: research

Empty Nose Syndrome as an Iatrogenic Condition from Surgery
AbstractPurpose of ReviewThe purpose of this review is to summarize the current literature regarding empty nose syndrome (ENS). This review explores the significance and role that surgery plays in the development of ENS.Recent FindingsENS may occur as consequence of nasal airflow aerodynamic alterations and sensorineural dysfunction. Computational fluid dynamic (CFD) investigations in ENS patients suggest a laminar jet of airflow tunnels towards the middle meatus at the expense of the inferior and superior nasal cavity. Thermoreceptor function responsible for the sensation of nasal patency is concurrently affected. Inferio...
Source: Current Otorhinolaryngology Reports - December 1, 2023 Category: ENT & OMF Source Type: research

Ethical Issues in Rhinologic Surgery: Balancing Benevolent Care and Advancing Surgical Techniques
AbstractPurpose of ReviewTo consider ethical aspects of rhinologic surgery including surgical and medical treatment options, new technologies and techniques, informed consent and patient choice.Recent FindingsThe ethical principles of autonomy, justice, beneficence, non-maleficence and fidelity are fundamental to the practice of medicine as well as to the clinical research that informs new treatment options. Here, they are discussed in the context of treatment of benign rhinologic disease.SummarySurgeons are ethically bound to act in the best interests of the patient, informing and involving them in the clinical decisions ...
Source: Current Otorhinolaryngology Reports - December 1, 2023 Category: ENT & OMF Source Type: research

Collaboration with Gastroenterology in Management of Complex Dysphagia
AbstractPurpose of ReviewTo review common patient populations who present with dysphagia to an otolaryngology office and that may benefit from co-management with a gastroenterologist. These patients include those with gastroesophageal reflux disease, head and neck cancer, allergies/atopic disease, autoimmune conditions, and a normal/straightforward workup for dysphagia.Recent FindingsThe additional diagnostic tests that can be offered by a gastroenterologist beyond an upper endoscopy include high-resolution manometry, functional luminal imaging probe, and mucosal impedance testing. Pharmacologic therapies, as well as endos...
Source: Current Otorhinolaryngology Reports - December 1, 2023 Category: ENT & OMF Source Type: research

Moving the Classification of Chronic Rhinosinusitis Away from Polyp/No Polyps
This article will explore the latest evidence relevant to this topic and discuss factors reshaping the landscape of CRS and its management. (Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - December 1, 2023 Category: ENT & OMF Source Type: research

SWI/SNF-Deficient Sinonasal Carcinomas: Multidisciplinary Research Perspectives
AbstractPurpose of ReviewAn emerging subset of dismal sinonasal cancers are those characterized by the loss of a SWItch/Sucrose Non-Fermentable (SWI/SNF) complex unit, such as the SWI/SNF-related Matrix-associated Actin-dependent Regulator of Chromatin (SMARC), which includes two main subtypes: SMARCB1- and SMARCA4-deficient sinonasal carcinomas, ultimately leading to four distinct SWI/SNF-deficient sinonasal tumors. These cancers are rare entities and low treatment responsive malignancies. In fact, they are poorly differentiated and usually detected at a late stage, when invasion of facial and cranial regions had already ...
Source: Current Otorhinolaryngology Reports - December 1, 2023 Category: ENT & OMF Source Type: research

Faculty and Leadership Advancement for People of Color in Otolaryngology
AbstractPurpose of ReviewTo highlight the current state of faculty representation from groups underrepresented in medicine (UIM) within otolaryngology, to describe the common barriers UIM individuals face along the pipeline of academia, and to illustrate potential solutions for faculty and leadership advancement for people of color in otolaryngology.Recent FindingsBy 2045, current racial and ethnic minority groups will outnumber White Americans in the United States, yet faculty representation from groups UIM  remains remarkedly low, especially in otolaryngology. Currently, only 4.1% and 1.7% are Latino and Black full prof...
Source: Current Otorhinolaryngology Reports - December 1, 2023 Category: ENT & OMF Source Type: research