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Articoli di riviste sul tema "Otolaryngology"

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Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 29 luglio 2024

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1

Pasick, Luke J., Daniel Benito, Philip Zapanta e Robert T. Sataloff. "Assessing Medical Student Basic Otolaryngology Knowledge: A Multi-Institutional Study". Ear, Nose & Throat Journal 98, n. 1 (gennaio 2019): 44–49. http://dx.doi.org/10.1177/0145561318823369.

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The prevalence of otolaryngologic complaints in general practice is disproportionate to the extent of otolaryngology teaching in undergraduate medical education. This is the first multi-institutional validated study used to assess basic otolaryngology knowledge among medical students in order to understand their abilities to recognize and manage these cases. A 9-question, psychometrically validated, multiple-choice quiz was distributed in June 2017 to medical students of 9 US allopathic institutions as an assessment of basic otolaryngology knowledge. A total of 547 medical student responses were used to assess basic otolaryngology knowledge, comfort levels, amount of exposure to otolaryngology, and number of times the head and neck physical examination was taught formally. Comfort in managing otolaryngologic conditions correlated positively with knowledge ( P < .001, R2 = 0.266), in addition to otolaryngology exposure correlating positively with knowledge ( P < .001, R2 = 0.284). Students intending to enter otolaryngology had higher scores ( P = .002), higher comfort levels in managing otolaryngologic cases ( P < .001), and higher comfort levels performing the head and neck examination (χ2 = 21.324, P < .001), compared with students intending to enter primary care or another surgical specialty. Clinical students in third and fourth years entering any surgical specialty (including otolaryngology), more often than students entering primary care ( P = .007), recognized the obturator as the instrument used to guide the insertion of the tracheotomy tube. Additionally, the number of times the head and neck examination was taught correlated positively with comfort in performing the examination ( rs = 0.095, P = .022). Our findings support the need for increased otolaryngologic education and training among all medical students, not only those entering otolaryngology.

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Gorman, Mary E., Herbert Gould, Dana W. Giel e Jerome W. Thompson. "S126 – Missed Diagnoses in Otolaryngology". Otolaryngology–Head and Neck Surgery 139, n. 2_suppl (agosto 2008): P119. http://dx.doi.org/10.1016/j.otohns.2008.05.299.

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Objectives 1) Increase awareness of common missed diagnoses in the practice of otolaryngology. 2) Identify opportunities for improvement in the quality of patient care. Methods Working with the State Volunteer Mutual Insurance Company of Tennessee State, we evaluated malpractice claims in otolaryngology that were closed with indemnity payment between 1981 and 2005. We identified all such claims resulting from alleged missed or delayed diagnoses by otolaryngologists. Claims were divided into two main categories based on whether the missed diagnosis was primarily otolaryngologic or non-otolaryngologic. Results A total of 9 missed diagnosis claims were identified, representing 9% of claims overall. 6 of the 9 were otolaryngologic missed diagnoses, with the remaining 3 non-otolaryngologic diagnoses. The total indemnity payment for missed diagnosis claims was $4,072,100, representing 32% of all indemnity payments for the study period. Conclusions Missed diagnoses represent a danger to patients and a disproportionately high percent of total indemnity payments (32%). Increased awareness of missed diagnoses is necessary to improve patient care and maintain a level of excellence within the field of otolaryngology-head and neck surgery.

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Yalamanchi, Pratyusha, Ashley Parent e Marc Thorne. "Optimization of Delivery of Pediatric Otolaryngology Surgical Antibiotic Prophylaxis". Otolaryngology–Head and Neck Surgery 163, n. 2 (23 giugno 2020): 275–79. http://dx.doi.org/10.1177/0194599820933191.

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Objectives There is limited evidence regarding use of routine perioperative antibiotics for pediatric otolaryngologic procedures. The objectives of this quality improvement study were (1) to characterize the otolaryngology case mix for which antibiotics were delivered and (2) determine the percentage of surgical encounters with appropriate timing of antibiotic administration. Methods Pediatric otolaryngology procedures meeting criteria from 2015 to 2019 were evaluated as a component of an institution-wide pediatric surgical antibiotic prophylaxis study using A3 problem solving to identify and roll out interventions for appropriate antibiotic administration. Descriptive statistical analysis of the interrupted time-series data was used to describe the otolaryngology case mix for which antibiotics were delivered. The primary outcome measure was percentage of surgical encounters with appropriate timing of antibiotic administration in minutes relative to incision. Results In total, 1520 pediatric otolaryngology procedures with perioperative antibiotic delivery were performed from July 2015 to September 2019. While surgical site infection number (n = 2/year) was stable, administration of timely prophylactic antibiotics significantly improved: 27.5% of cases per month at baseline and 86.9% at the conclusion of the rollout of the sequential interventions ( P < .001). Discussion Given the exceedingly low infection rate of clean otolaryngology surgery, there is limited evidence in favor of perioperative antibiotics for the majority of procedures. Prophylactic antibiotics were most commonly used in otologic surgery involving cochlear implantation or in the setting of draining ears or cholesteatoma and in clean-contaminated head and neck surgery cases. Implications for Practice Iterative continuous performance improvement can optimize evidence-based delivery of preoperative prophylactic antibiotics. Additional interventions to ensure antimicrobial stewardship in pediatric otolaryngology are indicated.

