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Financial and Health Impacts of Multidisciplinary Aerodigestive Care
Conclusion A cohort of children with aerodigestive disease experienced a shift from inpatient to outpatient care with an overall 20% reduction in patient charges when the years before and after MPACT enrollment were compared. Available ICD-9 data suggest potential demand for MPACT services. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Skinner, M. L., Lee, S. K., Collaco, J. M., Lefton-Greif, M. A., Hoch, J., Au Yeung, K. J. Tags: Health Policy and Economics Source Type: research

Antibiotic and Duration of Perioperative Prophylaxis Predicts Surgical Site Infection in Head and Neck Surgery
Conclusion Prolonging ampicillin/sulbactam beyond the day of surgery may have a protective effect against SSI, and 1 or more days of ampicillin/sulbactam may be preferable to multiple days of clindamycin. New randomized trials are needed to define the ideal regimen for CCHNS. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Langerman, A., Thisted, R., Hohmann, S., Howell, M. Tags: Head and Neck Surgery Source Type: research

Prognostic Factors in Myoepithelial Carcinoma of the Major Salivary Glands
Conclusions The presence of regional nodal disease, high-grade disease, and advanced stage are predictors of lower survival in myoepithelial carcinoma. Further studies based on types of treatment are warranted. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Xiao, C. C., Baker, A. B., White-Gilbertson, S. J., Day, T. A. Tags: Head and Neck Surgery Source Type: research

Salivary Duct Carcinoma of the Parotid: Outcomes with a Contemporary Multidisciplinary Treatment Approach
Conclusion For salivary duct carcinoma, a multimodality treatment approach is associated with acceptable locoregional control rates but poor distant control and overall survival. Novel systemic therapies may be needed to optimize clinical outcomes. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Mifsud, M., Sharma, S., Leon, M., Padhya, T., Otto, K., Caudell, J. Tags: Head and Neck Surgery Source Type: research

Trends in the Incidence of Oropharyngeal Cancers in the United States
Conclusion The observation that the incidence of oropharyngeal SCCa is increasing among younger white males, despite a reduction in tobacco usage in the United States, is consistent with HPV as the source. Primary and secondary prevention strategies may be warranted in this population. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Enomoto, L. M., Bann, D. V., Hollenbeak, C. S., Goldenberg, D. Tags: Head and Neck Surgery Source Type: research

The Pursuit of Otolaryngology Subspecialty Fellowships
Conclusions In this study, interest in pursuing fellowship training decreased with increased residency training. This decision is multifactorial in nature and also influenced by age, educational debt, and intended practice setting. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Wilson, M. N., Vila, P. M., Cohen, D. S., Carter, J. M., Lawlor, C. M., Davis, K. S., Raol, N. P. Tags: General Otolaryngology Source Type: research

Salivary Stone Pneumatic Lithotripsy in a Live Porcine Model
The purpose of this study is to evaluate the efficacy of endoscopic fragmentation and removal of artificial calculi in a live porcine model employing intracorporeal pneumatic lithotripsy. In this experimental study, 7 submandibular ducts were accessed and artificial calculi placed. A salivary pneumatic lithotripter probe was inserted through an interventional sialendoscope to fragment the calculi. A salivary duct catheter was then used to flush stone fragments, followed by endoscopy to assess complete fragmentation and ductal trauma. Ultimately, 7 artificial stones (3-10 mm, 4F/5F) were successfully fragmented without caus...
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Walvekar, R. R., Hoffman, H. T., Kolenda, J., Hernandez, S. Tags: General Otolaryngology Source Type: research

Nonvisualization of Sialoliths during Sialendoscopy
Conclusions Intraoperative nonvisualization of a sialolith is more likely to occur in the parotid gland. Proximal stone location may predict nonvisualization. These factors should be considered during treatment planning and counseling for patients with sialolithiasis. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Galinat, L., Curry, J., Luginbuhl, A., Rosen, D., Cognetti, D. M. Tags: General Otolaryngology Source Type: research

Reconstruction of Lateral Skull Base Defects: A Comparison of the Submental Flap to Free and Regional Flaps
Conclusion The musculocutaneous submental flap provides an excellent option for reconstruction of lateral skull base defects given its proximity, reliability, ease of harvest, and exceptional color match. Submental flap reconstruction was associated with reduced operative time, hospitalization duration, and flap revisions. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Howard, B. E., Nagel, T. H., Barrs, D. M., Donald, C. B., Hayden, R. E. Tags: Facial Plastic and Reconstructive Surgery Source Type: research

Comparison of Robotic versus Conventional Selective Neck Dissection and Total Thyroidectomy for Papillary Thyroid Carcinoma
Conclusion Compared with conventional transcervical SND with total thyroidectomy, robotic SND with total thyroidectomy yields superior outcomes for cosmetic satisfaction, longer operative time, and higher chest pain in the short term. Further study with a larger number of patients is mandatory. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Song, C. M., Ji, Y. B., Sung, E. S., Kim, D. S., Koo, H. R., Tae, K. Tags: Endocrine Surgery Source Type: research

Robotic Thyroidectomy: Comparison of a Postauricular Facelift Approach with a Gasless Unilateral Axillary Approach
Conclusion Both GUA and postauricular facelift approaches are feasible, with no significant adverse events in patients, and result in excellent cosmesis. However, a GUA approach seems to be superior when performing total thyroidectomy using a unilateral incision based on the preliminary result. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Sung, E. S., Ji, Y. B., Song, C. M., Yun, B. R., Chung, W. S., Tae, K. Tags: Endocrine Surgery Source Type: research

Monothermal Caloric Screening Test Accuracy: A Systematic Review
Conclusion Accuracy of the MCST is lacking precisely where it is needed most—at the border of normal and abnormal vestibular function. To guide clinical practice, research should include analysis of subgroups with varying levels of function and employ standardized testing parameters. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Adams, M. E., Telian, S. A., Kane, R. L., Butler, M. Tags: Review Article Source Type: research

New Web-Based Tool for Generating Scattergrams to Report Hearing Results
(Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Oghalai, J. S., Jackler, R. K. Tags: Commentary Source Type: research

Highlights from the Current Issue: June 2016
(Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 31, 2016 Category: ENT & OMF Authors: Krouse, J. H. Tags: Highlights Source Type: research

Efficacy of Upper Airway Stimulation on Collapse Patterns Observed during Drug-Induced Sedation Endoscopy
Conclusion Drug-induced sedation endoscopy is an efficient and safe method for determining UAS eligibility and has the potential to identify UAS nonresponders. Most patients had multilevel airway collapse, illustrating the limitations of single-level upper airway surgery in treating obstructive sleep apnea. Upper airway stimulation is effective therapy for most patients with multilevel airway collapse; however, patients with complete anterior-posterior or lateral soft palate and/or epiglottic collapse may be at increased risk of therapy failure. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Ong, A. A., Murphey, A. W., Nguyen, S. A., Soose, R. J., Woodson, B. T., Vanderveken, O. M., de Vries, N., Gillespie, M. B. Tags: Sleep Medicine and Surgery Source Type: research