bluuebunny/crossref_metadata_2025_split huggingface dataset:
ICD‐10: Implementation Delayed but Not Eliminated—AAO‐HNS Urges Continued Preparation
Authors: Waguespack Richard W. , Lorenz Robert R. , Boyton Angela A. 
Published: September 2014

Program Description:One of the biggest transitions the healthcare industry has historically ever experienced is around the corner with the ICD‐10 implementation deadline less than one week away. As many physician practices finish up last steps for preparation it is important to anticipate errors that may result in delayed payment. This miniseminar focuses on potential problems and the preemptive plans to have in place with your payers along with reactive steps you should take as a provider to quickly resolve these issues and keep your practice running. Learn about practices that have experience with the best ways to handle reimbursement delays.Educational Objectives:(1) Understand how the proper steps can lessen impact of implementation to ICD‐10 on your practice. (2) Learn about steps that payers are taking to facilitate communication with providers to avoid issues that they are anticipating providers may experience with the transition. (3) Learn about key resources offered through the Academy, the physician community, and from private payers to help you with transition to ICD‐10.
Scary Cases 2014
Authors: Platt Michael P. , Emerick Kevin S. , Murr Andrew H. , Chong Cathy D. , Volk Mark S. , Jackler Robert K. , Soler Zachary 
Published: September 2014

Program Description:The Scary Cases 2014 miniseminar uses a case‐base, interactive approach to providing education in patient care and risk management. Exceptionally scary cases presented by well‐known experts and community‐based clinicians will focus on what could or has gone wrong in the management of otolaryngology patients. Each expert will present a specific case that was difficult to manage, had unexpected morbidity, or resulted in litigation. Attendees will participate using the Audience Response System for key decisions during the case. Difficult cases are often great sources of learning. This miniseminar will provide education on how to anticipate and avoid unwanted outcomes.Educational Objectives:(1) Describe potential pitfalls inherent to the practice of otolaryngology that may lead to adverse outcomes or put patients at excessive risk. (2) Recognize legal principles of medical malpractice and learn ways to minimize risk of malpractice in the everyday practice of otolaryngology.
Wow! That's a Lot of Blood: Expert Management of Epistaxis
Authors: Poetker David M. , Reh Douglas D. , Woodworth Bradford A. , Sautter Nathan B. , Ross Douglas A. , Piccirillo Jay F. 
Published: September 2014

Program Description:Epistaxis management is rarely discussed in comprehensive detail, and we feel this topic is grossly underrepresented at the annual meeting. Our goal is to thoroughly discuss current epistaxis treatment techniques used by a panel of experts. Each panelist will review personal experience with current advanced management techniques, emphasizing supporting data and best evidence. Modalities discussed include advanced endoscopic techniques, electrosurgical and plasma cautery, directed vessel ligation, endovascular embolization, and large vessel patching for a wide range of scenarios including anterior and posterior epistaxis as well as large vessel hemorrhage. Special considerations such as hereditary hemorrhagic telangiectasia will also be discussed.Educational Objectives:(1) Describe the current therapies available to the otolaryngologist to treat epistaxis. (2) Recognize the strengths and weaknesses of each therapy for epistaxis. (3) Implement the various therapies for epistaxis.
Cancer, Canker Sores, and More: High‐Risk Oral Cavity Lesions
Authors: Wang Steven J. , Sciubba James J. , Silverman Sol , Califano Joseph , Richmon Jeremy D. 
Published: September 2014

Program Description:The myriad lesions that present in the oral cavity can stymie even the most astute otolaryngologist. These may span from the most benign, such as recurrent canker sores, to more ominous malignancies, often with very similar appearances. Furthermore, various systemic illnesses such as Sjogren disease, lichen planus, Crohn disease, lupus, and nutritional deficiencies may present with vexing oral cavity lesions. This evidence‐based miniseminar supported by the American Academy of Otolaryngology—Head and Neck Surgery Head and Neck Surgery & Oncology Committee will explore the differential diagnoses, workup, and management of a spectrum of oral lesions as well as early‐stage oral cavity cancer.Educational Objectives:(1) Describe and identify some of the more unusual oral conditions that present to the otolaryngologist. (2) Identify signs and symptoms of systemic illness in the oral cavity. (3) Examine the management of premalignant oral lesions, the role for screening and biopsy, and the appropriate workup and surgical management of early oral cancer.
Contemporary Update on Endoscopic Skull Base Surgery: Technique, Outcomes, and Quality of Life
Authors: El‐Sayed Ivan H. , Hanna Ehab Y. N. , Snyderman Carl H. , Kupferman Michael E. , Rosen Marc , Devaiah Anand K. , Gil Ziv 
Published: September 2014