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4

Pryor, Shannon P., Linda Brodsky, Sujana S. Chandrasekhar, Lauren Zaretsky, Duane J. Taylor, Kathleen L. Yaremchuk e Harold C. Pillsbury. "Commentary on “Otolaryngology–Head and Neck Surgery Physician Workforce Issues An Analysis for Future Specialty Planning” by Kim, Cooper, and Kennedy". Otolaryngology–Head and Neck Surgery 146, n. 2 (31 gennaio 2012): 203–5. http://dx.doi.org/10.1177/0194599811433979.

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An impending physician shortage has been projected. The article by Kim, Cooper, and Kennedy, titled “Otolaryngology–Head and Neck Surgery Physician Workforce Issues: An Analysis for Future Specialty Planning,” is an attempt to evaluate and address this potential shortage as it applies to otolaryngology. The authors of this comment have concerns about the article’s assumptions, design, and recommendations. Kim et al attempt to extrapolate data from other specialties and other countries to the US otolaryngology workforce, use that data in modeling methods without demonstrated validity, and based on their analysis, they recommend drastic changes to otolaryngologic training and practice in the United States. Particularly troublesome are (1) the emphasis placed on gender and part-time work and (2) the measurement of productivity defined as hours worked per week. Before redefining our specialty, more thorough and systematic data acquisition and review are necessary to meet the needs of our patients now and in the future.

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Anne, Samantha, Sandra A. Finestone, Allison Paisley e Taskin M. Monjur. "Plain Language Summary: Opioid Prescribing for Analgesia After Common Otolaryngology Operations". Otolaryngology–Head and Neck Surgery 164, n. 4 (aprile 2021): 704–11. http://dx.doi.org/10.1177/0194599821996313.

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This plain language summary explains pain management and careful use of opioids after common otolaryngology operations. The summary applies to patients of any age who need treatment for pain within 30 days after having a common otolaryngologic operation (having to do with the ear, nose, or throat). It is based on the 2021 “Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations.” This guideline uses available research to best advise health care providers, and it includes recommendations that are explained in this summary. Recommendations may not apply to every patient but can be used to facilitate shared decision making between patients and their health care providers.

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6

Yang, Hoon Shik. "Otolaryngology". Journal of the Korean Medical Association 47, n. 1 (2004): 28. http://dx.doi.org/10.5124/jkma.2004.47.1.28.

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Amedee, Ronald G., e Charles A. Riley. "Otolaryngology". American Journal of Rhinology & Allergy 29, n. 1 (gennaio 2015): 83. http://dx.doi.org/10.2500/ajra.2015.29.4143.

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Amedee, Ronald G. "Otolaryngology". American Journal of Rhinology 20, n. 2 (marzo 2006): 241. http://dx.doi.org/10.1177/194589240602000226.

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Amedee, Ronald G. "Otolaryngology". American Journal of Rhinology 20, n. 6 (novembre 2006): 672. http://dx.doi.org/10.1177/194589240602000602.

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Brunner, Jacob P., e Ronald G. Amedee. "Otolaryngology". American Journal of Rhinology & Allergy 32, n. 4 (luglio 2018): 337. http://dx.doi.org/10.1177/1945892418784677.

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Brunner, Jacob P., e Ronald G. Amedee. "Otolaryngology". American Journal of Rhinology & Allergy 32, n. 5 (settembre 2018): 447. http://dx.doi.org/10.1177/1945892418784679.

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Brunner, Jacob P., e Ronald G. Amedee. "Otolaryngology". American Journal of Rhinology & Allergy 32, n. 6 (novembre 2018): 546. http://dx.doi.org/10.1177/1945892418796713.

