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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

OTO: Clinical Practice Guideline: Tonsillectomy in Children (Update), Part 1

This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Tonsillectomy in Children (Update)", published as a supplement to the February 2019 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of a 2011 guideline developed by the American Academy of Otolaryngology–Head and Neck Surgery Foundation provides evidence-based recommendations on the pr...

Feb 05, 201918 min

OTO: Impact of PET/CT on Staging and Treatment of Advanced Head and Neck Squamous Cell Carcinoma

This podcast highlights original research published in February 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to understand the effects of positron emission tomography/computed tomography (PET/CT) evaluation on patients with previously untreated head and neck squamous cell carcinoma (HNSCC) with clinical evidence of regional lymph node involvement. In c...

Feb 05, 201921 min

OTO: Peripheral Vestibular System Histopathologic Changes following Head Injury without Temporal Bone Fracture

This podcast highlights original research published in the January 2019 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Vestibular symptoms such as dizziness and vertigo are common after head injury and may be due to trauma to the peripheral vestibular system. The pathophysiology of peripheral vestibular symptoms following head injury without temporal bone (TB) fracture, however, is not well...

Jan 14, 201922 min

OTO: Balloon Catheter Dilation of the Sinuses: A 2011-2014 MarketScan Analysis

This podcast highlights original research published in the December 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This retrospective study uses a large national claims-based database to analyze recent practice patterns related to balloon catheter dilation (BCD) of the sinuses. In conclusion, BCD, especially in the office, has risen in popularity since the introduction of Current Proc...

Dec 03, 201812 min

OTO: Prevalence and Risk Factors of Suicidal Ideation among Patients with Head and Neck Cancer: Longitudinal Study

This podcast highlights original research published in the November 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study was to (1) determine 1-year period prevalence of suicidal ideation, suicide attempt, and completed suicide among patients newly diagnosed with a first occurrence of head and neck cancer (HNC). (2) Characterize stability and trajectory of suicidal...

Nov 01, 201823 min

OTO: Risk Factors for Posttracheostomy Tracheal Stenosis

This podcast highlights original research published in the October 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study was to determine the incidence of posttracheostomy tracheal stenosis and to investigate variables related to the patient, hospitalization, or operation that may affect stenosis rates. In conclusion, greater than 10 days of orotracheal intubation p...

Oct 01, 201816 min

OTO: Increasing Industry Involvement in Otolaryngology: Insights from 3 Years of the Open Payments Database

This podcast highlights original research published in the September 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study was to characterize industry payments to otolaryngologists in 2016 versus 2014 and 2015. In conclusion, industry compensation to otolaryngologists is increasing and increasingly unequal, although it is still less than that in most other specialt...

Sep 04, 201815 min

OTO: Time, Resident Involvement, and Supply Drive Cost Variability in Septoplasty with Turbinate Reduction

This podcast highlights original research published in the August 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to determine factors that influence cost variability in septoplasty with inferior turbinate reduction. For septoplasty with inferior turbinate reduction, the greatest driver of cost variation was operative time. Resident involvement correlate...

Aug 02, 201817 min

OTO: Randomized Controlled Trial Examining the Effects of Balloon Catheter Dilation on “Sinus Pressure” / Barometric Headaches

This podcast highlights original research published in the July 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to determine if balloon catheter dilation of sinus ostia affects the severity or frequency of headache among patients who have barometric pressure–related “sinus” headache. Subjects with sinus pressure headache without evidence of mucosal thick...

Jul 03, 201813 min

OTO: From Burnout to Wellness: A Professional Imperative

This podcast highlights original research published in the June 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Professional burnout is a barrier to physician wellness. Burnout is prevalent across medicine, and otolaryngology as a specialty ranks near the mean. We review burnout levels in various subgroups of otolaryngology, including academic chairs, faculty, and residents. Risk facto...

