The shooting of a doctor and two patients at Johns Hopkins Hospital in Baltimore in September sent a shudder of fear through all physicians, but for those who knew the late otolaryngologist John Kemink, MD, it was particularly saddening.
Disposable Sterile Sheaths Effective Against Cross-Contamination
What is the efficacy of sterile sheath use to prevent cross-contamination when using a fiberoptic nasopharyngolaryngoscope (FNPL) in an otolaryngology clinic? Background: After each use of FNPL, the endoscope must be […]
Babbling Is Necessary for Speech and Language Development
What is the importance of pre-linguistic vocalization? Background: The characterization and significance of pre-linguistic vocalization has long been the subject of research and debate. Pre-linguistic vocalization can generally be classified into […]
New Interview Questions for Better Resident Selection
Can commercially available business tools be used to identify competencies specific to the junior otolaryngology resident and to develop behavioral-based interview questions and techniques? Background: The resident selection process cannot predict […]
Surgery May Be Unnecessary for Some Small Thyroid Cancers
What are the trigger events that lead to detection of otherwise asymptomatic thyroid cancers? Background: The incidence of thyroid cancer has more than doubled in the past 30 years, but mortality […]
Researchers Find Evidence of Esophageal-Nasal Reflex
Does a neural reflex exist that links the esophagus and the nasal airway, possibly explaining a mechanism for the association between gastroesophageal reflux (GER) disease and chronic rhinosinusitis (CRS)? Background: Many […]
Smoking Increases Risk of Inverted Papilloma Recurrence
What clinical and environmental factors can predict recurrence or malignant transformation of sinonasal inverted papilloma (IP)? Background: IP is a benign neoplasm that is locally aggressive, with a less than 10 […]
Career Shift: Mid-career mentors can help you change course
Like many physicians, otolaryngologists at mid-career may experience some form of burnout and be looking to make a professional shift. Indeed, a study published in the Annals of Surgery last year found that otolaryngologists had high rates of career burnout that paralleled those of trauma and vascular surgeons.
The Medical Home Gains Momentum: Could a team-based model work for otolaryngology?
The patient-centered medical home’s star appears to be rising. Thirty-eight states are testing this model of care in some way, according to the National Academy for State Health Policy. The federal health system reform law, passed this spring, includes several provisions encouraging the concept.
Lingering Issues: Challenges remain in repairing CSF leaks
Once the province of neurosurgeons, cerebrospinal fluid (CSF) leak repair is now handled mostly by otolaryngologists. This change has occurred over the past couple of decades, during which time the evolution of endoscopic tools and techniques has made possible extracranial rather than intracranial repair. The success rate for repairing these leaks from below has reached about 90 percent, particularly for small leaks.
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