Program Description:Endoscopic approaches to the skull base are being used with increasing frequency in tertiary care centers and in community settings. This miniseminar aims to clarify the current status of endoscopic skull base surgery. The evolving trends have led to controversies regarding the extent of endoscopic resections and utilization for malignancies. The panelists will review surgical techniques, contemporary surgical outcomes for paranasal sinus and spheno‐clival cancers, disease‐specific approaches, and quality of life after endoscopic surgery.Educational Objectives:(1) Recognize the role of endoscopic surgery in the management of skull base malignancies. (2) Describe the technical aspects of expanded endonasal surgical approaches to skull base tumors. (3) Assess the impact of endoscopic surgery on quality of life for skull base tumors.
Controversies in Robotic Surgery
Authors: Genden Eric M. , Moore Eric J. , Pfister David P. , Brandwein‐Gensler Margaret , O'Sullivan Brian 
Published: September 2014

Program Description:Transoral robotic surgery (TORS) has become a popular approach for management of oropharyngeal carcinoma. The miniseminar will be organized as a tumor board panel staffed with a head and neck surgeon, radiation oncologist, medical oncologist, and pathologist. Two cases will be presented to highlight 3 controversial topics: (1) What are acceptable surgical margins and does human papillomavirus (HPV) status affect margin status? (2) Following TORS with negative margins, does the primary site require radiotherapy and does HPV status affect that decision? (3) How do “poor prognostic factors” affect decisions regarding adjuvant therapy, radiation dose, and treatment fields?Educational Objectives:(1) Differentiate the pathologic characters of HPV‐positive and HPV‐negative tumors and demonstrate how this finding affects treatment margins. (2) Explain the indication for treating the primary site after TORS resection. (3) Recognize impact of poor prognostic factors of adjuvant therapy decisions, including treatment dose.
The Human Papillomavirus Head and Neck Cancer Epidemic: What You Need to Know
Authors: Gourin Christine G. , St. John Maie , Mendez Eduardo , Quon Harry , Lango Miriam N. 
Published: September 2014

Program Description:Human papillomavirus (HPV)–associated head and neck cancer is an epidemic striking a younger and healthier population without the usual risk factors for head and neck cancer. Most patients have an excellent prognosis following treatment with surgery or chemoradiation, and the sequela of long‐term morbidity from treatment is of increasing concern as patients are expected to live long enough to experience complications. Failure to identify a subset of patients at high risk for metastasis, recurrence, and decreased survival can lead to undertreatment and poor outcomes. This miniseminar will discuss the epidemiology, workup, treatment, and surveillance of HPV‐positive head and neck cancer.Educational Objectives:(1) Describe features of HPV‐positive head and neck cancer. (2) Recognize the role of surgical and nonsurgical therapy in the treatment of HPV‐positive head and neck cancer. (3) Explain the indications for adjuvant treatment in the management of HPV‐positive head and neck cancer.
Management of Nasopharyngeal Carcinoma: State of the Art
Authors: Myers Eugene N. , Lin Jin‐Ching , Twu Chih‐Wen 
Published: September 2014

Program Description:Nasopharyngeal carcinoma (NPC) is a distinct and important cancer of the head and neck. As the incidence is rare in Whites, diagnosis can be challenging. However, ear, nose, and throat specialists should be able to manage NPC; therefore, the aim is to provide the attendee a great opportunity to be familiar with some of the current knowledge of the management of NPC, including using Epstein‐Barr virus (EBV) as a biomarker to diagnose and monitor NPC, evolution of treatment guidelines of NPC, and salvage nasopharyngectomy for local recurrence in this miniseminar.Educational Objectives:(1) Use EBV as a biomarker to diagnose and monitor patients with NPC. (2) Recognize the evolution and treatment guideline of NPC. (3) Explain the rationale and the various approaches for salvage NPC (open/endoscopic), treatment results, and prognosticators.
New and Emerging Concepts in Parathyroid Surgery
Authors: Terris David J. , Tufano Ralph P. , Singer Michael C. , Bumpous Jeffrey M. 
Published: September 2014

