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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: Complications Associated with Mortality after Head and Neck Surgery: An Analysis of the NSQIP Database

This podcast highlights original research published in 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. The objective for this study was to determine which complications, as defined by the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database, correlate with 30-day mortality in surgery for malignancies of the head and neck. NSQIP data from...

Mar 01, 201718 min

OTO: Improving Nasal Form and Function after Rhinoplasty: Clinical Practice Guideline, Part 2

This podcast discusses the implications for primary care providers and patients of "Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty", published as a supplement to the February 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 primary purpose of this guideline is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or...

Feb 01, 201718 min

OTO: Improving Nasal Form and Function after Rhinoplasty: Clinical Practice Guideline, Part 1

This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty", published as a supplement to the February 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 primary purpose of this guideline is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or are involved in t...

Feb 01, 201724 min

OTO: Integrative Medicine in Head and Neck Cancer

This podcast highlights original research published in the February 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Complementary and alternative medicine, or integrative medicine, has become increasingly popular among patients with head and neck cancer. Despite its increasing prevalence, many patients feel uncomfortable discussing such therapies with their physicians, and many physici...

Jan 19, 201715 min

OTO: Earwax (Cerumen Impaction): Clinical Practice Guideline (Update), Part 2

This podcast discusses the implications for primary care providers and patients of "Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)", published as a supplement to the January 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 the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides e...

Dec 28, 201619 min

OTO: Earwax (Cerumen Impaction): Clinical Practice Guideline (Update), Part 1

This podcast discusses the implications for otolaryngologists of "Clinical Practice Guideline (Update): Earwax (Cerumen Impaction)", published as a supplement to the January 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 the 2008 American Academy of Otolaryngology—Head and Neck Surgery Foundation cerumen impaction clinical practice guideline provides evidencebased recom...

Dec 28, 201617 min

OTO: Medications for Allergic Rhinitis: An Opportunity for Quality Improvement?

This podcast highlights original research published in the January 2017 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Adherence to the allergic rhinitis clinical practice guideline is being considered as a potential focus for national performance metrics. To help inform this discussion, we assessed patient- and clinician-reported medication administration among nationally representative p...

Dec 28, 201615 min

OTO: The Impact of Angiotensin-Modulating Antihypertensives on Time Interval to Revision Surgery for Nasal Polyps

This podcast highlights original research published in the December 2016 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) have been shown to suppress expression of periostin, a matricellular protein that is markedly elevated in nasal polyp tissue. The purpose of this study was to determine whether use o...

Nov 30, 201615 min

OTO: Voice Outcomes following a Single Office-Based Steroid Injection for Vocal Fold Scar

This podcast highlights original research published in the November 2016 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Persistent dysphonia from vocal fold scar remains a clinical challenge, with current therapies providing inconsistent outcomes. The objective of this study was to evaluate voice outcomes after a single office-based steroid injection. Office-based steroid injection combine...

Nov 01, 201614 min

OTO: The Accuracy of the Laryngopharyngeal Reflux Diagnosis: Utility of the Stroboscopic Exam

This podcast highlights original research published in the October 2016 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 article was to determine the prevalence and also accuracy of the laryngopharyngeal reflux (LPR) referring diagnosis and to determine the most useful clinical tool in arriving at the final diagnosis in a tertiary laryngology practice. It concluded that...

Oct 01, 201620 min

OTO: The Use of Ibuprofen in Post-Tonsillectomy Analgesia and its Effect on Post-Tonsillectomy Hemorrhage Rate

This podcast highlights original research published in the September 2016 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 case series was to determine the effect of ibuprofen on posttonsillectomy bleeding when compared with codeine in posttonsillectomy analgesia. It concluded that age is an independent risk factor for posttonsillectomy bleeding. When age is controlled,...

Sep 01, 201617 min

OTO: Informed Consent in Pediatric Otolaryngology What Risks and Benefits Do Parents Recall?

