Oral Structural Dysphagia in Children
Oral causes of dysphagia in infancy may involve the lips, the tongue, or the palate. Whereas ankyloglossia is commonly diagnosed in infants with dysphagia, assessment of the need for surgical intervention may be less straightforward. Tongue size (macroglossia) may be associated with dysphagia as it may cause limitation of movement of the food or milk bolus by the lips or cheeks. Congenital conditions such as cleft lip and palate, micrognathia, or craniofacial microsomia may also be associated with dysphagia. Diagnosis and treatment of these conditions can be improved with the engagement of lactation and feeding experts as ...
Source: Otolaryngologic clinics of North America - March 18, 2024 Category: ENT & OMF Authors: Rose P. Eapen, Amelia F. Drake, Allison Keane Source Type: research

Laryngeal Structural Dysphagia in Children
The upper aerodigestive system is closely intertwined from an embryologic and functional perspective. Laryngotracheal anatomic abnormalities, such as laryngomalacia, stenosis, vocal cord paralysis, and laryngeal clefts, affect not only the respiratory function but also the swallow function. Laryngotracheal pathology can interfere with the suck –swallow–breathe mechanism in infants. It can also exacerbate gastroesophageal reflux. Chronic aspiration secondary to laryngotracheal anomalies can result in respiratory and pulmonary complications. Surgical treatment of laryngotracheal anomalies can also cause transient or long...
Source: Otolaryngologic clinics of North America - March 18, 2024 Category: ENT & OMF Authors: Allison Keane, Lauren K. Leeper, Amelia F. Drake Source Type: research

Nearly 200 Years of Sleep Apnea: We ’ve Come a Long Way
In 1836, the first installment of The Posthumous Papers of the Pickwick Club (also known as The Pickwick Papers), the first novel by English author Charles Dickens, was published. In it he introduces the reader to Joe, the Fat Boy, who is obese, consumes great amounts of food, constantly falls asleep in any situation at any time, is difficult to arouse, and snores. This description so intrigued the medical field that many hypotheses about the symptoms were examined, but it was not until well over a century after the novel was published that physicians started to interrelate these features. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - March 18, 2024 Category: ENT & OMF Authors: Sujana S. Chandrasekhar Tags: Foreword Source Type: research

Sex Differences in Obstructive Sleep Apnea Including Pregnancy and Response to Treatment
This article highlights the sex differences in obstructive sleep apnea (OSA) and sheds light on the varying presentations, diagnostic challenges, as well as treatment responses observed in men and women. The disparities in prevalence, manifestations, and therapeutic outcomes underscore the need for a nuanced approach to OSA diagnosis and management that considers sex-specific factors. Furthermore, this article highlights the importance of recognizing and treating OSA during pregnancy, as it poses unique challenges and potential risks to both maternal and fetal health. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - March 13, 2024 Category: ENT & OMF Authors: Taylor S. Erickson, Megan L. Durr Source Type: research

Advanced Diagnostic Techniques in Obstructive Sleep Apnea
Optimal surgical and medical management of obstructive sleep apnea requires clinically reliable identification of patterns and sites of upper airway obstruction. A wide variety of modalities have been used to evaluate upper airway obstruction. Drug-induced sleep endoscopy (DISE) and cine MRI are increasingly used to identify upper airway obstruction sites, to characterize airway obstruction patterns, to determine optimum medical and surgical treatment, and to plan individualized surgical management. Here, we provide an overview of the applications of DISE and cine MRI in assessing upper airway obstruction in children and a...
Source: Otolaryngologic clinics of North America - March 13, 2024 Category: ENT & OMF Authors: Seckin O. Ulualp, Eric J. Kezirian Source Type: research

Health Inequalities in the Diagnosis and Treatment of Obstructive Sleep Apnea in Children and Adults
Our understanding of the prevalence of obstructive sleep apnea (OSA) in the United States is confounded by significant inequalities in diagnosis and treatment based on gender, race and socioeconomic status. Health literacy and cultural norms contribute to these inequities. Large gaps in data exist, as certain populations like Native Americans, Pacific Islanders, and sexual minorities have been sparsely studied, or not at all. Future research should aim to develop more inclusive diagnostic strategies to address OSA in diverse populations. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - March 13, 2024 Category: ENT & OMF Authors: Javier J.M. Howard, Robson Capasso, Stacey L. Ishman Source Type: research

Assessing Dysphagia in the Child
This study focuses on the types of assessment tools available and how and when they are utilized for children of different ages and abilities. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - March 13, 2024 Category: ENT & OMF Authors: Eileen Raynor, Jennifer Kern Source Type: research

Dysphagia in Head and Neck Cancer
Dysphagia is a common symptom in patients with head and neck cancer that can significantly impact health outcomes and quality of life. The origin of dysphagia in these patients is often multifactorial, making diagnosis and management especially complex. The evaluating otolaryngologist should be well versed with the patient ’s neoplasm, comorbidities, and treatment history alongside dysphagia-specific imaging modalities. Management is often dynamic, requiring frequent monitoring, interprofessional collaboration, and a variety of supportive and invasive measures to achieve optimal outcomes. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - March 13, 2024 Category: ENT & OMF Authors: Deepak Lakshmipathy, Melissa Allibone, Karthik Rajasekaran Source Type: research

Sleep Renewed: Innovations in Sleep Apnea Care for Adults and Children
Welcome to our latest issue of Otolaryngologic Clinics of North America dedicated to advances in sleep disorders as they relate to surgical treatment in pediatric and adult populations. We offer this issue as a timely and relevant update regarding the treatment of sleep patients as our Otolaryngology community witnesses an increasing prevalence in sleep-disordered breathing. This affects millions worldwide, and it is evident that sleep disorders impact both individual health and societal well-being. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - March 8, 2024 Category: ENT & OMF Authors: Reena Dhanda Patil, Stacey Ishman, Carol Li Tags: Preface Source Type: research

Dysphagia: A Symphony of Senses at the Ballet Takes a Turn …
Ah Dysphagia! I have a love-hate relationship with dysphagia. I will start with what I love: the act of deglutition. I love it like Stanley Tucci loves travelling through Italy showing us the recipe of the first Bolognese by Artusi. I love that it involves nearly all our senses. The sight, the aroma, the textures, and tastes are like a symphony! I love that it even invokes a sixth sense of proprioception, as Anthony Bourdain felt that food tasted better barefoot on the sand. I often describe to my patients that swallowing is like a complex choreographed ballet. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - March 7, 2024 Category: ENT & OMF Authors: Mausumi Natalie Syamal, Eileen M. Raynor Tags: Preface Source Type: research

Allergy And Asthma In Otolaryngology
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - February 23, 2024 Category: ENT & OMF Authors: Daniel M. Beswick, Sarah K. Wise Source Type: research

Copyright
Elsevier (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - February 23, 2024 Category: ENT & OMF Source Type: research

Contributors
SUJANA S. CHANDRASEKHAR, MD, FAAO-HNS, FAOS, FACS (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - February 23, 2024 Category: ENT & OMF Source Type: research

Contents
Sujana S. Chandrasekhar (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - February 23, 2024 Category: ENT & OMF Source Type: research

Forthcoming Issues
Sleep Apnea in Children and Adults (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - February 23, 2024 Category: ENT & OMF Source Type: research