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OTO Journal

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The Otolaryngology–Head and Neck Surgery podcast series highlights research published in the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. Each podcast, which is moderated by the Editor in Chief and includes the Associate Editor and author of the paper, offers an in depth discussion about its significance to the global otolaryngology community and quality patient care.
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Episodes

Impact of Margins on Outcomes in HPV-Related Oropharyngeal Squamous Cell Carcinoma Treated With Surgery Only

Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by author Omar Karadaghy, MD, MSCI, and Associate Editor Sean Massa, MD, to discuss impact of surgical margin status in HPV-related oropharyngeal squamous cell carcinoma in "Impact of Margins on Outcomes in HPV-Related Oropharyngeal Squamous Cell Carcinoma Treated With Surgery Only,” which published in the July 2025 issue of Otolaryngology–Head and Neck Surgery . They talk about the potential for improved patient care by re-examining the s...

Jul 23, 202523 min

Clinical Practice Guideline: Surgical Management of Chronic Rhinosinusitis Plain Language Summary

Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by co-authors Meghan Wilson, MD, and Jason Blakeley Hensler, MD, to discuss the implications for non-otolaryngologists of the Clinical Practice Guideline "Surgical Management of Chronic Rhinosinusitis,” which published as a supplement to the June 2025 issue of Otolaryngology–Head and Neck Surgery. A plain language summary of the guideline was published in the June 2025 issue as a companion to the full guideline. Click here to read the full...

Jun 24, 202520 min

Clinical Practice Guideline: Surgical Management of Chronic Rhinosinusitis

Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by the guideline group's chair Jennifer J. Shin, MD, SM, and co-author Dana Crosby, MD, MPH, for a discussion of key points from the “Clinical Practice Guideline: Surgical Management of Chronic Rhinosinusitis,” which published as a supplement to the June 2025 issue of Otolaryngology–Head and Neck Surgery. The guideline addresses critical questions about patient selection, timing of surgery, and the extent of surgical intervention needed fo...

Jun 16, 202523 min

Lipopolysaccharide Causes Acquired CFTR Dysfunction in Murine Nasal Airways

Editor-in-Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Bradford A. Woodworth, MD, and Associate Editor Dana L. Crosby, MD, MPH, to discuss how lipopolysaccharide can be used to generate a model of acquired cystic fibrosis transmembrane conductance regulator (CFTR) dysfunction in murine nasal airways as outlined in the paper “Lipopolysaccharide Causes Acquired CFTR Dysfunction in Murine Nasal Airways,” which published in the May 2025 issue of Otolaryngology–Head and Neck Surge...

May 21, 202523 min

Elevated Risk of Thyroid Malignancy in Biological Males Taking Estrogen Hormone Therapy

Editor-in-Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author David Goldenberg, MD, to discuss role of estrogen in developing thyroid malignancy as outlined in the paper “Elevated Risk of Thyroid Malignancy in Biological Males Taking Estrogen Hormone Therapy” which published in the April 2025 issue of Otolaryngology–Head and Neck Surgery . They talk about the risk of thyroid cancer for biological males taking estrogen compared to men not undergoing hormone therapy and women. Click h...

Apr 29, 202515 min

Is Outpatient Supraglottoplasty Possible? Examination of Perioperative Comorbidities and Outcomes

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Gresham T. Richter MD, and Associate Editor John P. Dahl, MD, PhD, MBA, to discuss the outcomes of not admitting pediatric supraglottoplasty patients as outlined in the paper “Is Outpatient Supraglottoplasty Possible? Examination of Perioperative Comorbidities and Outcomes” which published in the March 2025 issue of Otolaryngology–Head and Neck Surgery . They talk about the necessity of keeping patients at the hospital fo...

Mar 04, 202525 min

Refractory Chronic Cough: A State-of-the-Art Review for Otolaryngologists

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Lee M. Akst, MD, and Associate Editor Christopher M. Johnson, MD, to discuss diagnosis of, treatments, and solutions for refractory chronic cough as outlined in the paper “Refractory Chronic Cough: A State-of-the-Art Review for Otolaryngologists” which published in the February 2025 issue of Otolaryngology–Head and Neck Surgery . They discuss both the paper's findings and their own experiences caring for patients with thi...