This podcast highlights original research published in the August 2016 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 evaluate parental recall of surgical risks and benefits in pediatric otolaryngology and to assess for factors that may influence recall. The study found that parental recall of benefits and risks associated with common pediatric otolaryngo...

Aug 10, 201617 min

OTO: Oral Steroid Usage for Otitis Media with Effusion, Eustachian Tube Dysfunction, and Tympanic Membrane Retraction

This podcast highlights original research published in the July 2016 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. Avoiding oral steroids for otitis media with effusion (OME) is endorsed as a performance measure by the National Quality Foundation, but data regarding current gaps and practice patterns are lacking. Our objectives were to evaluate oral steroid use for OME and the related dia...

Jul 06, 201615 min

OTO: Surgical and Audiologic Outcomes in Endoscopic Stapes Surgery across 4 Institutions

This podcast highlights original research published in the June 2016 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 investigate intra- and postoperative outcomes of endoscopic stapes surgery. The present multicentered study of endoscopic stapes surgery demonstrates similar audiometric and postoperative outcomes previously published in the literature, with a...

Jun 01, 201615 min

OTO: Variation in Delivery of Sinus Surgery in the Medicaid Population across Ethnicities

This podcast highlights original research published in the May 2016 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 evaluate differences in sinus surgery rates in the US Medicaid population by ethnicities. The Medicaid database was selected for this analysis to eliminate payer and wealth as potential confounders in access to health care. Despite this approac...

Apr 28, 201616 min

OTO: Epidemiology of Wire-Bristle Grill Brush Injury in the United States, 2002-2014

This podcast highlights original research published in the April 2016 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 investigate the epidemiology of wire-bristle grill brush injury. The study found that injury from wire-bristle grill brush is uncommon but prevalent during certain seasons. Otolaryngologists play an important in the diagnosis and treatment of...

Mar 31, 201617 min

OTO: Occult Nodal Disease Prevalence and Distribution in Recurrent Laryngeal Cancer Requiring Salvage Laryngectomy

This podcast highlights original research published in the March 2016 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The indications for neck dissection concurrent with salvage laryngectomy in the clinically N0 setting remain unclear. The goals of this study are to determine the prevalence of occult nodal disease, analyze nodal disease distribution patterns, and identify predictors of occu...

Feb 29, 201615 min

OTO: Otitis Media with Effusion: Clinical Practice Guideline, Part 1

This podcast discusses the implications for otolaryngologists of ‘Clinical Practice Guideline: Otitis Media Effusion (Update),’ published as a supplement to the February 2016 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The clinical practice guideline on otitis media with effusion (OME) provides evidence-based recommendations on diagnosing and managing OME in children. This is an update ...

Feb 01, 201617 min

OTO: Otitis Media with Effusion: Clinical Practice Guideline, Part 2

This podcast discusses the implications for primary care providers and patients of ‘Clinical Practice Guideline: Otitis Media Effusion (Update),’ published as a supplement to the February 2016 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The clinical practice guideline on otitis media with effusion (OME) provides evidence-based recommendations on diagnosing and managing OME in children. ...

Feb 01, 201623 min

OTO: Variability of Ratings in the Otolaryngology Standardized Letter of Recommendation

This podcast highlights original research published in the February 2016 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 retrospective review was to determine the variability of ratings given to students on the otolaryngology standardized letter of recommendation (SLOR) The review found that the explosion of applications being sent out by candidates for otolaryngology ...

Jan 29, 201616 min

OTO: Sensitivity, Specificity, and Posttest Probability of Parotid Fine-Needle Aspiration: A Systematic Review and Meta-analysis

This podcast highlights a systematic review published in the January 2016 issue of Otolaryngology–Head and Neck Surgery , the official journal of the American Academy of Otolaryngology—Head and Neck Surgery (AAO-HNS) Foundation. The objectives of this study were to analyze the sensitivity and specificity of fine-needle aspiration (FNA) in distinguishing benign from malignant parotid disease, and to determine the anticipated posttest probability of malignancy and probability of nondiagnostic and ...