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Brunner, Jacob P., e Ronald G. Amedee. "Otolaryngology". American Journal of Rhinology & Allergy 33, n. 1 (gennaio 2019): 94. http://dx.doi.org/10.1177/1945892418804921.

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Brunner, Jacob P., e Ronald G. Amedee. "Otolaryngology". American Journal of Rhinology & Allergy 33, n. 2 (marzo 2019): 226. http://dx.doi.org/10.1177/1945892418820478.

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Levine, P. "Otolaryngology". Journal of the American College of Surgeons 186, n. 2 (febbraio 1998): 197–202. http://dx.doi.org/10.1016/s1072-7515(98)00034-9.

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Woodson, Gayle. "Otolaryngology". Journal of the American College of Surgeons 188, n. 2 (febbraio 1999): 147–51. http://dx.doi.org/10.1016/s1072-7515(98)00294-4.

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Robbins, K. "Otolaryngology". Journal of the American College of Surgeons 190, n. 2 (febbraio 2000): 187–95. http://dx.doi.org/10.1016/s1072-7515(99)00263-x.

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Stewart, C. Matthew. "Otolaryngology". Medical Clinics of North America 102, n. 6 (novembre 2018): i. http://dx.doi.org/10.1016/s0025-7125(18)30114-7.

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Kirk, Laura A. "Otolaryngology". Physician Assistant Clinics 3, n. 2 (aprile 2018): i. http://dx.doi.org/10.1016/s2405-7991(18)30006-9.

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Kanter, Mitchel A. "Otolaryngology". Plastic and Reconstructive Surgery 84, n. 1 (luglio 1989): 168. http://dx.doi.org/10.1097/00006534-198907000-00037.

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Paparella, Michael, Donald A. Shum-rick, Jack L. Gluckman, William L. Meyerhoff e Thomas A. Mustoe. "Otolaryngology". Plastic and Reconstructive Surgery 89, n. 6 (giugno 1992): 1171–72. http://dx.doi.org/10.1097/00006534-199206000-00031.

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22

Jackler, Robert K., e Albert Mudry. "Otolaryngology". Otolaryngology–Head and Neck Surgery 150, n. 3 (6 dicembre 2013): 337–41. http://dx.doi.org/10.1177/0194599813514366.

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23

Douek, E. "Otolaryngology". Postgraduate Medical Journal 71, n. 838 (1 agosto 1995): 511. http://dx.doi.org/10.1136/pgmj.71.838.511.

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Sataloff, Robert Thayer. "Otolaryngology". JAMA: The Journal of the American Medical Association 254, n. 20 (22 novembre 1985): 2972. http://dx.doi.org/10.1001/jama.1985.03360200126047.

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Asawavichinginda, S. "Otolaryngology". Chulalongkorn Medical Journal 41, n. 8 (1 agosto 1997): 563–64. http://dx.doi.org/10.56808/2673-060x.3934.

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MOREANO, EDWIN H., JOSEPH L. HUTCHISON, TIMOTHY M. McCULLOCH, SCOTT M. GRAHAM, GERRY F. FUNK e HENRY T. HOFFMAN. "Incidence of Deep Venous Thrombosis and Pulmonary Embolism in Otolaryngology-Head and Neck Surgery". Otolaryngology–Head and Neck Surgery 118, n. 6 (giugno 1998): 777–84. http://dx.doi.org/10.1016/s0194-5998(98)70268-2.

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OBJECTIVE: Postoperative deep venous thrombosis and pulmonary embolus are major causes of morbidity and mortality in patients undergoing surgical procedures. In contrast to other surgical fields, the incidence of these life-threatening conditions has not been studied in our specialty. The purposes of this study were to elucidate the incidence of deep venous thrombosis and pulmonary embolus in patients after otolaryngologic operations and to identify specific risk factors that may contribute to the development of these conditions. METHODS: A retrospective analysis was done of 12,805 total operations on adults done by the Department of Otolaryngology at our institution from January 1987 to December 1994 to determine the number of patients in whom postoperative deep venous thrombosis and pulmonary embolus developed. Patients in whom a postoperative thromboembolic event developed after an otolaryngologic surgical procedure were identified by the medical records department with use of an abstracting database. This search cross-referenced disease-specific codes for otolaryngologic procedures with the codes for deep venous thrombosis and pulmonary embolus to identify the 34 patients in this report. Results (rounded to the nearest decimal point) were then categorized according to the different sub-specialties within otolaryngology, and appropriate statistical analysis tests were performed on the resulting data. RESULTS: Thirty-four patients with postoperative deep vein thrombosis were identified during the study period, for an overall incidence of 0.3%. Of these 34 patients, 24 also had a pulmonary embolus for an overall incidence of 0.2%. The incidence of deep venous thrombosis (and pulmonary embolus) in the subspecialties was as follows: head and neck surgery, 0.6% (0.4%); otology/neurotology, 0.3% (0.2%); head and neck trauma and plastic surgery, 0.1% (0.1%); and general otolaryngology, 0.1% (0.04%). Only the patient's age and the presence or absence of pneumatic compression devices were identified as independent risk factors for the development of a thromboembolic event. CONCLUSIONS: Postoperative pulmonary embolus is a rare occurrence in the field of otolaryngology-head and neck surgery. When it does occur, it causes significant morbidity and increases the cost of care for that patient. We discuss our approach to categorizing patients into low-, intermediate-, and high-risk groups, as well as prophylaxis against pulmonary embolus. (Otolaryngol Head Neck Surg 1998;118:777-84.)