Program Description:Diagnosis and management of hyperparathyroidism represents a rapidly changing field in surgery. Much of the change is technologically driven, with the advent of high‐resolution imaging, intraoperative assays, and application of robust neuromonitoring. These have led to a preponderance of targeted, outpatient procedures that have a high rate of success. As the role of the otolaryngologist in treating this condition continues to be established, mastery of fundamental and emerging concepts is essential. This miniseminar will explore the importance of ultrasound, sestamibi, 4‐dimensional (4D) computed tomography (CT), and other imaging options as well as proper use of hormone assays, postoperative management techniques, and the recent controversy regarding 4‐gland exploration.Educational Objectives:(1) To become familiar with the latest refinements in parathyroid imaging, including high‐resolution ultrasound, 4D CT scans, and CT‐mibi. (2) To understand the strategy behind focused exploration and the principles promoted by surgeons who routinely perform bilateral neck exploration. (3) To appreciate the nuances of modern postoperative management, including calcium prophylaxis and persistent eucalcemic hyperparathyroidism.
Sialendoscopy: The Beginner's Guide to Success
Authors: Siegel Gordon J. , Schaitkin Barry M. , Zenk Johannes , Eisele David W. , Fritsch Michael H. 
Published: September 2014

Program Description:Sialendoscopy is a relatively new addition to otolaryngology. It offers the opportunity to work with salivary gland disease with noninvasive procedures that yield potentially superior outcomes to previous techniques. It is exciting but very challenging. This miniseminar is geared toward the beginner. It will give basic techniques and point out potential pitfalls. Additional information will include the appropriate diagnostic workup, operative setting, and patient selection. The interactive format will allow the participant to know if he understands basic techniques and is ready to incorporate sialendoscopy in his practice.Educational Objectives:(1) Use basic instrumentation for sialendoscopy. (2) Describe appropriate patient selection for sialendoscopy. (3) Perform sialendoscopy in your practice while recognizing common mistakes and pitfalls.
Thyroid Surgery in Clinical Practice Guidelines, Consensus Statements, and Position Papers: Content, Interpretation, and Limitations
Authors: Shin Jennifer J. , Randolph Gregory W. , Terris David J. , Tufano Ralph P. , Shindo Maisie L. , Lango Miriam N. , Simental Alfred A. 
Published: September 2014

Program Description:Key aspects of thyroid surgery have been addressed by published clinical practice guidelines, consensus statements, and position papers from the American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO‐HSNF), the American Head and Neck Society (AHNS), and the American Thyroid Association (ATA). This miniseminar efficiently presents these society publications, focusing on their content, interpretation, and limitations. Specific topics include surgery for invasive carcinoma, imaging selection, improving postoperative voice outcomes, nerve monitoring, outpatient surgery, and goiter management. These documents will also be used to highlight the important overall differences between practice guidelines, consensus statements, and position papers and their respective influence on clinical decisions.Educational Objectives:(1) Differentiate between a clinical practice guideline, clinical consensus statement, and position paper. (2) Analyze the content, interpretation, and limitations of the key publications sponsored by the AAO‐HNSF, AHNS, and ATA regarding the management of thyroid surgical disease.
All That's Red Isn't Reflux: Getting Smarter about Laryngopharyngeal Reflux
Authors: Akst Lee M. , Bock Jonathan M. , Carroll Thomas L. , Lintzenich Catherine R. , Sulica Lucian 
Published: September 2014

