bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Martha Entenmann Tinnitus Research Center, Inc: Abraham Shulman, MD; and Barbara Goldstein, PhD; “Tinnitus Treatment Modalities and Neuromodulation: State of the Art 2014”
Authors: Hoffer Michael E. , Seidman Michael D. , Shulman Abraham , Tyler Richard , Langguth Berthold , Kleinjung Tobias 
Published: September 2014

Program Description:A neurobiology for all clinical types of tinnitus is emerging reflecting advances in the basic science and neuroscience of brain and brain function and the cochleovestibular system. As tinnitus types begin to be objectively identified, treatment modalities can be applied in a more precise manner. The goal of this miniseminar is to examine new and existing tinnitus treatment specifically in reference to how to apply these techniques for the different tinnitus types. Surgery, intratympanic treatment, neuromodulation, and magnetic stimulation will all be examined, allowing the participants to understand the cutting edge of tinnitus therapy.Educational Objectives:(1) Cite the clinically applicable methods of tinnitus treatment. (2) Determine the rationale for selection of modality(ies) of treatment based on objective identification. (3) Describe the variety of tinnitus types that can now be diagnosed in an objective manner.
Putting a New Spin on Things: Evidence‐Based Management of Geriatric Dizziness
Authors: Agrawal Yuri , McKinnon Brian J. , Rubin Allan M. , Wetmore Stephen J. 
Published: September 2014

Program Description:Dizziness and balance problems are very common in older adults. These problems can be vexing to manage for the otolaryngologist given that symptoms are often nonspecific, and multiple vestibular and nonvestibular factors are typically involved. In this miniseminar sponsored by the Geriatric Otolaryngology and Equilibrium Committees, we will review the latest evidence on how vestibular function changes with age and how this affects mobility and falls risk in older adults. We will discuss a practical, evidence‐based approach to identifying important vestibular and nonvestibular contributing factors (eg, benign paroxysmal positional vertigo in elderly patients, orthostatic hypotension, specific medications), and strategies for managing these factors.Educational Objectives:(1) Describe multiple contributing factors to dizziness in older adults. (2) Explain how vestibular function changes with aging and how this affects mobility and falls risk. (3) Enhance the diagnosis and management of vestibular dysfunction in older adults.
Sudden Hearing Loss: Evidence‐Based Management and the Latest in Research
Authors: Chandrasekhar Sujana S. , Saunders James , Vambutas Andrea , Schwartz Seth R. 
Published: September 2014

Program Description:Sudden hearing loss is a complex, frightening condition with a number of possible causes and treatments. There is exciting new research with immediate clinical application. This miniseminar will provide a Clinical Practice Guidelines–based review of targeted evaluation and treatment options and a detailed look at current research, particularly for the problem of the patient with sudden sensorineural hearing loss (SSNHL) who does not respond to first‐ or second‐line treatments.Educational Objectives:(1) Demonstrate an evidence‐based strategy for workup, evaluation, and counseling of the patient with SSNHL. (2) Compare existing treatment modalities using the available evidence and offer the appropriate treatment for the patient. (3) Recognize the latest research in treating other treatment‐resistant SSNHL.
Temporal Bone Radiology: Beyond the Basics
Authors: Monfared Ashkan , Taheri M. Reza , Gurgel Richard K. , Blevins Nikolas H. , Jackler Robert K. 
Published: September 2014

Program Description:Through this interactive presentation, the audience is exposed to challenging temporal bone radiology cases and offered strategies to improve their interpretation. We will cover key findings for chronic ear disease and conductive hearing loss, lateral skull base lesions, and the petrous apex. The emphasis is placed on subtle but pertinent findings on computed tomography and magnetic resonance imaging examinations and their importance in creating and narrowing a differential diagnoses. We will present guidelines to aid in the efficient acquisition and interpretation of imaging for patients with common otologic symptoms such as vertigo, sudden hearing loss, and pulsatile tinnitus.Educational Objectives:(1) Interpret key radiographic findings for common pathologic conditions of the temporal bone. (2) Order appropriate radiographic tests to evaluate common conditions and understand the strengths and limitations of various imaging modalities.
Understanding the Dizzying Array of Diagnostic Dizziness Tests
Authors: Hoffer Michael E. , Bhansali Sanjay , Hornibrook Jeremy , Agrawal Yuri , Kuhn Jeffery J. , Adams Meredith E. 
Published: September 2014