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Whittemore, Kenneth R., Jenna M. Dargie, Briana K. Dornan e Brian Boudreau. "Otolaryngology Service Usage in Children With Cleft Palate". Cleft Palate-Craniofacial Journal 55, n. 5 (23 gennaio 2018): 743–46. http://dx.doi.org/10.1177/1055665617752210.

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Objectives: To determine the usage of otolaryngology services by children with cleft palate at a pediatric tertiary care facility. Design: Retrospective case series. Setting: Specialty clinic at a pediatric tertiary care hospital. Patients: Children born between January 1, 1999, and December 31, 2002, with the diagnosis of cleft palate or cleft lip and palate. A total of 41 female and 48 male patients were included. Main Outcome Measures: Total number of otolaryngology clinic visits and total number of otolaryngologic surgeries (tympanostomy tube placements and other otologic or upper airway procedures). Results: In the first 5 years of life, these children utilized an average of 8.2 otolaryngology clinic visits (SD = 5.0; range: 1-22) and underwent 3.3 tympanostomy tube surgeries (SD = 2.0; range: 0-10). Seventy-three had their first tube placed at the time of palate repair, and 4 at the time of lip repair. Fifty-one (57.3%) required other otologic or upper airway procedures, including tonsillectomy and/or adenoidectomy (27 children), removal of tympanostomy tubes (24 children), tympanomastoidectomy (3 children), and tympanoplasty (14 children). Of the children who underwent other procedures, they underwent a mean of 1.67 (SD = 0.84; range: 1-4) surgeries. Conclusions: Children with cleft palate are at increased risk for eustachian tube dysfunction, frequently utilize otolaryngology care, and typically receive multiple sets of tympanostomy tubes. This study found that children with cleft palate receive on average of approximately 3 sets of tympanostomy tubes, and the majority required another otologic or upper airway surgery.

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Stanford-Moore, Gaelen Britton, Gabrielle Cahill, Ankit Raj, Pacifique Irakoze, Blake Alkire e Mahmood F. Bhutta. "Density of Health Workforce Correlates to Disease Outcomes: Evidence From Global Data in Otolaryngology". OTO Open 6, n. 1 (gennaio 2022): 2473974X2210898. http://dx.doi.org/10.1177/2473974x221089840.

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Objective To better understand the impact of the otolaryngology-specific workforce on the burden of related diseases. Study Design Retrospective analysis of existing workforce density data as compared with the incidence, mortality, and morbidity data for 4 otolaryngologic diseases. Setting An overall 138 countries with known otolaryngology–head and neck surgery workforce and epidemiologic data. Methods We obtained raw data on workforce estimates of ear, nose, and throat surgical specialists from the World Health Organization. Disease burdens for 4 conditions were estimated via 2 ratios, the mortality:incidence ratio (MIR) and YLD:incidence ratio (years lost to disability), as specified in the Global Burden of Disease database. These were correlated to country-specific otolaryngologist density data in univariate and multivariate analyses. Results Increased density of the ear, nose, and throat workforce correlated with better outcomes for otolaryngologic-treated surgical diseases. A 10% increase in otolaryngology workforce density was associated with a 0.27% reduction in YLD:incidence ratio for chronic otitis media, a 0.94% reduction in MIR for lip and oral cavity cancer, a 1.46% reduction in MIR for laryngeal cancer, and a 1.34% reduction in MIR for pharyngeal cancer (all P < .001)—an effect that remained after adjustment for health systems factors for all conditions but chronic otitis media. Conclusion The density of the surgical workforce is assumed to affect disease outcomes, but ours is the first analysis to show that increased workforce density for a specific surgical specialty correlates with improved disease outcomes. While there is a consensus to increase access to health care providers, quantifying the effect on disease outcomes is an important metric for those performing health economics modeling, particularly where resources are limited.