Feb 05, 202531 min

Medical Malpractice in Otolaryngology within the United States: A LexisNexis-Based Demographic Analysis

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by first author Shiven Sharma, JD, and Associate Editor Michael J. Brenner, MD, to discuss what the specialty can learn about medical malpractice in the field for quality improvement as outlined in the paper “Medical Malpractice in Otolaryngology within the United States: A LexisNexis-Based Demographic Analysis” which published in the January 2025 issue of Otolaryngology–Head and Neck Surgery . They talk about the database used, how trend...

Jan 21, 202538 min

Cost-Effectiveness Analysis of Operating Room and In-Office Reconstruction of Skin Cancer Defects

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Priyesh N. Patel, MD, and Associate Editor Peter M. Vila, MD, MSPH, to discuss the role of the operating room and its necessity in treating skin cancer defects as outlined in the paper “Cost-Effectiveness Analysis of Operating Room and In-Office Reconstruction of Skin Cancer Defects” which published in the December 2024 issue of Otolaryngology–Head and Neck Surgery . They weigh the effects of operating room on efficiency,...

Jan 02, 202526 min

Etiology of Childhood Profound Sensorineural Hearing Loss: The Role of Hearing Loss Gene Panel Testing

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author Rohani Omar MRCP, MD(Res) and Associate Editor John P. Dahl, MD, PhD, MBA, to discuss causes, especially genetic causes, of pediatric hearing loss as outlined in the paper “Etiology of Childhood Profound Sensorineural Hearing Loss: The Role of Hearing Loss Gene Panel Testing” which published in the November 2024 issue of Otolaryngology–Head and Neck Surgery . They discuss the paper's investigation of gene panel testing for heari...

Nov 04, 202419 min

OTO: Improving Operating Room Efficiency in Otolaryngology–Head and Neck Surgery: A Scoping Review

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Julie E. Strychowsky MD, MAS, FRCSC, and Associate Editor Michael J. Brenner, MD, to discuss methods for improving the efficiency of ORs for surgeons as outlined in the paper “Improving Operating Room Efficiency in Otolaryngology–Head and Neck Surgery: A Scoping Review” which published in the October 2024 issue of Otolaryngology–Head and Neck Surgery . They discuss the importance of finding ways to save time and cost for ...

Oct 08, 202425 min

OTO: When It's Not Allergic Rhinitis: Clinical Signs to Raise a Patient's Suspicion for Chronic Rhinosinusitis

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author Ahmad R. Sedaghat MD, PhD, and Associate Editor Dana L. Crosby, MD, MPH, to discuss the possibility of chronic rhinosinusitis when allergies are assumed as outlined in the paper “When It's Not Allergic Rhinitis: Clinical Signs to Raise a Patient's Suspicion for Chronic Rhinosinusitis” which published in the September 2024 issue of Otolaryngology–Head and Neck Surgery . They compare the symptoms of chronic rhinosinusitis to those...

Sep 10, 202427 min

OTO: ctDNA as an Adjunct to Posttreatment PET for Head and Neck Cancer Recurrence Risk Assessment

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author John Pang, MD, and Associate Editor Tristan Tham, MD, to discuss circulating tumor DNA (ctDNA) detection as a new technique to identify minimal residual disease in patients with solid tumors as outlined in the paper “ctDNA as an Adjunct to Posttreatment PET for Head and Neck Cancer Recurrence Risk Assessment” which published in the August 2024 issue of Otolaryngology–Head and Neck Surgery . They compare ctDNA to the traditional ...

Aug 14, 202426 min

OTO: Long-term Quality of Life After Thyroidectomy: Transoral Endoscopic Thyroidectomy Vestibular Approach Versus Transcervical Approach

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Jonathon O. Russell MD, and Associate Editor Raymond Liu Chai, MD, to discuss the pros and cons of two approaches to thyroidectomy as outlined in the paper “Long-term Quality of Life After Thyroidectomy: Transoral Endoscopic Thyroidectomy Vestibular Approach Versus Transcervical Approach” which published in the July 2024 of Otolaryngology–Head and Neck Surgery . They compare the quality of life for patients under two meth...

Aug 14, 202423 min

OTO: The Use of Deep Learning Software in the Detection of Voice Disorders: A Systematic Review

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Diana N. Kirke, MD, MPhil, and Associate Editor Lee M. Akst, MD, to discuss the potential for deep learning models to detect voice disorders as outlined in the paper “The Use of Deep Learning Software in the Detection of Voice Disorders: A Systematic Review” which published in the June 2024 special issue of Otolaryngology–Head and Neck Surgery . They compare the accuracy of different models and inputs and ponder the possi...

