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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: Expert Consensus Statement: Management of Dysphagia in Head and Neck Cancer Patients

Editor in Chief Cecelia E. Schmalbach, MD, MSc, hosts a discussion on “Expert Consensus Statement: Management of Dysphagia in Head and Neck Cancer Patients,” which published in the April 2023 issue of Otolaryngology–Head and Neck Surgery . Joining the conversation are authors Maggie A. Kuhn MD, MAS, and M. Boyd Gillespie MD, MSc, and Associate Editor Lee M. Akst, MD. This ECS is the result of a multidisciplinary team comprising experts who reached consensus on recommendations that fill existing ...

Apr 26, 202336 min

OTO: Sponsorship and Negotiation for Women Otolaryngologists at Midcareer: A Content Analysis

Editor in Chief Cecelia E. Schmalbach, MD, MSc, hosts this podcast on the article “Sponsorship and Negotiation for Women Otolaryngologists at Midcareer: A Content Analysis,” which published in the March 2023 issue of Otolaryngology–Head and Neck Surgery . Coauthors Janice L. Farlow, MD, PhD, and Sonya Malekzadeh, MD, along with Associate Editor Chau T. Nguyen, MD, join Dr. Schmalbach for a compelling discussion around the need for midcareer women otolaryngologists to gain knowledge about sponsor...

Mar 27, 202330 min

OTO: Expert Consensus Statement: Management of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy

Editor in Chief Cecelia E. Schmalbach, MD, MSc, hosts this podcast on “Expert Consensus Statement: Management of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy,” which published in the February 2023 issue of Otolaryngology–Head and Neck Surgery . Joining Dr. Schmalbach in conversation are lead author and chair of the expert panel, Stacey L. Ishman, MD, MPH, and coauthor Stephen C. Maturo, MD. This ECS focuses on pediatric patients (between ages 2 and 18) with persistent OS...

Feb 17, 202340 min

OTO: Reimbursement Trends in Pediatric Otolaryngology From 2000 to 2020: A CMS Physician Fee Schedule Analysis

Join Otolaryngology–Head and Neck Surgery ’s Editor in Chief Cecelia E. Schmalbach, MD, MSc, as she discusses the article “Reimbursement Trends in Pediatric Otolaryngology From 2000 to 2020: A CMS Physician Fee Schedule Analysis” with senior author Jay R. Shah, MD, and Associate Editor Thomas Q. Gallagher, DO. This engaging conversation touches on Common Procedural Terminology (CPT) codes, relative value units, reevaluation of CPT codes, and trends in reimbursements. Click here to read the full ...

Feb 02, 202333 min

OTO: Safety of Cochlear Implantation in Children 12 Months or Younger – Systematic Review and Meta-analysis

This podcast highlights a systematic review to determine safety of cochlear implantation in pediatric patients 12 months and younger. This research was published in the December 2022 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) The results of this systematic review and meta-analysis involving 269 studies suggest that cochlear implantation in patients 12 months and younger is safe with sim...

Jan 19, 202327 min

OTO: Corticosteroid Use in Otolaryngology: Current Considerations During the COVID-19 Era

This podcast highlights original research published in the November official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objectives were to offer pragmatic, evidence-informed advice on administering corticosteroids in otolaryngology during the coronavirus disease 2019 (COVID-19) pandemic, considering therapeutic efficacy, potential adverse effects, susceptibility to COVID-19, and potential effects on efficacy of vaccination against SARS-CoV-2...

Nov 02, 202229 min

OTO: Creation of a Novel Preoperative Imaging Review Acronym to Aid in Revision Endoscopic Sinus Surgery

This podcast highlights original research published in the October official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objectives were to identify anatomic contributions to chronic rhinosinusitis (CRS) necessitating revision endoscopic sinus surgery (RESS), and to create a clinical acronym to guide imaging review prior to RESS that addresses pertinent sites of disease and potential sites of surgical morbidity. In conclusion, the REVISIONS ac...

Oct 03, 202220 min

OTO: New Beginnings: Reprise

This podcast concludes the remarkable tenure of John H. Krouse, MD, PhD, MBA, editor in chief of Otolaryngology–Head and Neck Surgery and OTO Open , the official journals of the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF), and welcomes the incoming leadership of Cecelia E. Schmalbach, MD, MSc, as the new editor in chief. In his final podcast, Dr. Krouse ushers in a new era as he discusses with Dr. Schmalbach her plans for the future of both AAO-HNSF journals. C...