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Chee, Michael, e Huma A. Quraishi. "Pediatric Otolaryngology". Pediatric Clinics of North America 69, n. 2 (aprile 2022): i. http://dx.doi.org/10.1016/s0031-3955(22)00024-4.

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Chadwick, Jonathan L., Shankar Sridhara, Jennifer Goodrich, Allen O. Mitchell e Eric M. Gessler. "Humanitarian Otolaryngology". Otolaryngology–Head and Neck Surgery 151, n. 6 (5 settembre 2014): 960–62. http://dx.doi.org/10.1177/0194599814549159.

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Gerber, Mark E., e Ann Giese. "Pediatric Otolaryngology". Pediatric Annals 45, n. 5 (1 maggio 2016): e165-e166. http://dx.doi.org/10.3928/00904481-20160407-02.

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Osguthorpe, J. David, e Mark K. Wax. "General Otolaryngology". Otolaryngology–Head and Neck Surgery 145, n. 2_suppl (agosto 2011): P15. http://dx.doi.org/10.1177/0194599811415818a21.

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White, David R., Craig A. Buchman, Daniel Choo, Diego A. Preciado e Patrick Froehlich. "Pediatric Otolaryngology". Otolaryngology–Head and Neck Surgery 145, n. 2_suppl (agosto 2011): P31. http://dx.doi.org/10.1177/0194599811415818a66.

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Myer, Charles M. "Pediatric otolaryngology". Current Opinion in Otolaryngology & Head and Neck Surgery 2 (dicembre 1994): 455–56. http://dx.doi.org/10.1097/00020840-199412000-00001.

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&NA;, &NA;. "General otolaryngology". Current Opinion in Otolaryngology & Head and Neck Surgery 5, n. 3 (giugno 1997): B53—B66. http://dx.doi.org/10.1097/00020840-199706000-00013.

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&NA;, &NA;. "Pediatric Otolaryngology". Current Opinion in Otolaryngology & Head and Neck Surgery 5, n. 6 (dicembre 1997): B115—B124. http://dx.doi.org/10.1097/00020840-199712000-00014.

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&NA;, &NA;. "General otolaryngology". Current Opinion in Otolaryngology & Head and Neck Surgery 6, n. 3 (giugno 1998): B47—B54. http://dx.doi.org/10.1097/00020840-199806000-00015.

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BURTON, M. J. "Pediatric Otolaryngology." Archives of Disease in Childhood 76, n. 5 (1 maggio 1997): 480. http://dx.doi.org/10.1136/adc.76.5.480f.

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Tami, Thomas A. "General otolaryngology". Current Opinion in Otolaryngology & Head and Neck Surgery 8, n. 3 (giugno 2000): 185. http://dx.doi.org/10.1097/00020840-200006000-00010.

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Workman, Alan D., Mark A. Varvares e Neil Bhattacharyya. "Rate of COVID-19 Infection in Patients Following Otolaryngology vs Non-otolaryngology Outpatient Encounters". Otolaryngology–Head and Neck Surgery, 28 settembre 2021, 019459982110497. http://dx.doi.org/10.1177/01945998211049702.

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Routine outpatient otolaryngology visits have been identified as potential vectors for increased transmission of COVID-19 relative to other medical encounters. This is in part due to the inability of patients to mask during comprehensive otolaryngology examination and potential propensity for aerosolization during upper airway procedures, including endoscopy and nasopharyngoscopy. Using a matched-cohort sampling of >20,000 patients seen between April 2020 and January 2021, we found no increased rate of postvisit COVID-19 positivity following an in-office otolaryngology encounter relative to other non-otolaryngology outpatient encounters. This suggests that the perceived elevated risk of provider-to-patient and patient-to-patient transmission during outpatient otolaryngologic care may be unfounded.

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Samarrai, Ruwaa, Khalil Rahman e Kourosh Parham. "Clinical Biomarkers in Otolaryngology—Head and Neck Surgery". Ear, Nose & Throat Journal, 25 ottobre 2021, 014556132110506. http://dx.doi.org/10.1177/01455613211050698.