Aug 14, 202425 min

OTO: Clinical Practice Guideline: Age-Related Hearing Loss Part 2

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by lead authors Heather M. Weinreich, MD, MPH and Carrie L. Nieman, MD, MPH to provide a patient and primary care provider-focused overview of the “Clinical Practice Guideline: Age-Related Hearing Loss” which published in the May 2024 issue of Otolaryngology–Head and Neck Surgery . They discuss the pearls and pitfalls in screening and treating hearing loss for the patient and non-otolaryngologist providers. Click here to read the full art...

Aug 14, 202423 min

OTO: Clinical Practice Guideline: Age-Related Hearing Loss Part 1

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by lead authors Betty S. Tsai Do, MD, and Matthew L. Bush MD, PhD, MBA, for a discussion of some key points of the “Clinical Practice Guideline: Age-Related Hearing Loss” which published in the May 2024 issue of Otolaryngology–Head and Neck Surgery. They discuss the recommendations for screening of hearing loss and the pros and cons for different treatment options of age-related hearing loss. Click here to read the full article....

Aug 14, 202429 min

OTO: Otolaryngology Applicant Perspectives on In-person and Virtual Residency Interviews

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Anne C. Kane, MD, and Associate Editor Michael J. Brenner, MD for a discussion of the article “Otolaryngology Applicant Perspectives on In-person and Virtual Residency Interviews", which published in the April 2024 issue of Otolaryngology–Head and Neck Surgery . They discuss the pros and cons of conducting residency interviews either in-person or virtually, including the impacts of in-person interviews on underrepresented...

Aug 06, 202429 min

OTO: Clinical Practice Guideline: Immunotherapy for Inhalant Allergy, Part 2

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author Cecelia C Damask, DO and author Christine M. Reger, DNP, CRNP for a discussion of the implications for non-otolaryngologists of the “Clinical Practice Guideline on Immunotherapy for Inhalant Allergy,” which published in the March 2024 issue of Otolaryngology–Head and Neck Surgery . They discuss how allergies impact patients' lives and how immunotherapy can improve their symptoms. Click here to read the full article....

Mar 14, 202420 min

OTO: Clinical Practice Guideline: Immunotherapy for Inhalant Allergy, Part 1

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by lead author Richard K. Gurgel, MD, MSC, and author Stacey L. Ishman, MD, MPH for a discussion of the implications for otolaryngologists of the “Clinical Practice Guideline on Immunotherapy for Inhalant Allergy,” which published in the March 2024 issue of Otolaryngology–Head and Neck Surgery . They discuss how the CPG came together over two years and what they discovered comparing different types of immunotherapy and the effects on diff...

Mar 14, 202416 min

OTO: Reducing Pediatric Posttonsillectomy Opioid Prescribing: A Quality Improvement Initiative

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Michael J. Brenner, MD and Associate Editor and senior author John P. Dahl, MD, PhD, MBA for a discussion of the article “Reducing Pediatric Posttonsillectomy Opioid Prescribing: A Quality Improvement Initiative,” which published in the February 2024 issue of Otolaryngology–Head and Neck Surgery . They discuss how the researchers were able to reduce the numbers of opioid doses given to pediatric patients after adenoton...

Feb 14, 202429 min

OTO: Identifying Predictors of Treatment Response in Meniere's Disease: A Clinical Severity Staging System

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Jacob Hunter, MD, and senior author Jay F. Piccirillo, MD, for a discussion of the article “Identifying Predictors of Treatment Response in Meniere's Disease: A Clinical Severity Staging System,” which published in the January 2024 issue of Otolaryngology–Head and Neck Surgery . Their conversation highlights how decreased vertigo severity, reduced comorbidity burden, and absence of hearing loss are associated with cons...

Jan 25, 202440 min

OTO: The Association of Hearing Loss With Active Music Enjoyment in Hearing Aid Users

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Jacob Hunter, MD, and co-author Anil K. Lalwani MD, for a discussion of the article “The Association of Hearing Loss With Active Music Enjoyment in Hearing Aid Users,” which published in the December 2023 issue of Otolaryngology–Head and Neck Surgery. Their conversation highlights the effect of hearing aids on active music enjoyment in individuals with varying levels of hearing loss. Article: https://aao-hnsfjournals.o...

