Sage Otolaryngology

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.  

This podcast highlights original research in the May 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 Rahul Shah and associate editor Matthew Brigger in discussing the progress over the past decade in dealing with medical errors and adverse events.   Read the full article here.  

This podcast highlights original research in the April 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 Sunil Verma and associate editor Kenneth Altman in discussing the prevalence of swallowing disorders and opportunities to improve the quality of care for afflicted patients.   Click here to read the full article.  

This podcast highlights original research in the March 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 Edward Weaver and associate editor Eric Kezirian in discussing why functional comorbidity is essential to understanding the impact of sleep apnea on quality of life.   Click here to read the full article.  

This podcast highlights an updated Clinical Practice Guideline on Acute Otitis Externa (swimmer’s ear) appearing as a February 2014 supplement in 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 authors Geoffrey Simon, a pediatrician, and Kaparaboyna (Ashok) Kumar, a family physician, in discussing implications for primary care clinicians and how to optimize interaction with specialists.   Click here to read the full article.  

This podcast highlights an updated Clinical Practice Guideline on Acute Otitis Externa (swimmer’s ear) appearing as a February 2014 supplement in 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 authors Peter Roland, an otologist, and William Huang, a dermatologist, in discussing the key quality improvement recommendations in the guideline.   Click here to read the full article.  

This podcast highlights original research in the January 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 Seth Cohen and associate editor Kenneth Altman in discussing how the diagnosis for voice-disordered patients can change over time.   Click here to read the full article.  

This is the first study of overall procedure-specific post-discharge complications (PDCs) after inpatient otolaryngology surgery. The authors studied over 48.000 adults from the American College of Surgeons National Quality Improvement Program database who underwent inpatient otolaryngologic surgery from 2005 to 2011, analyzing complications, reoperation, and mortality in the first 30 days after the procedure. The highest rates of PDCs were for laryngectomy (8.0%), lip surgery (7.4%), and mouth surgery (4.1%), and consisted primarily of infections (surgical site, pneumonia, urinary tract) and less often venous thromboembolic events. Factors associated with PDCs were increasing age, prolonged operative time, hospital stay more than 1 day, and American Society of Anesthesiologists (ASA) class 3 or higher. Implications of these findings for patient counseling are discussed in the podcast.

This podcast highlights a Clinical Practice Guideline on Bell’s Palsy appearing as a November 2013 supplement in 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 authors John Halperin, a neurologist, and Kaparaboyna Ashok Kumar, a family physician, in discussing aspects of the guideline related to diagnosis and patient counseling.

This podcast highlights a Clinical Practice Guideline on Bell’s Palsy appearing as a November 2013 supplement in 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 authors Lisa Ishii, assistant chair of the guideline development group, and Richard Gurgel, a neurotologist, in discussing aspects of the guideline related to medical and surgical management.