Sep 06, 202217 min

OTO: A Closer Look at “Taller-Than-Wide” Thyroid Nodules: Examining Dimension Ratio to Predict Malignancy

This podcast highlights original research published in the August official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective was to evaluate nodule height-to-width ratio as a continuous variable predicting likelihood of thyroid malignancy. In conclusion, our results support the association between greater height-to-width ratio and malignancy but suggest that a multilevel rather than binary variable improves prediction. The likelihood rati...

Aug 02, 202226 min

OTO: Sinus Radiological Findings in General Asymptomatic Populations: A Systematic Review of Incidental Mucosal Changes

This podcast highlights original research published in the July official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objective was to determine the range of incidental mucosal changes in a general sinonasally asymptomatic population on radiology. In conclusion, the prevalence of incidental mucosal changes in a general asymptomatic population on radiology needs to be considered when making a diagnosis of chronic rhinosinusitis. Click here to r...

Jul 05, 202230 min

OTO: Health Equity and Diversity in Otolaryngology

This podcast highlights original research published in the June official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. There has never been a time in our society when we have been as willing and open in our discussions around issues of racial and ethnic inequalities, discrimination, systemic racism, and socioeconomic disparities. Within this dialogue on health inequalities, one soon comes to realize the strong interplay of bioethics, social justice...

Jun 22, 202235 min

OTO: Objective Improvement After Frenotomy for Posterior Tongue-Tie: A Prospective Randomized Trial

This podcast highlights original research published in the May official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Infants with posterior tongue-tie (PTT) can have substantial difficulty with breastfeeding and bottle-feeding. This study aimed to address the dearth in investigational objective data surrounding PTT release to better quantify the postoperative impacts of frenotomy for ankyloglossia. In conclusion, when measured 10 days after frenot...

May 11, 202225 min

OTO: Predictive Pediatric Characteristics for Revision Tonsillectomy After Intracapsular Tonsillectomy

This podcast highlights original research published in the April official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. There is little research on the rate and risk factors for revision tonsillectomy after primary intracapsular tonsillectomy. Our study aimed to determine the revision rate following intracapsular tonsillectomy, identify patient characteristics that may increase the probability of revision surgery, and report the tonsillar hemorrhag...

Apr 04, 202222 min

OTO: Cochlear Implantation Hearing Outcome in Ménière’s Disease

This podcast highlights original research published in the March 2022 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 study was to evaluate the hearing outcome of cochlear implantation in patients deafened by Ménière’s disease. In conclusion, cochlear implant in patients deafened by Ménière’s disease significantly improves word recognition scores regardless of whether medical...

Mar 08, 202225 min

OTO: Clinical Practice Guideline: Tympanostomy Tubes in Children (Update), Part 2

This podcast discusses the implications for non-otolaryngologists of "Tympanostomy Tubes in Children (Update)", published as a supplement to the February 2022 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 clinical practice guideline update is to reassess and update recommendations in the prior guideline from 2013 and to provide clinicians with trustworthy, evidence-bas...

Feb 02, 202225 min

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

This podcast discusses the implications for otolaryngologists of "Tympanostomy Tubes in Children (Update)", published as a supplement to the February 2022 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 clinical practice guideline update is to reassess and update recommendations in the prior guideline from 2013 and to provide clinicians with trustworthy, evidence-based r...

Feb 02, 202222 min

OTO: The Evolving Role of Advanced Practice Providers in Otolaryngology: Improving Patient Access and Patient Satisfaction

This podcast highlights original research published in the January 2022 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The aging US population requires an increasing volume of otolaryngology–head and neck surgery services, yet the otolaryngologist physician workforce remains static. Advanced practice providers (APPs), including physician assistants and nurse practitioners, improve access ac...

Jan 31, 202224 min

OTO: Factors Affecting Dilation Interval in Patients With Granulomatosis With Polyangiitis-Associated Subglottic and Glottic Stenosis

This podcast highlights original research published in the December 2021 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Subglottic stenosis (SGS) is a known complication of granulomatosis with polyangiitis (GPA). We investigated the impact of medical and surgical interventions on the surgical dilation interval and characterized patients with glottic involvement. In conclusion, although GPA ...