Program Description:This miniseminar will provide a critical, evidence‐based review of current practice regarding laryngopharyngeal reflux with focus on improving patient care. Current paradigms often yield uncertain diagnosis, while prolonged treatment and/or extensive testing are time‐consuming and costly, have side effects, and yield equivocal benefit in many cases. Through focus on strengths and weaknesses of various diagnostic strategies and with knowledge of current practice patterns, this miniseminar hopes to identify best practices for evaluation of presumed laryngopharyngeal reflux. This miniseminar aims to recall otolaryngologists to a broader patient‐based perspective and refocus attention on better evaluation for complaints possibly related to laryngopharyngeal reflux.Educational Objectives:(1) Discuss current otolaryngology practice patterns for patients with presumed reflux disease. (2) Compare the strengths and weaknesses of common approaches to reflux diagnosis such as history, examination, response to empiric proton‐pump inhibitor trial, and objective reflux testing. (3) Identify current best practices in otolaryngology care of presumed laryngopharyngeal reflux.
Clinical Dilemmas: The Radiated Larynx
Authors: Merati Albert L. , McWhorter Andrew J. , Johns Michael M. , Pryor Jan , Allen Clint T. 
Published: September 2014

Program Description:Airway, voice, and swallowing complaints following radiation present some of the most challenging clinical dilemmas in otolaryngology. This practice‐based minisemiar will bridge current scientific knowledge about radiation and its impact on the larynx with decades of clinical experience dealing with vocal fold lesions, vocal fold paralysis, airway obstruction, dysphagia, and chondroradionecrosis of the larynx. Succinct, highly focused presentations on these topics will aim for the shared objective of distilling key elements of clinical care issues that occur in the radiated larynx. Real‐life cases will be presented. Panelists are challenged to provide practical advice for the management of this patient population.Educational Objectives:(1) Explain the pathophysiology of laryngeal injury following radiation therapy, specifically as it relates to chondroradionecrosis. (2) Examine the limitations that prior radiation places on the otolaryngologist caring for patients with vocal fold lesions and paralysis. (3) Incorporate state‐of‐the‐art surgical and therapeutic options available for airway and swallowing rehabilitation in the radiated larynx.
Injection Laryngoplasty 2014: Indications, Techniques, and Pitfalls in Modern Vocal Fold Augmentation
Authors: Bock Jonathan M. , Klein Adam M. , Francis David O. , Rubin Adam D. , McWhorter Andrew J. 
Published: September 2014

Program Description:Injection laryngoplasty has a long history in vocal fold augmentation, and its use continues to evolve in otolaryngology. This miniseminar will provide a contemporary update on the indications, injectable materials, operative techniques, and potential pitfalls of injection laryngoplasty in modern otolaryngology practice. Particular attention will be paid to the latest developments in injection materials and office‐based injection techniques for the general otolaryngologist. In addition, the presentation will include case presentations of pitfalls in injection laryngoplasty with a candid discussion of the inherent risks and possible mistakes that can be made with this technique and how to avoid them.Educational Objectives:(1) Define the various indications for injection laryngoplasty in modern otolaryngology practice and recognize the benefits and controversies of currently available injection materials for laryngoplasty. (2) Compare the benefits and indications for clinic or office‐based injection techniques, including thorough descriptions of clinic‐based injection techniques. (3) Recognize potential patient care risks with injection laryngoplasty and methods to avoid or ameliorate these risks.
Aural Full and Otogenic Pain Redux
Authors: Micco Alan G. , Megerian Cliff A. , Toh Elizabeth H. , Angeli Simon I. 
Published: September 2014

Program Description:Otogenic pain and aural fullness can be some of the more frustrating chief complaints to work up and address. Many patients with this complaint are frustrated with lack of diagnosis and treatment. This leads to multiple visits in search of the answer to their affliction. In this miniseminar, our panel of experts will continue their discussion on how to evaluate and treat these difficult patients. Paradigms for management of these patients will be discussed. Case presentations will highlight proper workup and management of these confusing cases. Sponsored by the Otology and Neurotology Education Committee.Educational Objectives:(1) Describe pathologies that may cause otogenic pain or aural fullness. (2) Conduct workup paradigms to avoid missing potentially dangerous processes. (3) Examine possible treatments for the various pathologies.
Cholesteatoma Surgery: An Update
Authors: Jung Timothy T. K. , Brackmann Derald E. , Dornhoffer John L. , McKenna Michael J. , Pothier David D. , Roland Peter S. 
Published: September 2014

