Dermatologic Conditions of the External Ear
Cutaneous diseases of the ear encompass a wide range of symptoms, complaints, and factors that negatively impact patients ’ well-being. These observations are frequently encountered by otolaryngologists and other physicians who treat individuals with ear-related issues. In this document, we aim to offer up-to-date information on diagnosing, predicting outcomes, and treating commonly occurring ear diseases. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 7, 2023 Category: ENT & OMF Authors: Rebecca Leibowitz, Jenna E. Koblinski, Latrice M. Hogue, Justin T. Cheeley, Travis W. Blalock Source Type: research

Radiotherapy-induced Pathology of the Ear
Acute radiotherapy (RT)-induced external ear soft tissue changes start with erythema and dry desquamation and may progress to moist desquamation and epidermal ulceration. Chronic RT-induced changes include epithelial atrophy and subcutaneous fibrosis. Although RT-induced radiation dermatitis has been well studied, interventions for soft tissue disease involving the external auditory canal (EAC) warrant investigation. Medical management includes topical steroid treatment for EAC radiation dermatitis and topical antibiotic therapy for suppurative otitis externa. Hyperbaric oxygen and pentoxifylline –vitamin E therapy have ...
Source: Otolaryngologic clinics of North America - July 4, 2023 Category: ENT & OMF Authors: Kaitlyn A. Brooks, Jennifer H. Gross Source Type: research

Perioperative Management of Patients with Craniomaxillofacial Trauma
Successful surgical management of patients with facial fractures requires a detailed preoperative evaluation and postoperative management that differs from elective surgical patients. This review presents evidence-based recommendations from the surgical and anesthesiology literature that address many of the clinical questions that arise during the perioperative management of this group of patients. Surgeons and anesthesiologists must work together at numerous points and make joint decisions, especially where airway and pain management challenges may arise. The multidisciplinary nature of the decision-making process is emph...
Source: Otolaryngologic clinics of North America - July 4, 2023 Category: ENT & OMF Authors: Tzu-Hsuan Cheng, Matthew Mendelsohn, Radhika Patel, Samrat Worah, Sydney C. Butts Source Type: research

Temporal Bone Trauma
Temporal bone trauma represents a potentially underrecognized condition during head injuries and remains an important consideration during the evaluation of these patients. The temporal bone contains many critical neurovascular structures in addition to the primary organs of the auditory and vestibular systems that may be violated during these injuries. Despite the lack of consensus guidelines on the management of these injuries, this review highlights the current literature regarding the diagnosis and management of temporal bone trauma and its potential complications. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 28, 2023 Category: ENT & OMF Authors: James Dixon Johns, Corinne Pittman, Selena E. Briggs Source Type: research

Current Trends in Head and Neck Trauma
The practicing otolaryngologist frequently encounters consultation for injuries in the head and neck. Restoration of form and function is essential to normal activities of daily living and quality of life. This discussion intends to provide the reader with an up-to-date discussion of various evidence-based practice trends related to head and neck trauma. The discussion focuses on the acute management of trauma with minor emphasis on secondary management of injuries. Specific injuries related to the craniomaxillofacial skeleton, laryngotracheal complex, vascularity, and soft tissues are explored. (Source: Otolaryngologic cl...
Source: Otolaryngologic clinics of North America - June 27, 2023 Category: ENT & OMF Authors: Gregory I. Kelts, Travis R. Newberry Source Type: research

Enhanced Recovery After Surgery for Head and Neck Oncologic Surgery Requiring Microvascular Reconstruction
It has been demonstrated since the 1990 ’s that surgical outcomes can be improved through protocolized perioperative interventions. Since then, multiple surgical societies have engaged in adopting Enhanced Recovery After Surgery (ERAS) Societal recommendations to improve patient satisfaction, decrease the cost of interventions, and impr ove outcomes. In 2017, ERAS released consensus recommendations detailing the perioperative optimization of patients undergoing head and neck free flap reconstruction. This population was identified as a high resource demand, oftentimes burdened with challenging comorbidity, and poorly des...
Source: Otolaryngologic clinics of North America - June 27, 2023 Category: ENT & OMF Authors: Curtis Hanba, Carol Lewis Source Type: research

Improving Quality and Value in Head and Neck Reconstruction
Multiple advances in surgical techniques, technology, and perioperative patient care have revolutionized head and neck reconstruction over the last 40  years. Concurrent with these advances, health systems, patients, and payers have become increasingly focused on value and quality, owing in part to rapidly increasing health care costs. However, there is no consensus on how to define value and quality in the realm of head and neck reconstruction. This review focuses on the past, present, and future of quality improvement efforts in head and neck reconstruction. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 27, 2023 Category: ENT & OMF Authors: Kiran Kakarala, Matthew Mifsud, Peter Dziegielewski Source Type: research

Reconstruction Options in Otolaryngology
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 27, 2023 Category: ENT & OMF Authors: Jayne R. Stevens, Kiran Kakarala Source Type: research

Copyright
Elsevier (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 27, 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 - June 27, 2023 Category: ENT & OMF Source Type: research

Contents
Sujana S. Chandrasekhar (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 27, 2023 Category: ENT & OMF Source Type: research

Forthcoming Issues
External Ear Disease (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 27, 2023 Category: ENT & OMF Source Type: research

Head & Neck Trauma in the Geriatric Population
Craniofacial trauma in the geriatric population is increasing as our population ages. Due to loss of bone quality and medical comorbidities, injuries for minor trauma can be severe. A more extensive medical evaluation is usually warranted in this population before proceeding with surgery. In addition, unique surgical considerations exist in the repair of atrophic and edentulous bony fractures. Some quality improvement measures have already been undertaken but more is needed to help standardize care in this vulnerable population. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 27, 2023 Category: ENT & OMF Authors: Lucy L. Shi, Jacey Pudney, Sharon Brangman, Kourosh Parham, Michael Nuara Source Type: research

Current Guidelines and Opinions in the Management of Orbital Floor Fractures
Orbital floor fractures are a common manifestation of facial trauma that is encountered by ophthalmology, otolaryngology, and oral maxillofacial specialists. Surgical intervention is required emergently in cases of tissue entrapment and less urgently in cases of presenting with persistent diplopia, enophthalmos greater than 2  mm, and/or fractures involving greater than 50% of the orbital floor. Surgical management is a debated topic with differing opinions among surgeons regarding timing of repair, type of implant, and surgical approach. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 26, 2023 Category: ENT & OMF Authors: Radha P. Pandya, Wenyu Deng, Nickisa M. Hodgson Source Type: research

Traumatic Injuries of the Parotid Gland and Duct
This review will focus on the key steps in the recognition of parotid gland and duct injuries focusing on the important steps needed at the initial assessment. Management planning is presented in the way that trauma surgeons interact with patients, highlighting the important parts of the informed consent conversation followed by the key information that must be communicated to the anesthesia and operating room teams, which ensures proper monitoring and equipment needs are in place. Short-term and long-term outcomes for patients with persistent sequelae of the trauma and their management are reviewed. (Source: Otolaryngolog...
Source: Otolaryngologic clinics of North America - June 25, 2023 Category: ENT & OMF Authors: James Cochran, Jennifer Gottfried, Natalya Chernichenko, Rohan R. Walvekar, Sydney C. Butts Source Type: research