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Objective The purpose of this paper is to review the literature and compile promising and clinically relevant biomarkers in otolaryngology—head & neck surgery not related to autoimmune disorders. Study Design Narrative review. Methods PubMed and Google Scholar were queried using combined key words such as “biomarkers” and “otolaryngology.” Additional queries were made with combined key words such as “biomarkers” and a particular subspecialty such as “rhinology” or “otology” to maximize yield of relevant titles. Subsequently, specific biomarkers identified, such as “beta-2 transferrin,” were used as key words. Relevant titles were reviewed and selected for abstract review. Applicable abstracts were then selected for review of the full text. Results Biomarkers currently in clinical use within the field of otolaryngology were included in this review. The compiled biomarkers were then detailed individually regarding their molecular characteristics, function, and clinical significance. Conclusions The number of biomarkers in use in otolaryngology is rapidly expanding representing a new diagnostic modality for our field. This review defines the key biomarkers that are currently or likely to be soon translated into clinical use within the field of otolaryngology. The majority of these biomarkers are in the form of proteins such as beta-2 transferrin, thyroglobulin, and P16. Given their growing impact on diagnosis, management and surveillance of otolaryngologic disorders periodic surveys are needed for education and to guide further advances and applications of otolaryngologic biomarkers.

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Maksimoski, Matthew, Sean Mutchnick, Samuel Racette, Karina J. Yu e Alan G. Micco. "Twice as Nice: How Doubling Otolaryngology Rotation Time Affects the Intern Experience Nationwide". Annals of Otology, Rhinology & Laryngology, 26 novembre 2020, 000348942097777. http://dx.doi.org/10.1177/0003489420977776.

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Objectives: Describe the current state of otolaryngologic residency training with recent changes to the program requirements by the Accreditation Council for Graduate Medical Education (ACGME) which increased the amount of time on intern year otolaryngology rotations from 3 to 6 months. Methods: A cross-sectional study was performed and recruitment was done via personalized email sent to program coordinators of 113 ACGME-accredited otolaryngology training programs within the Unites States. The message requested a breakdown of the amount of time and specialty in which first year otolaryngologic residents rotated. Interval follow ups were sent at 3 and 6 months for coordinators who had not responded. Results: Response rate was 79.7% (90/113). General surgery and surgical intensive care unit were the two most common non-otolaryngologic rotations (92.2% and 96.6% respectively) while ophthalmology and radiation oncology were the least common at 7.8% each. All first year residents spend time on an inpatient otolaryngologic rotation, while 30.7% spend time on outpatient rotations. The most common subspecialties were head and neck oncology (40.0%) followed by pediatric otolaryngology (36.0%). Conclusions: Otolaryngologic training continues to become more slanted towards specialty-specific training and a concurrent reduction in “off-service” rotations. General inpatient services still predominate the intern year both inter- and intra-departmentally. These data provide insight into the training environment of the otolaryngologic trainees set to graduate residency for the first time this year.

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von Sneidern, Manuela, Ashton E. Lehmann, Aria Jafari, Iliyan K. Vlasakov, Sarek A. Shen, Deborah Goss e Benjamin S. Bleier. "Reflecting on the COVID-19 Surgical Literature Surge: A Scoping Review of Pandemic Otolaryngology Publications". Otolaryngology–Head and Neck Surgery, 7 settembre 2021, 019459982110419. http://dx.doi.org/10.1177/01945998211041933.

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Objective To assess the high-volume 2020 COVID-19-related surgical literature, with special attention to otolaryngology articles in regard to content, level of evidence, citations, and public attention. Study Design A scoping literature review was performed with PubMed and Web of Science, including articles pertaining to COVID-19 and surgical specialties (March 20–May 19, 2020) or otolaryngologic subspecialties (March 20–December 31, 2020). Setting Scoping literature review. Methods Otolaryngology-specific COVID-19-related articles were reviewed for publication date, county of origin, subspecialty, content, level of evidence, and Altmetric Attention Score (a weighted approximation of online attention received). Data were analyzed with Pearson correlation coefficients, analysis of variance, independent t tests, and univariable and logistic regressions. Results This review included 773 early COVID-19 surgical articles and 907 otolaryngology-specific COVID-19-related articles from 2020. Otolaryngology was the most represented surgical specialty within the early COVID-19-related surgical literature (30.4%). The otolaryngology-specific COVID-19 surgical literature responsively reflects the unique concerns within each otolaryngologic subspecialty. Although this literature was largely based on expert opinion (64.5%), articles with stronger levels of evidence received significantly more citations (on Web of Science and Google Scholar, P < .001 for both) and public attention (according to Altmetric Attention Scores, P < .001). Conclusion Despite concerns of a surge in underrefereed publications during the COVID-19 pandemic, our review of the surgical literature offers some degree of reassurance. Specifically, the COVID-19 otolaryngology literature responsively reflects the unique concerns and needs of the field, and more scholarly citations and greater online attention have been given to articles offering stronger levels of scientific evidence.

