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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

Adult Esophageal Foreign Bodies
This manuscript reviews and outlines the necessary tools to efficiently assess and manage an adult patient where an esophageal foreign body is suspected. It reviews the vulnerable populations and relevant diagnostics and provides a triage diagram to aid in timely intervention. Management with esophagoscopy is reviewed as well as potential complications that may arise. Lastly, to illustrate the concepts of this section, a case study is presented to highlight the salient points. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - February 13, 2024 Category: ENT & OMF Authors: Mausumi N. Syamal Source Type: research

Positional Treatment of Obstructive Sleep Apnea
Positional sleep apnea (POSA), a distinctive subtype of obstructive sleep apnea, underscores the critical influence of a patient's sleeping position on the severity of their condition. In the management of POSA, compliance with positional therapy (PT) is paramount, as it wields a profound impact on the treatment's efficacy and the overall alleviation of the disease. The advent of new-generation PT devices offers a promising alternative to conventional methods like the tennis ball technique, boasting higher compliance rates and substantial disease alleviation. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - February 3, 2024 Category: ENT & OMF Authors: Madeline Jacqueline Louise Ravesloot Source Type: research

Runny Noses, Postnasal Drip, and Wheezing
In the 1997 movie “As Good As It Gets,”1 Jack Nicholson’s character has obsessive-compulsive disorder and cannot abide the absence of the one waitress who can handle his needs, who is out caring for her wheezing son. He sends a physician to her home who asks Helen Hunt’s character if the child has ever been t ested for allergies or seen when healthy, and she replies in the negative to both as she produces a diary and tons of medicines that have not worked. To fast forward (and this is a spoiler alert), the child’s allergies and asthma, confounded by poor air quality, are managed effectively, and he can return to ...
Source: Otolaryngologic clinics of North America - January 16, 2024 Category: ENT & OMF Authors: Sujana S. Chandrasekhar Tags: Foreword Source Type: research

Interpretation of Spirometry, Peak Flow, and Provocation Testing for Asthma
Spirometry plays a crucial role in the diagnosis of asthma. The hallmark spirometry finding of expiratory airflow variability can be demonstrated in several ways including peak airflow and bronchodilator and bronchoprovocation testing. Challenges of overdiagnosis and underdiagnosis underscore the need to consider clinical context while interpreting these tests. A meticulous and multifaceted approach prioritizing objective testing is imperative while diagnosing asthma. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - December 26, 2023 Category: ENT & OMF Authors: Sukhmani Boparai, George M. Solomon Source Type: research

Allergy and Asthma in Otolaryngology: Current Management Paradigms
Allergic and atopic diseases impact the airway from the nares to the alveoli. Otolaryngologists commonly manage these pathologies and are often the primary contact in the health care system for patients with these diseases. This collection includes up-to-date management strategies for allergic rhinitis, rhinosinusitis, and asthma in otolaryngologic settings, including diagnosis, treatment, anticipated future therapies, and associated comorbidities. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - December 14, 2023 Category: ENT & OMF Authors: Daniel M. Beswick, Sarah K. Wise Tags: Preface Source Type: research

Treatment of the Nose for Patients with Sleep Apnea
Nasal obstruction is common in patients with obstructive sleep apnea (OSA) and may variably impact symptoms and severity of OSA. It is associated with decreased continuous positive airway pressure (CPAP) compliance, and both medical and surgical management of nasal obstruction have resulted in increased CPAP adherence. Treatment of OSA with comorbid rhinitis via topical nasal steroids demonstrates a beneficial impact on daytime sleepiness. Isolated nasal surgery has been shown to result in decreased daytime sleepiness and snoring, with minimal effect on OSA severity. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - December 9, 2023 Category: ENT & OMF Authors: Jacquelyn K. Callander, Jolie L. Chang Source Type: research

Comorbid Insomnia and Sleep Apnea
Insomnia and obstructive sleep apnea (OSA) are 2 of the most prevalent sleep disorders and frequently co-occur. Therapy can be challenging as treatment of 1 disease may worsen the other. Cognitive behavioral therapy for insomnia is the first-line treatment for insomnia and has been shown to improve compliance with positive airway pressure therapy. Other alternatives to OSA treatment may have higher acceptance in those with comorbid insomnia and sleep apnea (COMISA), such as mandibular advancement devices or emerging pharmacotherapies. Surgery, particularly hypoglossal nerve stimulation, appears to be well tolerated and may...
Source: Otolaryngologic clinics of North America - December 1, 2023 Category: ENT & OMF Authors: Kathleen M. Sarber, Reena Dhanda Patil Source Type: research

Home Sleep Testing versus Traditional Polysomnography
Obstructive sleep apnea (OSA) is associated with long-term cardiovascular and respiratory comorbidities and increased burden on the health-care system. Early and accurate diagnosis is essential to reduce physical and financial implications of the disease. Polysomnography uses neurophysiologic channels as well as basic respiratory and sleep parameters to best estimate the presence and/or severity of OSA. Although home sleep testing may have the potential for more variable results, it is a viable alternative to increase access to diagnosis of OSA and facilitate initiation of positive airway pressure. (Source: Otolaryngologic...
Source: Otolaryngologic clinics of North America - December 1, 2023 Category: ENT & OMF Authors: Beatrice C. Go, Erica R. Thaler Source Type: research