Program Description:The “dizzy” patient can be a diagnostic challenge. Symptoms can be nonspecific and result from numerous etiologies. While most otolaryngologists realize that a complete and accurate history provides the basis for the diagnosis and management of balance disorders, the use and diagnostic significance of balance tests can be unclear. In this miniseminar, we will discuss the use and interpretation of a variety of balance tests including electrocorticography, vestibular evoked myogenic potential, videonystagmography testing, rotational chair testing, head impulse tests, and posturography. The goal of this miniseminar is to educate and discuss the use of these tests in a modern practice.Educational Objectives:(1) Identify history and physical examination findings that indicate the need for further diagnostic testing. (2) Decide which balance tests to order when further testing is necessary. (3) Interpret balance function testing for diagnostic and prognostic purposes.
New Concepts in Pediatric Otolaryngology: A Video Forum
Authors: Zdanski Carlton J. , Parikh Sanjay R. , Goudy Steven L. , Hartnick Christopher J. , Roy Soham , Rutter Michael J. , White David R. 
Published: September 2014

Program Description:In this state‐of‐the‐art miniseminar, 7 experts will share video‐based examples of new ideas in pediatric otolaryngology. New knowledge, techniques, and outcomes for emerging concepts will be discussed while ample opportunity for audience questions and answers will be provided. Steven L. Goudy: endoscopic‐assisted pharyngeal surgery. Christopher J. Hartnick: optical coherence tomography in the operating room; differentiating cysts from nodules. Sanjay R. Parikh: drug‐induced sleep endoscopy: technique and findings. Soham Roy: mechanical models of operating room airway fires. Michael J. Rutter: slide tracheoplasty for difficult tracheoesophageal fistula. David R. White: a new understanding of congenital nasal stenosis. Carlton J. Zdanski: transoral robotic surgery: pearls and pitfalls.Educational Objectives:(1) Characterize novel ideas for pediatric airway surgery techniques and concepts. (2) Prevent airway fires during surgery. (3) Practice novel techniques for understanding pediatric sleep apnea evaluation.
SSAC Spotlight Series: Button Battery Injuries: 2014 Task Force Update
Authors: Jacobs Ian N. , Jatana Kris R. , Litovitz Toby , Boyce Kenneth P. 
Published: September 2014

Program Description:More than 3500 battery ingestions occur each year in the United States. Over the past 8 years, the number of moderate to severe injuries has increased, including fatalities. A multidisciplinary national button battery task force was set up in 2012 under the American Broncho‐Esophagological Association and the American Academy of Pediatrics with the overall mission of reducing button battery injuries in children. This miniseminar aims to outline the current status of the problem, insights into clinical management algorithms, industry involvement, product safety standards, and educational outreach activities. All task force activities will be discussed.Educational Objectives:(1) Discuss the incidence of button battery ingestions, mechanisms of injury, clinical presentation, and common household sources of button batteries. (2) Implement treatment algorithms and be able to recognize immediate and delayed complications. (3) Implement solutions with industry collaboration and educational outreach efforts to prevent future button battery injuries.
Ask the Experts: An Endoscopic Potpourri
Authors: Kennedy David W. , Ferguson Berrylin J. , Palmer James N. , Hwang Peter H. , Stankiewicz James A. , Zinreich S. James 
Published: September 2014

Program Description:Rhinologic diagnostic and treatment problems commonly create dilemmas in practice. This miniseminar provides for interactive discussion of the management options and the decision rationale involved in difficult sinus diagnostic and treatment situations. A case presentation format is used with case presentations from each of the panelists emphasizing questions with regard to differential diagnosis, evaluation, imaging, and treatment. Cases are representative of those encountered by either a general otolaryngologist or a subspecialty rhinologist but have critical decision points for discussion. The session focuses on the decision‐making process, frontal sinus disease, revision surgery, and fungal sinusitis, as well as common tumors.Educational Objectives:(1) Review the surgical decision‐making process in chronic sinus disease. (2) Implement different imaging modalities and improved quality of interpretation for both computed tomography and magnetic resonance images. (3) Improve the management of difficult‐to‐treat chronic rhinosinusitis.
Difficult Nasal Polyposis: Evolving Treatments and Remedies
Authors: Woodworth Bradford A. , Palmer James N. , Reh Douglas D. , Gosepath Jan 
Published: September 2014