Jun 01, 201817 min

OTO: Evidence-Based Use of Perioperative Antibiotics in Otolaryngology

This podcast highlights original research published in the May 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The purpose of this study is to identify and clarify current evidence supporting and disputing the effectiveness of perioperative antibiotic use for common otolaryngology procedures. Evidence does not support the use of perioperative antibiotics for most otolaryngologic proced...

May 01, 201821 min

OTO: Antithrombotic Therapy for Venous Thromboembolism and Prevention of Thrombosis in Otolaryngology–Head and Neck Surgery: State of the Art Review

This podcast highlights a state-of-the-art literature review published in the April 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The aim of this report is to present a cohesive evidence-based approach to reducing venous thromboembolism (VTE) in otolaryngology–head and neck surgery. VTE prevention includes deep venous thrombosis and pulmonary embolism. Despite national efforts in VTE...

Apr 02, 201814 min

OTO: Clinical Practice Guideline: Hoarseness (Dysphonia) (Update), Part 2

This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)", published as a supplement to the March 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This guideline provides evidence-based recommendations on treating patients who present with dysphonia, which is characterized by altered vocal quality, pitch, loudness...

Mar 23, 201829 min

OTO: Clinical Practice Guideline: Hoarseness (Dysphonia) (Update), Part 1

This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)", published as a supplement to the March 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This guideline provides evidence-based recommendations on treating patients who present with dysphonia, which is characterized by altered vocal quality, pitch, loudness, or...

Mar 14, 201822 min

OTO: Effectiveness of Transmastoid Plugging for Semicircular Canal Dehiscence Syndrome

This podcast highlights original research published in the March 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Objectives: (1) Evaluate changes in subjective symptoms in patients following transmastoid canal plugging for superior semicircular canal dehiscence (SSCD) syndrome. (2) Quantify changes in hearing in patients who have undergone transmastoid canal plugging for SSCD syndrome....

Mar 01, 201820 min

OTO: Comparison of Medical Therapy Alone to Medical Therapy with Surgical Treatment of Peritonsillar Abscess

This podcast highlights original research published in the February 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This study was performed to determine whether the efficacy and safety of medical management of uncomplicated peritonsillar abscess (PTA) presenting in the emergency department is equivalent to medical plus surgical therapy. In conclusion, compared to ST, MT appears to be ...

Feb 01, 201819 min

OTO: Polysomnographic Oxygen Saturation Findings for Preteen Children versus Adolescents

This podcast highlights original research published in the January 2018 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Home oximetry is commonly used to screen for obstructive sleep apnea (OSA) in children; however, normal oxygen desaturation levels by disease severity are not well known. It was our objective to determine if oxygen saturation levels differed by OSA severity category in chi...

Jan 11, 201814 min

OTO: Residual Cholesteatoma during Second-Look Procedures following Primary Pediatric Endoscopic Ear Surgery

This podcast highlights original research published in the December 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to determine the rate of residual cholesteatoma during planned second-look procedures in pediatric patients following primary cholesteatoma resection using endoscopic and microscopic operative approaches. In conclusion, residual cholesteato...

Dec 12, 201718 min

OTO: Cross-sectional Analysis of the Relationship between Paranasal Sinus Balloon Catheter Dilations and Industry Payments among Otolaryngologists

This podcast highlights original research published in the November 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective of this study was to characterize the relationship between industry payments and use of paranasal sinus balloon catheter dilations (BCDs) for chronic rhinosinusitis. Physicians with Medicare claims with Current Procedural Terminology codes 31295 to 31297 wer...

Nov 01, 201717 min

OTO: US Food and Drug Administration Clearance of Moderate-Risk Otolaryngologic Devices via the 510(k) Process, 1997-2016

This podcast highlights original research published in the October 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The US Food and Drug Administration (FDA) clears moderate-risk devices via the 510(k) process based on substantial equivalence to previously cleared devices; evidence of safety and effectiveness is not required. We characterized the premarket evidence supporting FDA cleara...

