Appropriate Use of Preoperative Imaging in Feminization Cranioplasty.

Study Design: Retrospective chart review.

Objective: The objective of this study was to determine if proceeding with feminization frontal cranioplasty without preoperative imaging adversely affected patient outcomes.

Methods: This study retrospectively reviewed all patients undergoing frontal cranioplasty for facial feminization at a single tertiary care center between 2013 and 2019.

Approach to the Transgender Patient: Preoperative Counseling, Setting Expectations, Avoiding Potential Postoperative Pitfalls.

An increasing number of transgender patients are seeking gender-affirming facial surgery, also known as facial feminization surgery. Physicians offering these services must be well versed in how to compassionately care for this patient population. We recommend having a well-informed staff that is knowledgeable about proper verbiage, use of pronouns, and preferred names for transgender patients.

Decreased Complications After Total Laryngectomy Using a Clinical Care Pathway.

Complications following total laryngectomy can lead to increased hospital length of stay (LOS) and increased health care costs. Our objective was to determine the efficacy of a clinical care pathway for improving outcomes for patients following total laryngectomy. This quality improvement study included all adult patients undergoing total laryngectomy-either primary or salvage-at a tertiary referral center between January 2013 and December 2018.

Socioeconomic Status and Survival in Nasopharyngeal Carcinoma: A Population-Based Study.

Objectives/hypothesis: To evaluate survival for nasopharyngeal carcinoma in relation to socioeconomic status.

Study Design: Retrospective cohort study using the Surveillance, Epidemiology, and End Results (SEER) Census Tract-level Socioeconomic Status Database (2000-2016).

Methods: Patients with nasopharyngeal carcinoma diagnosed between 2000 and 2016 were identified.

Complications Associated with Medical Tourism for Facial Rejuvenation: A Systematic Review.

Background: Medical tourism for cosmetic surgery has become increasingly popular in recent years. The existing literature has identified poor outcomes associated with general cosmetic tourism; however, the complications associated with cosmetic tourism for facial rejuvenation remain poorly understood. The aims of this study are to delineate the risk profile associated with medical tourism for facial rejuvenation.

Vestibular Characteristics of Patients with Chronic Rhinosinusitis.

Chronic rhinosinusitis (CRS) is a common disease entity with symptoms that may extend beyond the sinonasal tract. Limited data exist regarding the relationship between CRS and the vestibular system, and no previous study has investigated the association between objective vestibular findings on videonystagmography (VNG) and the diagnosis of CRS. We analyzed a prospective database of 3078 patients who underwent VNG at our institution over an 8-year period, which included 70 subjects who had a diagnosis of CRS assigned by an otolaryngologist.

Historical Instruments for the Modern Sinus Surgeon.

Background: Despite a proliferation of technological advances in sinonasal surgery, "cold steel" instruments still comprise the core of the sinus surgeon's tools of the trade. Many of these implements retain eponyms that recall the legacies of prominent surgeons of the past.

Objective: This review aims to familiarize the reader with the lives of 10 men who designed and popularized some of the most recognizable sinus instruments, without which the practice of rhinologic surgery would be unrecognizable.

Initial Experience of a Patient Navigation Model for Head and Neck Cancer.

Importance: Specific temporal goals for treatment of head and neck cancer (HNC) are common in Europe but not in the United States. We implemented a patient-centric navigation model with an aspirational goal that all patients will receive treatment recommendations within 2 weeks of presentation as a means to improve outcomes in our patients with HNC.

Objective: To assess the temporal impact of using an aspirational goal in a patient-centric navigation system on the time from presentation to formulation of treatment planning for patients with HNC.