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.
Headlight vs. Head Mirror
September’s Poll Results
Response from the editor
Dr. Sims has eloquently identified the value of diversity not only in otolaryngology, but also its contribution to the strength of the U.S. as a nation. Drs. Kuppersmith and Thomas have responded to his editorial indicating steps that the AAO-HNS has taken and is currently taking to increase diversity.
Response from Dr. Sims
My Viewpoint was intended to call attention to a problem and inspire us to act with more alacrity.
Change Is Already Here
We read with great interest Dr. Steven Sim’s recent op-ed, “More of the Same: Why isn’t otolaryngology becoming more diverse?” in ENT Today (Viewpoint, Sept. 2010).
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