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Moroco, Annie E., Ghazal S. Daher, Ashley P. O’Connell Ferster e Jessyka G. Lighthall. "Prevalence of Body Dysmorphic Disorder in an Otolaryngology-Head and Neck Surgery Clinic". Annals of Otology, Rhinology & Laryngology, 12 agosto 2022, 000348942211187. http://dx.doi.org/10.1177/00034894221118772.

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Objective: To analyze the prevalence of body dysmorphic disorder (BDD) in a general otolaryngology population presenting to an outpatient clinic. Study Design: Prospective prevalence study. Setting: Single tertiary academic otolaryngology clinic. Subject and Methods: New patients over 18 years of age who presented to an academic otolaryngology clinic between August 2018 and May 2021 completed a questionnaire including demographic questions and the validated Body Dysmorphic Disorder Questionnaire (BDDQ). Data collected from the questionnaires were analyzed to assess demographics and prevalence of BDD in an otolaryngology clinic. Results: Of the 242 patients queried, 15 patients screened positive for BDD. The screened prevalence of BDD was determined to be 6.2%. None of the patients had previously been diagnosed with BDD. The prevalence of prior mental health diagnoses was 34.3%. These patients had initially presented for a variety of otolaryngologic concerns and had pre-existing diagnoses of anxiety, depression, obsessive-compulsive, bipolar and eating disorders. Conclusion: The prevalence of BDD in our population of new patients presenting to an academic otolaryngology practice (6.2%) is higher than that of the general population (1.9%).

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Liu, Derek H., Marshall Ge, Stephanie Shintani Smith, Christine Park e Elisabeth H. Ference. "Geographic Distribution of Otolaryngology Advance Practice Providers and Physicians". Otolaryngology–Head and Neck Surgery, 24 agosto 2021, 019459982110404. http://dx.doi.org/10.1177/01945998211040408.

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Objectives Advanced practice providers (APPs), namely physician assistants (PAs) and nurse practitioners (NPs), play an increasing role in meeting growing demands for otolaryngologic services, particularly in rural communities. This study analyzes the geographic distribution of otolaryngology providers, which is essential to addressing future demands. Study Design Cross-sectional study. Setting Medicare Provider Utilization and Payment Data for 2017. Methods Current Procedural Terminology codes were used to identify APPs providing 10 common otolaryngologic services. Geographic distribution was evaluated by calculating densities of APPs and otolaryngologists per 100,000 persons in urban versus rural counties as defined by the National Center for Health Statistics Urban-Rural Classification Scheme. Results We identified cohorts of 8573 otolaryngologists, 1148 NPs, and 895 PAs. There were significantly higher population-controlled densities of otolaryngologists and APPs in urban counties as compared with rural counties. The majority of otolaryngologists (92.1%) and APPs (83.3%) were in urban counties. However, the proportion of APPs (16.7%) in rural counties was significantly higher than the proportion of otolaryngologists (7.9%) in rural counties ( P < .01). A significant majority of rural counties (72.2%) had zero identified providers, and a greater proportion of rural counties (5.0%) were served exclusively by APPs as compared with urban counties (3.2%). Conclusions Although otolaryngologists and APPs mostly practiced in urban counties, a relatively higher proportion of APPs practiced in rural counties when compared with otolaryngology physicians. The majority of rural counties did not have any otolaryngologic providers. Given the expected shortages of otolaryngology physicians, APPs may play a critical role in addressing these gaps in access.

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Pearlman, Aaron N., Abtin Tabaee, Anthony P. Sclafani, Lucian Sulica, Samuel H. Selesnick, David I. Kutler, Joseph J. Montano et al. "Establishing an Office-Based Framework for Resuming Otolaryngology Care in Academic Practice During the COVID-19 Pandemic". Otolaryngology–Head and Neck Surgery, 1 settembre 2020, 019459982095517. http://dx.doi.org/10.1177/0194599820955178.

