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Complementary and Integrative Medicine in Head and Neck Cancer
Complementary/integrative medicine (CIM) is an evolving area of collaboration between oncology, patient and their beliefs, and practitioners of complementary medicine. Evidence-informed decision-making is necessary to advise patients on which treatments may be incorporated into standard of care treatments for cancer. Patients use CIM for a variety of reasons and often have unrealistic expectations of cure or disease modifications; on the other hand, there is increasing evidence that symptoms, side effects, and dysfunction related to cancer and its treatment can be ameliorated by CIM approaches to improve patient satisfacti...
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Joseph F. Goodman, Marilene B. Wang Source Type: research

Complementary and Integrative Medicine and the Voice
Dysphonia is a ubiquitous problem impacting a broad range of people. As communication is central to the human experience, any perturbation of the voice can be frustrating for the patient and the physician. Nutritional, psychological, and physical means of preventing and treating hoarseness have been used by humans since the beginning of written record. Today, we use a selection of these approaches, along with traditional medicine, to alleviate problems of the vocal tract. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Karuna Dewan, Vanessa Lopez, Nausheen Jamal Source Type: research

Natural Alternatives and the Common Cold and Influenza
The use of complementary and integrative medicine has increased . It is estimated that one-third of the population of the United States uses some form of alternative medicine. Physicians should consider integrative medicine therapies . Alternative medical therapies for the common cold and influenza include herbal supplements, dietary supplements, diet, and other adjunct therapies. However, it is important to research and study these therapies. Therefore, communication with patients and other health care providers is important. This will ensure effective and positive patient care experiences. Further randomized clinical tri...
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Varun S. Patel, Michael D. Seidman Source Type: research

Integrative Approach to Managing Obstructive Sleep Apnea
Conventional therapies for obstructive sleep apnea (OSA), including CPAP and oral appliances, offer the best opportunity for symptomatic improvement and reduction in OSA overall health impact. Integrative medicine brings conventional and complementary approaches together in a coordinated way. With rising obesity rates, weight loss and lifestyle programs seem to be the most favorable integrative methods to combine with conventional OSA therapies. Complementary and integrative approaches to OSA management are varied and, in conjunction with conventional methods, may offer some reduction in the apnea-hypopnea index (Source: O...
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Kathleen R. Billings, John Maddalozzo Source Type: research

Acupuncture and the Otolaryngology-Head & Neck Surgery Patient
The use of acupuncture among US adults was estimated at nearly 40% in 2012. A study from the United Kingdom in 2010 found 60% of otolaryngologic patients had used a form of complementary or integrative medicine, with greater than a third in the last year alone. Acupuncture, a therapeutic modality of traditional Chinese medicine, has been used for millennia in Asian countries. Within otolaryngology, acupuncture has been used for a variety of conditions encompassing otology, laryngology, rhinology, and pediatrics. Herein, we review the current literature on the applications of acupuncture for a range of ENT disorders. (Sourc...
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Chau T. Nguyen, Malcolm B. Taw Source Type: research

Endocannabinoid System and the Otolaryngologist
This article identifies common otolaryngologic pathologies where cannabinoids may have benefit, discusses potential drawbacks to cannabinoid use, and suggests future directions for research in the application of medical cannabinoids. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Brandon Tapasak, Luke Edelmayer, Michael D. Seidman Source Type: research

Establishing Healthy Lifestyle Choices Early
Promoting childhood and adolescent health and long-term well-being requires an emphasis on preventative care and anticipatory guidance. In this review, the authors will focus on pertinent ear, nose, and throat preventative health in children, providing clinicians with relevant and succinct information to counsel children and their parents on the following essential subjects: foreign body aspiration and ingestion, upper respiratory infection prevention, noise exposure risks, aural hygiene, risks of primary and secondhand smoke exposure, and sleep hygiene. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Laith Mukdad, Nina L. Shapiro Source Type: research

Complementary and Integrative Medicine
This article is an introduction to the concepts of complementary, alternative, and integrative medicine. It discusses the scope and prevalence of complementary and integrative medicine (CIM) use among otolaryngology patients. Specific types of CIM are characterized in the context of their origins, philosophic and historical bases, scientific evidence, and applicability to the practice of otolaryngology. The author ’s intent is to provide a framework for discussing CIM with patients and integrate into treatment paradigms in an evidence-based manner. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Matthew C. Miller Source Type: research