Dec 23, 201514 min

OTO: Radiofrequency Ablation Turbinoplasty versus Microdebrider-Assisted Turbinoplasty: A Systematic Review and Meta-analysis

This podcast highlights a systematic review published in the December 2015 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 critically review published literature for treatment-related outcomes for bilateral inferior turbinate reduction (IFTR) via either microdebrider-assisted turbinoplasty (MAT) or radiofrequency turbinoplasty. The primary outcomes were re...

Dec 01, 201513 min

OTO: Geographic Variation of Endoscopic Sinus Surgery in Canada: An Alberta-Based Small Area Variation Analysis

This podcast highlights a systematic review and meta-analysis published in the November 2015 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief John Krouse is joined by senior author Luke Rudmik and associate editor Gordon Sun in discussing geographic variation in the use of endoscopic sinus surgery. The phenomenon of geographic variation in the delivery of health care has b...

Oct 28, 201518 min

OTO: Partial Epiglottoplasty for Pharyngeal Dysphagia due to Cervical Spine Pathology

This podcast highlights a systematic review and meta-analysis published in the October 2015 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief John Krouse is joined by senior author Nausheen Jamal and associate editor Kenneth Altman in discussing partial epiglottoplasty for specific forms of pharyngeal dysphagia. Patients commonly experience difficulty swallowing due to stru...

Oct 06, 201516 min

OTO: Does Nasal Surgery Improve OSA in Patients with Nasal Obstruction and OSA: A Meta-analysis

This podcast highlights a systematic review and meta-analysis published in the September 2015 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief John Krouse is joined by senior author Lisa Ishii and associate editor Eric Kezirian in discussing the role of nasal surgery in the treatment of obstructive sleep apnea (OSA). When considering treatment for snoring and obstructive s...

Aug 31, 201516 min

OTO: Influence of Tonsillar Size on OSA Improvement in Children Undergoing Adenotonsillectomy

This podcast highlights original research published in the August 2015 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief John Krouse is joined by senior author Stacey Ishman and associate editor David Darrow in discussing the association of tonsillar size in children, the severity of obstructive sleep apnea (OSA), and the response to surgical treatment for OSA in these chil...

Aug 03, 201515 min

OTO: Electronic Cigarettes: A Primer for Clinicians

This podcast highlights a state of the art review published in the July 2015 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief John Krouse is joined by senior author Ryan Bransky and associate editor Cristina Baldassari in discussing the growing use of electronic cigarettes in the United States. Over the past decade there has been a rapid expansion in the use of and types o...

Jun 29, 201515 min

OTO: Office-Based Photoangiolytic Laser Treatment of Reinke’s Edema: Safety and Voice Outcomes

This podcast highlights original research published in the June 2015 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief John Krouse is joined by senior author Seth Dailey and associate editor Matthew Brigger in discussing the topic of office-based photoangiolytic laser therapy of Reinke’s edema. Reinke’s edema is a common, benign condition of the vocal folds characterized by...

Jun 01, 201516 min

OTO: Effects of Mindfulness-Based Stress Reduction Therapy on Subjective Bother and Neural Connectivity in Chronic Tinnitus

This podcast highlights original research published in the May 2015 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief John Krouse is joined by lead author Lauren Roland and associate editor Meredith Adams in discussing mindfulness-based stress reduction therapy for tinnitus. Tinnitus is a common problem that affects millions of patients on a chronic basis. In general there ...

May 05, 201514 min

OTO: AAO-HNS Adult Sinusitis 2015 Clinical Practice Guideline, Part 2

This podcast highlights the updated clinical practice guideline on adult sinusitis that is published as an April 2015 supplement to Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. In the first of two podcasts for this supplement, Editor in chief John Krouse is joined by authors Ashok Kumar and Maggie Kramper in discussing key findings from the guideline in the diagnosis and treatment of adults wi...

Apr 02, 201517 min
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