Otolaryngology Resident Education: Beyond Procedural Case Logs-A 10-Year Single Institutional Review.

Objective: To quantify the otolaryngologic diagnoses encountered in outpatient clinics by otolaryngology-head and neck surgery (OHNS) residents during their 5 years of postgraduate training.

Methods: This is a retrospective review at a single institution following 5 consecutive graduating resident cohorts throughout their training. The electronic health record was queried for OHNS clinic encounters from 2013 through 2022 during which the resident physicians were included as the visit provider or assistant to an attending physician.

Two Simultaneous Rare Head and Neck Lipomas: Vallecular Lipoma and Giant Intermuscular Neck Lipoma.

Lipomas are benign soft tissue neoplasms, involving the head and neck in roughly 15% of cases. We review a patient who presented with a palpable, anterior neck mass and progressive dysphagia, throat clearing, and dysphonia. He was found to have two simultaneous rare sites for head and neck lipomas: vallecular and intermuscular, anterior neck.

Long-term neuropsychological outcomes of survivors of young childhood brain tumors treated on the Head Start II protocol.

Background: The Head Start treatment protocols have focused on curing young children with brain tumors while avoiding or delaying radiotherapy through using a combination of high-dose, marrow-ablative chemotherapy and autologous hematopoietic cell transplantation (AuHCT). Late effects data from treatment on the Head Start II (HS II) protocol have previously been published for short-term follow-up (STF) at a mean of 39.7 months post-diagnosis.

The role of doxycycline in the management of chronic rhinosinusitis with nasal polyps.

Introduction: Many theories on the pathophysiology of chronic rhinosinusitis with nasal polyposis (CRSwNP) exist. The most effective management of CRSwNP has not been elucidated. Doxycycline, which has anti-inflammatory and anti-bacterial properties, has shown durable effects; however, its efficacy in combination with standard therapy has not been examined.

Using Lean to Improve Patient Safety and Resource Utilization After Pediatric Adenotonsillectomy.

Objective: The objective of this quality improvement project was to decrease the rate of nonemergent use of emergency department (ED) resources in children undergoing adenotonsillectomy by 50% and/or reach a future state of 5% or less overall ED visits among all postoperative patients within 1 year. A secondary objective was to standardize the preoperative, intraoperative, and postoperative management of these patients.

Methods: The study was a quality improvement project using Lean.

An Evaluation of the Program-Specific Paragraph in the Otolaryngology Residency Application.

Objectives/hypothesis: The recent addition of mandatory program-specific paragraphs within the personal statement during the otolaryngology match process has been controversial. It is unclear whether applicants customize these paragraphs for programs, or if they are largely uniform across applications. The objective of our study was to assess the degree of variability among program-specific paragraphs.

Referral patterns from emergency department to otolaryngology clinic.

Objectives/hypothesis: Patients who present to the emergency department (ED) with various otolaryngologic disorders are frequently referred to an otolaryngologist for follow-up care. Our aim was to further characterize this group as it has not been well described in the literature.

Study Design: Cross-sectional retrospective study.

Use of Lean and CAHPS Surgical Care Survey to Improve Patients' Experiences with Surgical Care.

Objectives: (1) Measure patients' experiences with surgical care using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surgical Care Survey. (2) Use lean thinking to analyze and improve quality of patient care.

Study Design: A prospective quality improvement study.

Videoconferencing for the pre-operative interaction between patient and surgeon.

We studied the use of videoconferencing for the pre-operative patient-surgeon interaction. Subjects were recruited from otolaryngology patients undergoing surgery at a tertiary hospital. They were randomised to a conventional face-to-face interaction with their surgeon or a videoconference call via tablet computer.

Prevalence of severe obstructive sleep apnea in pediatric adenotonsillectomy patients.

Objectives/hypothesis: To determine the prevalence of severe obstructive sleep apnea (OSA) in a pediatric population who underwent indicated surgery for sleep disordered breathing (SDB).

Study Design: Retrospective chart review.

Methods: We reviewed the charts of patients aged 2 to 18 years who underwent tonsillectomy or adenotonsillectomy over a 4-year period.

Evaluation of a teaching tool to increase the accuracy of pilot balloon palpation for measuring tracheostomy tube cuff pressure.

Objectives/hypothesis: The purpose of this study was to evaluate the efficacy of a novel teaching tool to improve health care providers' ability to inflate tracheostomy tube cuffs to the appropriate pressure.

Study Design: Single-blinded, randomized, controlled trial.

Methods: Subjects were randomized to a control and study group.

Incentive spirometry for the tracheostomy patient.

Objective: To determine the feasibility of developing and using a customized incentive spirometer device for patients who have undergone a tracheostomy procedure.

Study Design: The authors performed a prospective case series approved by the institutional review board.

Setting: Academic medical center.

Bilateral central serous chorioretinopathy caused by intranasal corticosteroids: a case report and review of the literature.

The relationship between systemic corticosteroids and central serous chorioretinopathy (CSCR) has been well established; however, there also appears to be an association with intranasal corticosteroids. A search of the English literature revealed only three reported cases of CSCR linked to intranasal corticosteroid use, and in each, clinical improvement was observed after cessation of the steroid agent. We present an additional case of bilateral CSCR resulting from intranasal corticosteroid use and review the literature regarding this uncommon side effect.

Prefabricated composite free flaps for tracheal reconstruction: a new technique.

Objectives: Successful laryngotracheal reconstruction requires both structurally supported tissue that withstands airway pressure changes and well-vascularized epithelial lining to prevent granulation and stricture formation. For circumferential defects, end-to-end anastomosis achieves favorable results, but for long-segment or large noncircumferential defects, no proven methods have emerged. Several animal studies describe prefabricated soft tissue flaps wrapped around synthetic materials or cartilage.