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Contents
Sujana S. Chandrasekhar (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 17, 2023 Category: ENT & OMF Source Type: research

Forthcoming Issues
Thyroid and Parathyroid Disease (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 17, 2023 Category: ENT & OMF Source Type: research

Radiofrequency Ablation for Benign Nodules and for Cancer, Too?
Radiofrequency ablation (RFA) is a minimally invasive procedure performed under ultrasound guidance that offers the ability to significantly reduce the size of benign thyroid nodules. Although application for benign nodules has only emerged during the past 5 to 10  years in North America, RFA has an impressive track record of nodule reduction, compressive and cosmetic symptom improvement, and excellent safety profile without the morbidity of open surgery. The role of RFA in autonomous functioning nodules, thyroid cancer, and indeterminate nodules is controve rsial and remains an area of investigation. (Source: Otolaryngol...
Source: Otolaryngologic clinics of North America - October 14, 2023 Category: ENT & OMF Authors: Jonathon O. Russell, Kaitlyn M. Frazier Source Type: research

Management of Aspirin-Exacerbated Respiratory Disease
Aspirin-exacerbated respiratory disease (AERD) is a subtype of chronic rhinosinusitis with polyps (CRSwNP) and asthma with higher recurrence of nasal polyps after surgery and severe asthma. Patients with CRSwNP and asthma should be screened for AERD by detailed history of aspirin/nonsteroidal anti-inflammatory drug reactions and review of medications that may mask aspirin reaction or directly by aspirin challenge. Treatment of AERD may require more intensive therapy, including endoscopic sinus surgery, daily aspirin therapy, leukotriene modifiers, or biologics. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 11, 2023 Category: ENT & OMF Authors: Erin K. O ’Brien, Elina Jerschow, Rohit D. Divekar Source Type: research

The Burden of Asthma and Allergic Rhinitis
Allergic rhinitis affects up to 78% of people with asthma, and asthma occurs in 38% of people with allergic rhinitis. Asthma has a prevalence of 8.7% among adults and 6.2% among children and accounts for $50 billion in medical costs and $32 billion in indirect and mortality costs in the United States, respectively. Allergic rhinitis occurs in 5% to 15% of people in the United States. Allergic rhinitis also accounts for a significant health care cost burden, predominantly in terms of indirect costs related to reduced quality of life and presenteeism. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 11, 2023 Category: ENT & OMF Authors: Kunjan B. Patel, James W. Mims, John D. Clinger Source Type: research

Allergy and Asthma Prevalence and Management Across Nasal Polyp Subtypes
Allergy and asthma prevalence vary across different subsets of chronic rhinosinusitis with nasal polyposis. In this article, the authors investigate the management of allergy and asthma within populations of patients with aspirin-exacerbated respiratory disease, allergic fungal rhinosinusitis, and central compartment atopic disease. Topical steroids, nasal rinses, and endoscopic sinus surgery are frequently employed in the management of nasal polyposis. Further, other causes of upper and lower airway inflammation like allergy and asthma should be considered in the overall treatment plan in order to optimize outcomes. (Sour...
Source: Otolaryngologic clinics of North America - October 10, 2023 Category: ENT & OMF Authors: Kody G. Bolk, Thomas S. Edwards, Sarah K. Wise, John M. DelGaudio Source Type: research

Incorporating Asthma Evaluation into the Otolaryngic Allergy Practice
Asthma occurs frequently as a comorbid condition in many patients presenting with common otolaryngology conditions, such as allergic rhinitis and chronic sinusitis with nasal polyps. The classic presentation of asthma includes symptoms of wheezing, shortness of breath, and chest tightness but can include other symptoms such as cough. The diagnosis is made mainly through history, although pulmonary function testing, spirometry, fractional exhaled nitric oxide, and impulse oscillometry may also prove helpful. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 10, 2023 Category: ENT & OMF Authors: Cecelia Damask, Christine Franzese Source Type: research

Step-by-Step Thyroidectomy —Incision, Nerve Identification, Parathyroid Preservation, and Gland Removal
This article aims to provide an overview of surgical techniques that may be applied in both benign and malignant disease settings. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 23, 2023 Category: ENT & OMF Authors: Britney Scott, Richard J. Wong Source Type: research

Avoiding Complications of Thyroidectomy
Both the superior and recurrent laryngeal nerves are at risk for injury during thyroid surgery. Comprehensive preoperative evaluation is key for surgical planning. Exposing nerves through careful dissection is the safest strategy to minimize injury risk. Intraoperative neural monitoring can be beneficial for both identifying and preserving the nerves. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 21, 2023 Category: ENT & OMF Authors: Kevin Y. Liang, Joseph Scharpf Source Type: research

Allergic Rhinitis, Rhinosinusitis, and Asthma
The upper and lower airways are referred to as a single, integrated entity in the unified airway paradigm. When an allergen exposure occurs, the body responds locally and systemically, causing inflammation in other respiratory sites. As a result, asthmatic lower airway inflammation frequently coexists with upper airway inflammation, such as allergic rhinitis. Otolaryngologists are in a unique position to detect undiagnosed lower airway illness, start the proper therapy, and improve patient outcomes since they regularly encounter patients with upper airway problems. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 20, 2023 Category: ENT & OMF Authors: Paavali Hannikainen, Chase Kahn, Elina Toskala Source Type: research

Promising New Diagnostic and Treatment Modalities for Allergic Rhinitis
Novel diagnostic tests may help diagnose patients with local allergic rhinitis (AR) when systemic testing is negative or inconclusive. Surgical approaches including septoplasty, inferior turbinate reduction, nasal swell body reduction, and posterior nasal nerve ablation may improve symptoms in patients whose symptoms are refractory to medical therapy, though high-quality evidence is lacking in the AR population. Intralymphatic and epicutaneous immunotherapy have the potential to improve adherence to allergen immunotherapy, though comparisons with current gold standard treatments are lacking and studies reporting long-term ...
Source: Otolaryngologic clinics of North America - September 16, 2023 Category: ENT & OMF Authors: Thomas F. Barrett, Lauren T. Roland Source Type: research

External Ear Disease
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 13, 2023 Category: ENT & OMF Authors: Matthew B. Hanson, Esther X. Vivas Source Type: research

Copyright
Elsevier (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 13, 2023 Category: ENT & OMF Source Type: research

Contributors
SUJANA S. CHANDRASEKHAR, MD, FACS, FAAOHNS (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 13, 2023 Category: ENT & OMF Source Type: research

Contents
Sujana S. Chandrasekhar (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - September 13, 2023 Category: ENT & OMF Source Type: research