Oct 06, 201723 min

OTO: Evaluation of the Neck Mass in Adults: Clinical Practice Guideline, Part 2

This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Evaluation of the Neck Mass in Adults", published as a supplement to the September 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Neck masses are common in adults, but often the underlying etiology is not easily identifiable. While infections cause most of the neck masses in children, mo...

Sep 14, 201716 min

OTO: Evaluation of the Neck Mass in Adults: Clinical Practice Guideline, Part 1

This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Evaluation of the Neck Mass in Adults", published as a supplement to the September 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Neck masses are common in adults, but often the underlying etiology is not easily identifiable. While infections cause most of the neck masses in children, most p...

Sep 14, 201713 min

OTO: Tonsillectomy in Children with Down Syndrome: A National Cohort of Inpatients

This podcast highlights original research published in the September 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective for this study was to describe the cost, length of stay, and incidence of postoperative hemorrhage associated with Down syndrome (DS) patients undergoing tonsillectomy in a national sample of inpatient children. Across the United States, children with DS ho...

Sep 14, 201715 min

OTO: Intranasal Steroid Use for Otitis Media with Effusion: Ongoing Opportunities for Quality Improvement

This podcast highlights original research published in the August 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Our objectives were (1) to assess patterns of intranasal steroid administration when otitis media with effusion (OME) has been diagnosed in children, (2) to investigate whether usage varies according to visit setting, and (3) to determine if practice gaps are such that qual...

Aug 01, 201716 min

OTO: A Novel Patient Safety Event Reporting Tool in Otolaryngology

This podcast highlights original research published in the July 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. A pilot study of an anonymous, voluntary, event reporting system made available to all members of the American Academy of Otolaryngology—Head and Neck Surgery was performed. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) index was u...

Jul 03, 201716 min

OTO: The State of the Otolaryngology Match: A Review of Applicant Trends, “Impossible” Qualifications, and Implications

This podcast highlights original research published in the June 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This State of the Art Review aims (1) to define recent qualifications of otolaryngology resident applicants by focusing on United States Medical Licensing Examination (USMLE) scores, Alpha Omega Alpha (AOA) status, and research/publications and (2) to summarize the current li...

Jun 01, 201719 min

OTO: Staged Surgery for Advanced Thyroid Cancers: Safety and Oncologic Outcomes of Neural Monitored Surgery

This podcast highlights original research published in the May 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This study evaluates oncologic results and safety of neural monitored, staged thyroid cancer surgery for management of advanced thyroid cancer. In conclusion, a neural monitored, staged surgical approach was conducted without significant adverse events in this small sample and...

May 01, 201721 min

OTO: Thyroid Ultrasound-Guided Fine-Needle Aspiration Cytology Results: Observed Increase in Indeterminate Rate over the Past Decade

This podcast highlights original research published in the April 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective for this study was to evaluate changes in distribution of reported thyroid nodule fine-needle aspiration (FNA) cytopathology results since implementation of the Bethesda classification and revised 2015 American Thyroid Association (ATA) guidelines for selecting...

Apr 03, 201714 min

OTO: Benign Paroxysmal Positional Vertigo: Clinical Practice Guideline (Update), Part 2

This podcast discusses the implications for primary care providers and patients of "Clinical Practice Guideline (Update): Benign Paroxysmal Positional Vertigo", published as a supplement to the March 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of a 2008 guideline from the American Academy of Otolaryngology—Head and Neck Surgery Foundation provides evidence-based recomme...

Mar 01, 201721 min

OTO: Benign Paroxysmal Positional Vertigo: Clinical Practice Guideline (Update), Part 1

This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline (Update): Benign Paroxysmal Positional Vertigo", published as a supplement to the March 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. This update of a 2008 guideline from the American Academy of Otolaryngology—Head and Neck Surgery Foundation provides evidence-based recommendations to benign...

Mar 01, 201719 min
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