In May, Marcelo Antunes, MD, chief resident of otorhinolaryngology-head and neck surgery at the University of Pennsylvania, was able to practice bilobed flaps on pig’s feet at an ORL Rising Chief Boot Camp held at Penn Medicine Clinical Simulation Center in Philadelphia. While he had previously experienced medical simulation during his otolaryngology residency, the boot camp put the methodology in proper context for Dr. Antunes, who is particularly interested in facial plastics.
Ultrasound-Guided Needle Dye Injection by Surgeon Localizes Tumor
What is the effect of ultrasound-guided needle dye injection in localization of intraoperative tumors? Background: Locating and surgically excising non-palpable neck tumors in an accurate, efficient and safe manner, particularly in […]
Preservation of Residual Hearing after Cochlear Implant Using SMA
Is residual hearing preserved after cochlear implantation with the suprameatal approach (SMA) technique? And, is there an alternative analysis to document the conservation of hearing more accurately? Background: The SMA is […]
A Meta-Analysis of Minimally Invasive Video-Assisted Thyroidectomy
How does minimally invasive video-assisted thyroidectomy (MIVAT) compare with conventional thyroidectomy? Background: The advantages of minimally invasive thyroid surgery include shorter hospital stays, reduced postoperative pain, and improved cosmetic results. Studies […]
Best Practice in Tympanoplasty
Does concomitant mastoidectomy improve outcomes for patients undergoing repair of tympanic membrane perforations? Background: Controversy currently exists regarding the appropriate treatment of tympanic membrane perforations resulting from chronic suppurative otitis media […]
Single-Staged Modified UPPP with Nasal Surgery Safe for OSAS Patients
Can an anatomy-based staging system effectively predict the efficacy of uvulopalatopharyngoplasty (UPPP) performed along with nasal surgery? Background: While the overall efficacy of UPPP is estimated at 40 percent, Friedman and […]
Mild OSA Linked to Nasal Obstruction
What impact does nasal obstruction have on obstructive sleep apnea (OSA) as measured by polysomnography (PSG)? Background: While nasal obstruction is often identified and treated in patients with OSA, its role […]
Making the Diagnosis: Sleep expert warns about OSA risk in obese children
The most significant danger to children now is obesity, and of the many related comorbidities that affect obese children, obstructive sleep apnea (OSA) will impact a child’s life more than anything else, according to Carole Marcus, MD, an invited lecturer here last month at SLEEP 2011, the 25th Annual Meeting of the Associated Professional Sleep Societies.Dr. Marcus is a professor of pediatrics at the University of Pennsylvania and director of the sleep center at Children’s Hospital of Philadelphia.
Help or Hoopla?: Surgical robots can benefit otolaryngology
The large, roadside billboards advertised robotic surgery in bright, bold colors, something that struck David Eibling, MD, professor of otolaryngology at the University of Pittsburgh, as “fundamentally wrong.” Hospitals and physicians “should not be offering robotic surgery as a draw for patients,” said Dr. Eibling, who noticed the billboards while traveling through Florida earlier this year, “but rather as a potential tool to benefit the care of the patient.”
An Unofficial First-Line Treatment: Propranolol gains widespread use for infantile hemangiomas
Since the first report in 2008 of the effectiveness of propranolol to treat infantile hemangiomas, its use has grown among physicians who treat these tumors, which arise in 5 to 10 percent of infants. Among these infants, approximately 10 percent will require treatment to correct functional impairment or prevent lasting cosmetic deformity caused by the hemangioma.
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