Diversity, Culture and Practice: From Society to “the Bedside”
AbstractPurpose of ReviewThe global landscape is constantly evolving. Modern technologies facilitate international communications and collaborations between leaders, researchers, clinicians, students, and friends. As we embrace the dynamism of our understanding of culture and its impact, we must recognize and work to reverse healthcare disparities among people. This has been the case in our evolving understanding of the influence culture has on our services in the area of assessment, treatment, and management of swallowing and swallowing disorders (dysphagia).Recent FindingsThis paper expands on the notions of culture and ...
Source: Current Otorhinolaryngology Reports - September 15, 2023 Category: ENT & OMF Source Type: research

Empty Nose Syndrome: The Case for “Functional Nasal Obstruction” as a Predisposing Risk Prior to Nasal Surgery
AbstractPurpose of ReviewAlthough empty nose syndrome (ENS) is axiomatically defined post nasal surgery, these patients present to otolaryngologists with complaints of nasal airflow dysfunction preoperatively. The critical question of how to resolve ENS should be in the preoperative assessment rather than focusing on interventions  post nasal surgery. There are no proven factors from surgery that predict ENS post turbinate surgery. We review the latest literature on ENS and evaluate developing trends in the understanding of its pathophysiology and associations. This review seeks to develop a modern approach to the managem...
Source: Current Otorhinolaryngology Reports - September 9, 2023 Category: ENT & OMF Source Type: research

Best Practices for LGBTQIA  + Patient Care in Otolaryngology
AbstractPurpose of ReviewThis chapter introduces LGBTQIA  + concepts, communities, and terminology in an effort to improve health care provider education, patient communication, and patient care.Recent FindingsThis chapter provides an overview of best practices to incorporate when treating LGBTQIA  + patients in health care and more specifically in otolaryngology—head and neck surgery. We discuss issues unique to this population that may influence patient care.SummaryThis review aims to provide an overview of best practices to use in the care of sex and gender-minority patients while also illuminating some of the...
Source: Current Otorhinolaryngology Reports - September 8, 2023 Category: ENT & OMF Source Type: research

Singing After Superior Laryngeal Nerve Weakness: A Story of Hope
AbstractPurpose of ReviewInjury to the external branch of the superior laryngeal nerve (EBSLN), resulting in paresis of the nerve and limited muscle activation of the cricothyroid muscle, is highly disruptive for individuals who use their voice as a significant part of their occupation and/or to improve quality of life.Recent FindingsA single-subject case study is presented describing a long-term, team-based approach to voice care for an occupational voice user with damage to the right external branch of the superior laryngeal nerve (EBSLN).SummaryWhile it is unclear that improvement of nerve function is possible outside t...
Source: Current Otorhinolaryngology Reports - September 2, 2023 Category: ENT & OMF Source Type: research

Bridging the Gap: Musical and Pedagogical Terms for Voice Care Professionals
AbstractPurpose of ReviewThis paper outlines musical and pedagogical terms to improve communication between the voice team and singer during a medical evaluation.Recent FindingsTerms used in this paper are informed by known current principles of voice production.SummaryVoice science provides a pedagogical framework through five voice systems: respiration, phonation, registration, articulation, and resonance; this same framework creates a bridge between singers and medical voice professionals by providing shared common language and science-informed definitions. (Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - September 1, 2023 Category: ENT & OMF Source Type: research

Benign Paranasal Sinus Tumors
This study aims to review the current knowledge on the tumors of the nasal and paranasal sinuses and their clinical presentation.Recent FindingsMost benign tumors have imaging and pathological features, which combined with the patient ’s history and demographic, can help differentiate them from other tumors in the same region.SummaryThis article summarizes the clinical, pathologic, and imaging features of benign tumors in the nasal and paranasal sinuses and their differential diagnoses. Further investigation into these entities may help streamline the diagnostic procedure, protect patients from anxiety, and ensure timely...
Source: Current Otorhinolaryngology Reports - September 1, 2023 Category: ENT & OMF Source Type: research

Close to Curtain Time: Management of the Injured Singer in the Acute Setting (In-Office and Backstage Evaluation)
AbstractPurpose of ReviewThe purpose of this review is to summarize the current literature on the management of injured singers in the acute setting. This review seeks to answer the question on how to properly evaluate and treat injured singers presenting close to curtain time.Recent FindingsFemales and younger patients are more likely to present with vocal cord nodules, while males and older patients are more likely to present with polyps. The use of short-term glucocorticoid treatment has been found to be safe in singers, having a low incidence of vocal fold hemorrhage (3.6%) and thrush (5.5%), without long-term conseque...
Source: Current Otorhinolaryngology Reports - September 1, 2023 Category: ENT & OMF Source Type: research

