Sage Otolaryngology

This 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 in 8 adults in the United States, resulting in more than 30 million annual diagnoses. More than 1 in 5 antibiotics prescribed in adults are for sinusitis, making it the fifth-most common diagnosis responsible for antibiotic therapy.  Many symptoms of sinusitis can overlap with other common conditions such as allergic rhinitis, and can complicate the diagnosis and treatment of these individuals.  C

This 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 more than 30 million annual diagnoses. The direct cost of managing acute and chronic sinusitis exceeds $11 billion per year, with additional expense from lost productivity, reduced job effectiveness, and impaired quality of life. More than 1 in 5 antibiotics prescribed in adults are for sinusitis, making it the fifth-most common diagnosis responsible for antibiotic therapy.  Rhinosinusitis may be cl

This podcast highlights original research published in the April 2015 issue 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 John Krouse is joined by lead author Travis Lewis and associate editor Cristina Baldassari in discussing the issue of weight gain among patients who have undergone adenotonsillectomy. Adenotonsillectomy remains a commonly performed operative procedure for both obstructive sleep apnea and recurrent infection.  Change in weight following surgery has been discussed for many years, with recent evidence suggesting that some patients gain weight following removal of the tonsils.  The current paper further investigates this clinical issue to try to determine the effective of adenotonsillar surgery on weight, height, and BMI.  In this study, the authors utilized a case control methodology in which 154 patients undergoing adenotonsillectomy were compared with 182 demographically

This podcast highlights original research published in the March 2015 issue 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 John Krouse is joined by lead author Kyle Stansifer and associate editor Daniel Deschler in discussing the topic of modifiable risk factors in patients with thyroid cancers.   While it is well known that the risk of thyroid cancer can be increased by factors that may be outside of the patient’s control, such as exposure to ionizing radiation, the risks of common patient characteristics such as smoking, drinking, and BMI are not well appreciated.  In the present study, the authors examined 467 patients with thyroid cancer from a single institutional database and compared them with a control group of 255 patients without thyroid cancer.  Their analyses demonstrated that none of these modifiable factors were associated with an increased risk of thyroid cancer among their s

The highlighted articles for March 2015 are “Analysis of an online match discussion board: improving the otolaryngology-head and neck surgery match,” “The decline of tracheotomy amongst otolaryngologists: a 14-year review,” “Characteristics and intraoperative treatments associated with head and neck free tissue transfer complications and failures,” “TORP ossiculoplasty outcomes with and without a stapes footplate prosthesis.” Click here to read the full article. 

The highlighted articles for February 2015 are “A Population-Based Study on the Association Between Statin Use and Sudden Sensorineural Hearing Loss,” “Clinical Characteristics of Keratosis Obturans and External Auditory Canal Cholesteatoma,” “Correlating Regional Aeroallergen Effects on Internet Search Activity,” “Lymphedema Outcomes in Patients with Head and Neck Cancer,” and “Readability Assessment of Online Tracheostomy Care Resources.”   Click here to read the full article. 

This podcast highlights a systematic review and meta-analysis published in the February 2015 issue 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 John Krouse is joined by authors Carrie Liu and Joseph Dort and associate editor Jennifer Shin in discussing the issue of early vs. late tracheostomies and its impact on clinical indicators such as length of stay in intensive care units (ICUs).   One question that is often debated is whether it is preferential to perform tracheostomies early in the course of an illness among intubated ICU patients, or whether it is preferential to delay these procedures to avoid the potential complications that might occur following tracheostomy.  In this paper, the authors performed a systemic review of the literature and selected 11 papers for inclusion.  In a meta-analysis of these studies, the authors noted that there was a significant decrease in length of IC

This 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 life and is associated with decreased work and school attendance and decreased productivity and efficiency.  It is important for primary care clinicians to consider a diagnosis of allergic rhinitis in all children who present with the classic symptoms of sneezing, nasal itching, anterior and posterior discharge, and nasal congestion.  The authors also discuss the role for al

This 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 Americans and is responsible for $2 billion to $5 billion in direct healthcare expenditures annually.  It is defined as an IgE-mediated inflammatory response of the nasal mucosa after exposure to inhaled antigens.  Symptoms include sneezing, nasal itching, anterior or posterior nasal discharge, and nasal congestion.  Allergic rhinitis can occur seasonally or can be present throughout the