Program Description:The goals of cholesteatoma surgery are the complete removal of disease while minimizing the risk of recurrence. A secondary goal is to optimize postoperative hearing. This miniseminar features distinguished experts in the field who will present well‐established methods of cholesteatoma surgery. Important topics, such as intact‐canal‐wall versus canal‐wall‐down surgery, recurrence prevention, use of cartilage, and management of labyrinthine fistula will then be discussed in a case‐based format. The role of endoscopes and use of magnetic resonance imaging for detection of recurrence will be discussed. Finally, ossiculoplasty techniques will be presented.Educational Objectives:(1) Perform cholesteatoma surgery as practiced by experts in the field. (2) Examine advantages and disadvantages of endoscopic techniques. (3) Incorporate various methods for preventing recurrence.
Endoscopic Ear Surgery: Tips and Pearls
Authors: Nogueira João F. , Tarabichi Muaaz , Marchioni Daniele , Presutti Livio , Pothier David D. 
Published: September 2014

Program Description:Endoscopic ear surgery (EES) is a current hot topic in our specialty; however, it is not entirely correct to introduce EES as “new.” Although not new, it is clear that during the past few years, endoscopes have proven to be safe and effective instruments to manage ear diseases in a minimally invasive way, preserving important anatomic structures, allowing functional approaches to well‐known conditions. Moreover, endoscopes have provided a better view and understanding of traditional middle ear anatomy and physiology, allowing new landmarks, novel concepts of tissue preservation, ventilation routes, and management of other conditions within the middle ear and beyond.Educational Objectives:(1) Describe the endoscopic anatomy of the middle and inner ears, discussing the concepts of related physiology. (2) Examine totally endoscopic and combined surgical approaches to middle ear conditions, discussing the possible advantages and disadvantages. (3) Present the instruments needed, system setup, surgical skills, learning curve, and also some important tips and pearls to surgeons to start doing endoscopic ear surgery.
Managing Complications of Chronic Otitis Media
Authors: Bojrab Dennis I. , Gurgel Richard K. , Isaacson Brandon , Bennett Marc L. , Smouha Eric E. , Crawford James V. 
Published: September 2014

Program Description:Chronic otitis media is a condition commonly encountered by otolaryngologists. During this miniseminar, we will cover the fundamentals of managing chronic otitis media, medically and surgically, in a case‐based, interactive format. Particular emphasis will be given on how to recognize, evaluate, and avoid or treat common complications of chronic otitis media. Specifically, the presentation will include the following topics: managing the tegmen and dura, facial nerve, vascular injury, otic capsule, and ossicular erosion; recurrent disease; and intracranial complications. This presentation will assist the otologic surgeon in the pre‐, intra‐, and postoperative care of patients with chronic otitis media.Educational Objectives:(1) Recognize the most common complications of chronic otitis media. (2) Interpret critical findings that will alert the clinician to the presence of a complication from chronic otitis media. (3) Implement management strategies that will assist in the care of patients with chronic otitis media with attention to intraoperative findings.
Managing the Unexpected in Otologic Surgery
Authors: Monfared Ashkan , Blevins Nikolas H. , Lalwani Anil K. , Lustig Lawrence R. , Tucci Debara L. 
Published: September 2014

Program Description:Sponsored by the American Neurotology Society, this interactive presentation aims to provide general practitioners tips and techniques employed by experts in management of intraoperative complications encountered during common otology cases such as tympanoplasty, tympanomastoidectomy, and stapedotomy. The panelists will present illustrative cases and discuss best practice approaches to intraoperative cerebrospinal fluid (CSF) leak and encephaloceles, facial nerve injury, vascular complications, stapedotomy challenges, ossicular chain and external auditory canal damage, and inner ear violation.Educational Objectives:(1) Recognize unexpected circumstances and anatomic variations that could lead to complications in otologic surgery. (2) Manage intraoperative complications such as facial nerve palsy, vascular injury, encephaloceles, CSF leaks, postoperative sensorineural hearing loss, and vertigo.