Reshaping Otolaryngology Through Workforce Heterogeneity
AbstractPurpose of ReviewThe goal of this article is to serve as a resource for those seeking to identify targets for structural change to advance DEI in otolaryngology.Recent FindingsBest practices exist to advance DEI and can be modeled within otolaryngology.SummaryThe authors focus on medical education pathways, physician workforce heterogeneity, and biomedical research as potential targets for advancing diversity, equity, and inclusion. (Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - September 1, 2023 Category: ENT & OMF Source Type: research

Moving the Classification of Chronic Rhinosinusitis Away from Polyp/No Polyps
This article will explore the latest evidence relevant to this topic and discuss factors reshaping the landscape of CRS and its management. (Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - September 1, 2023 Category: ENT & OMF Source Type: research

Chronic Rhinosinusitis: Matching the Extent of Surgery with Pathology or Does the Extent of Surgery Matter?
AbstractPurpose of ReviewThe purpose of this review is to summarize the current literature on the extensiveness of surgery in patients with diffuse type 2  chronic rhinosinusitis (CRS).Recent FindingsThere is currently no consensus on the role of the extent of sinus surgery in disease control and definitions of surgical terms in diffuse type 2  CRS. Several suggestions have been made to quantify the extent of surgery or standardize the description of surgical interventions.SummaryThe extent of surgery in CRS depends potentially on the severity of disease and the type of underlying inflammation. A variety of extended endo...
Source: Current Otorhinolaryngology Reports - August 24, 2023 Category: ENT & OMF Source Type: research

Collaboration with Gastroenterology in Management of Complex Dysphagia
AbstractPurpose of ReviewTo review common patient populations who present with dysphagia to an otolaryngology office and that may benefit from co-management with a gastroenterologist. These patients include those with gastroesophageal reflux disease, head and neck cancer, allergies/atopic disease, autoimmune conditions, and a normal/straightforward workup for dysphagia.Recent FindingsThe additional diagnostic tests that can be offered by a gastroenterologist beyond an upper endoscopy include high-resolution manometry, functional luminal imaging probe, and mucosal impedance testing. Pharmacologic therapies, as well as endos...
Source: Current Otorhinolaryngology Reports - August 15, 2023 Category: ENT & OMF Source Type: research

Psychology of Performance
This article provides a brief overview of psychological factors that influence performance, such as performance anxiety and different kinds of stress. This review also provides a brief description of external and internal factors which may impact a performer and techniques that have been linked to better stress management and emotion regulation.Recent FindingsNumerous psychoneurobiological factors can influence the inner life of a performer and impact their ability to function. It is important for a performer and their care team to understand the potential impact of stress and traumatic stress on various layers of the nerv...
Source: Current Otorhinolaryngology Reports - August 12, 2023 Category: ENT & OMF Source Type: research

Nasal Valve Management: The Case to Move Away from Grafts to Tensioning
AbstractPurpose of ReviewThe aim of this analysis is to provide a synopsis of the surgical methods utilized to treat nasal valve collapse resulting in airway obstruction, and to evaluate and contrast lateral crural strut grafts (LCSG) and lateral crural tensioning (LCT).Recent FindingsLateral crural strut grafting is a major technique used to treat external nasal valve collapse. However, in recent years, lateral crural tensioning combined with articulated alar rim grafts (AARG) has become popular. A study comparing LCT-AARG to LCSG demonstrated a greater reduction in total nasal airway resistance, as measured by rhinomanom...
Source: Current Otorhinolaryngology Reports - August 11, 2023 Category: ENT & OMF Source Type: research

Reserve Biologics for Chronic Rhinosinusitis with Nasal Polyps After Failed Sinus Surgery
AbstractPurpose of ReviewBiologic therapy is a promising treatment for severe chronic rhinosinusitis (CRS). However, the expenses associated are extensive and the cost utility of this treatment paradigm has not been established. As such, understanding whether biologic therapy is cost-efficacious for all CRS patients is of utmost importance.Recent FindingsBiologic therapy is a safe and effective treatment modality for severe CRS patients. The available published cost analysis suggests that biologic therapy is not cost-effective compared to surgery. However, there is limited evaluation of the cost-efficaciousness of biologic...
Source: Current Otorhinolaryngology Reports - August 10, 2023 Category: ENT & OMF Source Type: research

Opportunities to Increase Residency Diversity and Inclusion
AbstractPurpose of ReviewHerein, we discuss existing efforts for increasing diversity and inclusion within otolaryngology and emphasize that lasting changes are only possible by addressing the issue across each phase of the medical education continuum (recruitment, selection, and retention).Recent FindingsOtolaryngology significantly lags most other specialties regarding workforce diversity. Several societies/organizations and programs/institutions have developed focused initiatives to increase women and URM representation within otolaryngology; while some have had more concrete outcomes than others, each is a starting poi...
Source: Current Otorhinolaryngology Reports - August 7, 2023 Category: ENT & OMF Source Type: research