The highlighted articles for this month are “Ubiquitous Aspirin: A Systematic Review of Its Impact on Sensorineural Hearing Loss,” “Treatment of Aspirin Exacerbated Respiratory Disease with a Low Salicylate Diet: A Pilot Crossover Study,” “Current Trends in Perioperative Antibiotic Use: A Survey of Otolaryngologists,” “Surgical Fires in Laser Laryngeal Surgery: Are We Safe Enough?,” and “Endolymphatic Duct Blockage: Randomized Controlled Trial of a Novel Surgical Technique for Ménière's Disease Treatment.” Click here to read the full article.  

This podcast highlights original research in the January 2015 issue 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 John Krouse is joined by authors Soham Roy and Lee Smith and associate editor Kenneth Altman in discussing the issue of airway fires in the operating room during laser laryngeal surgery.     Airway fires continue to be a dreaded complication of laser laryngeal surgery.  Prior work by the authors has demonstrated that endoscopic airway surgery remains the most frequent cause of operating room fires.  In the current study, Roy and Smith employ a simulated laser surgical environment in which they utilize a mannequin model to vary the parameters of inspired oxygen concentration and examine various maneuvers designed to decrease the incidence and morbidity of airway fires.  Their study demonstrates that sustained airway fires occur at 40% FiO2 and above, while O2 concentrations of 2

This podcast highlights original research in the December 2014 issue 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 John Krouse is joined by lead author Matthew Carlson and associate editor Thomas Eby in discussing long-term dizziness among patients treated with varying modalities for vestibular schwannomas.    Vestibular schwannomas (VS) are benign slow-growing tumors that arise from the vestibular portion of the eighth cranial nerve. The majority of patients are diagnosed after experiencing audiovestibular symptoms including asymmetrical hearing loss, tinnitus, vertigo, or unsteadiness.  The current study surveyed 538 respondents that were managed over a 10-year period with microsurgery, stereotactic radiosurgery, or observation.  At a mean follow-up of eight (8) years, more than half of patients continued to report significant dizziness, irrespective of the treatment modality that was us

This podcast highlights original research in the November 2014 issue 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 John Krouse is joined by lead author B. Tucker Woodson and associate editor Sonya Malekzadeh in discussing the efficacy of hypoglossal nerve stimulation in the treatment of the signs and symptoms of obstructive sleep apnea.   Obstructive sleep apnea (OSA) is a common chronic condition that has been treated with a wide range of medical and surgical methods.  The current study demonstrates that the sustained use of an implantable hypoglossal nerve stimulator results in persistent reduction in both symptoms and apnea-hypopnea index (AHI).  In addition, it demonstrates that when use of this treatment is suspended temporarily, its beneficial effects rapidly wane.  The study also suggests that additional research is necessary to define specific populations that will achieve the grea

This 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.

This 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.

This podcast highlights original research in the October 2014 issue 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 John Krouse is joined by corresponding author Richard Gurgel and associate editor Matthew Ryan in discussing the impact of duty hours changes in otolaryngology residency training and their impact on case volumes in key indicator procedures.    Click here to read the full article.  

This podcast highlights original research in the September 2014 issue 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 Rosenfeld is joined by lead author Michael Benninger and associate editor Neil Bhattacharyya in discussing the impact of endoscopic sinus surgery on the health care needs of patients with chronic rhinosinusitis and respiratory comorbidities.   Click here to read the full article.  

This podcast highlights original research in the August 2014 issue 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 Rosenfeld is joined by corresponding author Judith Lieu and associate editor Mark Boston in discussing the impact of recurrent and chronic otitis media on children’s health-related quality of life.   Click here to read the full article. 

This podcast highlights original research in the July 2014 issue 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 Rosenfeld is joined by lead author Bruce Matt and associate editor David Stepnick in discussing how lean management principles can optimize ultrasound guided needle biopsy for patients with head and neck masses.   Click here to read the full article.  

This podcast highlights original research in the June 2014 issue 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 Rosenfeld is joined by author Benjamin Judson and associate editor Vicente Resto in discussing the prevalence and outcomes of transoral robotic surgery for oropharyngeal cancer.   Click here to read the full article.