Healthy Aging
Aging, an ever-present process, is a part of every living organism ’s life cycle. Gerontology, the study of the biological, social, psychological aspects of aging, is a field that has been around since the 1930s, when the human inquiry into aging began to emerge. Aging can be characterized by the external changes, wrinkles, graying of the hair, among other change s, and lesser-seen but still important changes, presbycusis, arteriosclerosis, osteoporosis, cognitive decline, sarcopenia, and more. There is a strong drive to uncover as much as we can about the process of aging and the ways to delay its progression. (Source: ...
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Caroline Casey, Michael Seidman Source Type: research

Complementary/Integrative Medicine for Pediatric Otitis Media
Complementary/integrative medicine can be used in treating otitis media, especially during the watchful waiting phase. Elimination of risk factors can be important. Products such as echinacea, xylitol, and probiotics may help in prevention. Herbal eardrop formulations can relieve symptoms in some patients. Other modalities such as homeopathy can lead to faster relief of symptoms in combination with conventional therapy. Chinese, Japanese, and other forms of traditional medicine have varying formulations with unclear safety, but initial results are promising. Most studies are limited by methodological failures and small sam...
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Ajay S. Nathan, Jessica R. Levi, Robert O ’Reilly Source Type: research

Recent Advancements in Understanding the Gut Microbiome and the Inner Ear Axis
The gut microbiome and its dynamic association with organ  systems beyond the gastrointestinal tract, such as the nervous and cardiovascular systems, is an emerging area of research. Although the role of the gut microbiome has been extensively characterized in the gut–brain axis, the implications of gut dysbiosis in inner ear inflammation and hearing de ficits have still not been explored. With some similarities outlined between the blood–brain barrier (BBB) and the blood labyrinth barrier (BLB) of the inner ear, this review aims to explore the axis between the gut microbiome and the inner ear as it pertains to their ...
Source: Otolaryngologic clinics of North America - September 7, 2022 Category: ENT & OMF Authors: Alexa J. Denton, Dimitri A. Godur, Jeenu Mittal, Nathalie B. Bencie, Rahul Mittal, Adrien A. Eshraghi Source Type: research

Pediatric Otolaryngology in COVID-19
This article addresses several aspects of care within pediatric otolaryngology including safety, diagnosis, and treatment of COVID detailing the unique effects of the pandemic on the pediatric otolaryngology specialty and opportunities. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 8, 2022 Category: ENT & OMF Authors: Scott Rickert, Reza Rahbar Source Type: research

Brow Bossing Reduction
Testosterone creates several characteristic changes in the upper face. These changes include elevating and squaring the hairline, flattening the central forehead, and increasing the anterior projection of the brow bone and orbital rims. When present, these changes will give a strong masculine characteristic to the face overall. Several techniques will be described here to restore the feminine characteristics of the upper face. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 1, 2022 Category: ENT & OMF Authors: Bryan Rolfes Source Type: research

Opportunities for Gender-Affirming Surgery Training in Residency and Fellowship
The national otolaryngology-head and neck surgery (OHNS) landscape of transgender and nonbinary/gender-nonconforming (TNG) care education and gender-affirming surgical training is variable with limited availability. However, specialized and innovative training with breadth and depth is available at select training sites focusing on facial and/or vocal gender affirmation throughout the United States. With growing trainee interest, program and fellowship director-related efforts to expand training, and progressive arcs of social change focusing on protections and promotion of TNG health, the future of OHNS training opportuni...
Source: Otolaryngologic clinics of North America - August 1, 2022 Category: ENT & OMF Authors: Brian A. Nuyen, James P. Thomas Source Type: research

Three-Dimensional Planning in Hairline Surgery of Transgender Patients
Conception of feminine face includes many different points, one of them is the hairline pattern, which is an important feature of gender identification. Here, we describe our utilization of 3D –modeling techniques in perioperative planning. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 1, 2022 Category: ENT & OMF Authors: Anna V. Sluzky, Anastasiya V. Lyubchenko, Aina M. Magomedova Source Type: research