Dec 14, 202331 min

OTO: Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Babak Givi, MD, and lead author Leila J. Mady MD, PhD, MPH, to discuss “Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons,” which published in the November 2023 issue of Otolaryngology–Head and Neck Surgery . The research used a survey that was sent to facial plastic and maxillofacial surgeons, in addition to microvascular surgeons, to gain a comprehensive understanding of what causes gender ...

Dec 07, 202339 min

OTO: Time-Driven Activity-Based Cost Comparison of Thyroid Lobectomy and Radiofrequency Ablation

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Raymond L. Chai, MD, and lead author Julia E. Noel, MD, to discuss “Time-Driven Activity-Based Cost Comparison of Thyroid Lobectomy and Radiofrequency Ablation,” which published in the October 2023 issue of Otolaryngology–Head and Neck Surgery . Dr. Noel and her coauthors used time-driven activity-based cost methodology to drill down the details that reveal radiofrequency ablation (RFA) is a more cost-effective treatme...

Dec 04, 202330 min

OTO: Recovery Benefit With Total Intravenous Anesthesia in Patients Receiving Rhinoplasty

Editor in Chief Cecelia E. Schmalbach, MD, MSc, hosts Associate Editor Michael J. Brenner, MD, and lead author Ryan N. Heffelfinger, MD, for a conversation about the article “Recovery Benefit With Total Intravenous Anesthesia in Patients Receiving Rhinoplasty,” which published in the September 2023 issue of Otolaryngology–Head and Neck Surgery . This wide-ranging discussion covers outcomes of less nausea and vomiting for patients receiving TIVA, cost of TIVA, and data related to the environmenta...

Sep 06, 202330 min

OTO: Developing Consensus on Priority Pediatric Otolaryngology-Head and Neck Surgery Conditions and Procedures

Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Thomas Q. Gallagher, DO, and lead author Sarah Nuss, BS, for a discussion of the article “Developing Consensus on Priority Pediatric Otolaryngology-Head and Neck Surgery Conditions and Procedures,” which published in the August 2023 issue of Otolaryngology–Head and Neck Surgery . This study was done in collaboration with the Global OHNS Initiative and used the Delphi method to capture consensus lists through survey par...

Aug 10, 202330 min

OTO: The Evolution and Application of Artificial Intelligence in Rhinology: A State of the Art Review

Editor in Chief Cecelia E. Schmalbach, MD, MSc, Associate Editor James “Whit” Mims, MD, and lead author Ameen Amanian, MD, MSE, discuss “The Evolution and Application of Artificial Intelligence in Rhinology: A State of the Art Review.” The article, published in the July 2023 issue of Otolaryngology-Head and Neck Surgery , provides a good introduction to what AI can do within the context of rhinology. One podcast highlight fleshes out the AI nomenclature and provides examples within rhinology of ...

Jul 05, 202335 min

OTO: Individuals Experiencing Homelessness: A Systematic Review of Otolaryngology-Related Health Needs and Community-Based Interventions

Join Editor in Chief Cecelia E. Schmalbach, MD, MSc, for a compelling discussion of “Individuals Experiencing Homelessness: A Systematic Review of Otolaryngology-Related Health Needs and Community-Based Interventions,” which published in the June 2023 issue of Otolaryngology-Head and Neck Surgery . Associate Editor Michael J. Brenner, MD; senior author Antoine Eskander MD, ScM, FRCSC; and lead author and recent graduate Dorsa Mavedatnia, MD, take part in the discussion of this literature review ...

Jun 27, 202335 min

OTO: Current Management of Subcondylar Fractures: A Systematic Review

Editor in Chief Cecelia E. Schmalbach, MD, MSc, hosts a rich discussion of “Current Management of Subcondylar Fractures: A Systematic Review,” which published in the May 2023 issue of Otolaryngology-Head and Neck Surgery . Lead author Kalpesh Vakharia, MD, and Associate Editor Babak Givi, MD, join Dr. Schmalbach in a conversation that delves into the approaches used for subcondylar fractures when treating facial trauma. This systematic review provides a resource for surgeons and demonstrates a n...

Jun 08, 202345 min
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