Dec 03, 202123 min

OTO: Microvascular Reconstruction of Osteonecrosis: Assessment of Long-term Quality of Life

This podcast highlights original research published in the November 2021 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 was to review long-term clinical and quality-of-life outcomes following free flap reconstruction for osteonecrosis. In conclusion, the majority of patients maintained or had advancement in diet following reconstruction, with low rates of osteonecrosis or canc...

Dec 03, 202124 min

OTO: Microscopic Extranodal Extension in HPV-Negative Head and Neck Cancer and the Role of Adjuvant Chemoradiation

This podcast highlights original research published in the October 2021 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Pathologic extranodal extension (ENE) is an important adverse feature for human papillomavirus (HPV)–negative head and neck squamous cell carcinoma (HNSCC), but the prognostic significance of microscopic ENE (ENEmi) and role of adjuvant concurrent chemoradiation (CRT) for E...

Oct 25, 202124 min

OTO: Association of Pediatric Hearing Loss and Head Injury in a Population-Based Study

This podcast highlights original research published in the September 2021 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Traumatic brain injury (TBI) is the leading cause of acquired long-term disability during childhood, and it may result in wide range of negative developmental consequences. Auditory dysfunction is generally recognized to be a possible sequela of pediatric TBI. Unfortunate...

Sep 13, 202117 min

OTO: Bitter Taste Receptors and Chronic Otitis Media

This podcast highlights original research published in the August 2021 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 was to evaluate the presence of bitter taste receptors (T2Rs) in the middle ear and to examine their relationship with chronic ear infections. In conclusion, T2Rs were found within the middle ear of every patient sampled; the rs1376251 allele of TAS2R50 appears...

Aug 05, 202118 min

OTO: Advanced Practice Providers Utilization Trends in Otolaryngology From 2012 to 2017 in the Medicare Population

This podcast highlights original research published in the July 2021 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Nurse practitioners and physician assistants form a growing advanced practice provider (APP) group. We aim to analyze the trends and types of services provided by APPs in otolaryngology. In conclusion, due to increasing numbers, APPs are accounting for more patient visits and ...

Jul 01, 202123 min

OTO: Interpretation of Normal and Abnormal Tympanogram Findings in Eustachian Tube Dysfunction

This podcast highlights original research published in the June 2021 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 was to characterize the relationship between objective tympanogram values and patient-reported symptoms and associations with common comorbid conditions. In conclusion, patients with symptoms of ETD may have a TPP within a range typically considered normal per co...

Jun 01, 202125 min

OTO: Prevalence of and Associations With Distress and Professional Burnout Among Otolaryngologists: Part I and 2

This podcast highlights original research published in the May 2021 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Part 1 objective: To assess the prevalence of distress and burnout in otolaryngology trainees, including associations with relevant sociodemographic and professional factors, and to compare these results with those of attending otolaryngologists. Part 2 objective: To ascertain ...

May 04, 202138 min

OTO: Timing the First Pediatric Tracheostomy Tube Change: A Randomized Controlled Trial

This podcast highlights original research published in the April 2021 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The first pediatric tracheostomy tube change often occurs within 7 days after placement; however, the optimal timing is not known. The primary objective was to determine the rate of adverse events of an early tube change. Secondary objectives compared rates of significant per...

Apr 13, 202120 min

OTO: Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations, Part 2

This podcast discusses the implications for non-otolaryngologists of "Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations", published as a supplement to the April 2021 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 specialty-specific guideline is to identify quality improvement opportunities in postoperative pain manageme...

Apr 13, 202120 min

OTO: Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations, Part 1

This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations", published as a supplement to the April 2021 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 specialty-specific guideline is to identify quality improvement opportunities in postoperative pain management o...

Apr 13, 202123 min

OTO: Racial and Insurance Inequalities in Access to Early Pediatric Cochlear Implantation

This podcast highlights original research published in the March 2021 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 was to evaluate the association between race/ethnicity and insurance status on the access to early cochlear implantation. In conclusion, racial/ethnic and insurance disparities in pediatric cochlear implantation can be observed at the population level. To addres...

Mar 10, 202127 min

OTO: Prioritizing Diversity in Otolaryngology–Head and Neck Surgery: Starting a Conversation

This podcast highlights original research published in the February 2021 issue of Otolaryngology–Head and Neck Surgery, the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Building a diverse otolaryngology workforce—one that mirrors society—is critical. In conclusion, structural inequities are woven into the fabric of society and medicine, and these effects are often invisible to those who do not bear the brunt of them. Click here to read th...

Feb 03, 202128 min
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