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Objective The COVID-19 health crisis abruptly disrupted the practice of otolaryngology. This article aims to define the changes needed to operate an academic otolaryngology practice safely and efficiently from within the epicenter of the pandemic. We define the areas of normal patient workflow that have been affected by COVID-19, and we offer mitigation strategies with attention paid to the specific needs of subspecialties. Data Sources The article includes data specific to the office practice metrics of the Weill Cornell Medicine Department of Otolaryngology–Head and Neck Surgery, as well as publically available data from New York Presbyterian Hospital system and the New York Times. Review Methods Expert opinion. Conclusions Through careful planning and execution, it is possible to reestablish safe otolaryngologic patient care during the COVID-19 pandemic. It will require a significant change from prior practice models for successful implementation. Additionally, telemedicine can be positively integrated into the treatment of otolaryngology diseases for new and established patients. Implications for Practice The information conveyed in this review can be used as a guide by large and small otolaryngology groups to identify aspects of the patient visit that are “at risk” due to COVID-19, and it suggests sensible responses that can be made without a significant disruption to normal practice. The methods used to identify vulnerabilities with the patient visit process can be applied to future unforeseen crises, such as a resurgence of COVID-19 or a novel pandemic.

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Wang, Annette A., Roy Xiao, Rosh K. V. Sethi, Vinay K. Rathi e George A. Scangas. "Private Payer–Negotiated Prices for Outpatient Otolaryngologic Surgery". Otolaryngology–Head and Neck Surgery, 28 settembre 2021, 019459982110493. http://dx.doi.org/10.1177/01945998211049330.

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In January 2021, the Centers for Medicare & Medicaid Services began requiring hospitals to publish price transparency files listing all prices negotiated with payers. We performed a cross-sectional analysis of payer-negotiated prices for commonly performed outpatient otolaryngology surgery at all hospitals scored by the US News & World Report in otolaryngology. We compared prices among hospitals (across-center ratios) and among payers at the same hospital (within-center ratios). Price disclosure rates were low overall for otolaryngologic surgery (maximum, 26.7% for bronchoscopy). Across-center ratios ranged from 3.5 (adjacent tissue transfer/rearrangement <10 cm2; raw median price range, $1384-$7047) to 18.6 (cochlear implant placement; raw median price range, $2417-$60,255). Median within-center ratios ranged between 2.7 (intraoperative navigation) and 5.4 (total thyroidectomy). Although price variation may signal opportunities for cost savings, patients may have limited ability to comparison shop due to hospital nondisclosure. Further investigation is necessary to examine the factors affecting price variation for otolaryngologic procedures.

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Fageeh, Yahya A., Mohammed A. Basurrah, Abdulaziz S. Aljuaid, Abdulmohsen H. Alghamdi, Rayan D. Alamri, Hamoud A. Alobaylan e Mujahid A. Alzahrani. "Assessing Medical Student Basic Otolaryngology Knowledge: A questionnaire-based Study". World Family Medicine Journal /Middle East Journal of Family Medicine 20, n. 10 (2022). http://dx.doi.org/10.5742/mewfm.2022.952596.

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Background: Otolaryngology is one of the oldest medical specialties that involves the diagnosis and treatment of patients with diseases and conditions of the ears, nose, throat, head, and neck. The commonest ENT cases encountered by physicians are tonsillitis, acute otitis media, pharyngitis, epistaxis, and hay fever. The prevalence of otolaryngologic complaints in general practice is disproportionately high compared to the amount of otolaryngology module provided in medical school. Objectives: The purpose of this study is to assess medical students’ basic otolaryngology knowledge. Additionally, we will check factors that determine the level of knowledge. Methods: A cross-sectional survey was conducted among medical students in clinical years in the Saudi Arabia who studied ENT module. Participating students completed an online questionnaire that included questions related to ENT module. Results: The study included 483 participants, 53.4% were males and 46.6% were females. 43.7% were in the 4th academic year. 16.1% of participants intent to choose ENT as future specialty. 94.6% took ENT module and test. 44.5% reported spending 1-2 days on an ENT service or office, as part of clinical education. The majority of our study participants correctly answered ENT cases. Conclusion: Saudi medical students have appropriate knowledge of basic otolaryngology. With a significant proportion of ENT complaints in general practice, it is critical that all graduating medical students, not just those entering ENT, are adequately trained in basic ENT to perform competently and be confident enough to manage or refer these patients. Keywords: medical, student, basic, otolaryngology, knowledge, Saudi

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"Otolaryngology". Lasers in Surgery and Medicine 36, S17 (2005): 49–53. http://dx.doi.org/10.1002/lsm.20167.

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"Otolaryngology". Lasers in Surgery and Medicine 38, S18 (2006): 44–47. http://dx.doi.org/10.1002/lsm.20318.

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