Program Description:Chronic sinusitis with nasal polyposis has a detrimental impact on quality of life and may exacerbate coexisting conditions such as asthma. This miniseminar will outline the latest theories on disease pathogenesis as well as promote rational medical and surgical strategies for severe nasal polyposis management. Treatments designed to decrease reliance on systemic steroids including surgical methods and complementary medical therapeutics such as topical steroid irrigations, macrolides, and anti‐leukotrienes will be discussed. A panel of international experts will provide the latest innovations in medical and surgical treatments through a case‐based approach of difficult patients and strategies for success illustrating these advancements.Educational Objectives:(1) Describe current theories on the pathogenesis of nasal polyposis. (2) Recognize the newest medical and surgical treatments for difficult nasal polyposis, including cystic fibrosis. (3) Initiate additional therapeutic measures to appropriately care for patients with severe nasal polyposis.
Evidence‐Based Approach to Topical Therapy for Chronic Rhinosinusitis: Snake Oil or Cure?
Authors: Davis Greg E. , Palmer James N. , Woodworth Bradford A. , Wormald Peter J. 
Published: September 2014

Program Description:Some of the most exciting new research in the field of chronic rhinosinusitis (CRS) relates to topical therapies. These therapies include topical steroids, antibiotics, antifungals, surfactant, and complementary and alternative treatments such as manuka honey and bacteriophage. New research now supports the clinical use of these therapies. However, some topical therapies proposed for treatment of CRS and related disorders should be used with caution due to lack of efficacy and even toxicity. The purpose of this miniseminar is to provide a summary and case studies of the best evidence available to help clinicians treat patients with CRS using topical therapies.Educational Objectives:(1) Analyze up‐to‐date evidence‐based research for topical therapy management of CRS including topical steroid, antibiotic, antifungal, surfactant, and other alternative remedies. (2) Apply evidence‐based clinical research in this field to directly improve the therapies available for patients with CRS.
Nonallergic Rhinitis: Diagnosis and Management
Authors: Krouse John H. , Joe Stephanie , Luong Amber U. , Reisacher William R. , Toskala Elina M. 
Published: September 2014

Program Description:Patients with nonallergic rhinitis (NAR) are commonly seen in an otolaryngologist's practice. These patients may have no allergic triggers, may be negative to routine allergy testing, and are therefore diagnosed with NAR. Recent workgroups both in the United States and internationally have attempted to better classify the pathophysiology and phenotype of patients with NAR, with the goal of facilitating more accurate diagnosis and improved treatment. This panel will review, through brief didactic discussions and case presentations, recent knowledge and current understanding of NAR and will highlight methods to improve the management of these frequently challenging patients.Educational Objectives:(1) Discuss the various pathophysiologies and presentations that are grouped under the diagnostic category of nonallergic rhinitis. (2) Review important elements of the diagnostic workup in evaluating the patient with nonallergic rhinitis. (3) Implement treatment strategies for patients diagnosed with nonallergic rhinitis.
Office‐Based Surgical Procedures in Rhinology
Authors: Lee Jivianne T. , Han Joseph , Hwang Peter H. , Stringer Scott P. 
Published: September 2014

Program Description:With continual advances in endoscopic instrumentation and technology, a burgeoning number of rhinologic procedures can now be effectively performed in the office environment. Such interventions have provided therapeutic alternatives in the management of primary and recalcitrant sinonasal disease. The purpose of this miniseminar is to describe the principles and techniques involved in successful implementation of rhinologic surgery in the clinic setting. Both fundamental (turbinate surgery, polypectomy) and advanced sinus procedures (frontal sinusotomy, revision surgery) will be discussed. Appropriate setup, anesthesia, and patient selection will be described. This miniseminar will be conducted by academic leading rhinologists using a multimedia, interactive, case‐based format.Educational Objectives:(1) Discuss current office‐based, rhinologic surgical procedures and their role in the management of sinonasal disease. (2) Describe appropriate patient selection, preparation, and optimal anesthetic and surgical techniques for rhinologic clinic procedures. (3) Assess recent technologic innovations and understand their proper application in rhinologic office‐based surgical procedures.
Hypoglossal Nerve Stimulation Therapy for Obstructive Sleep Apnea
Authors: Soose Ryan J. , Woodson B. Tucker , Kezirian Eric J. , Jacobowitz Ofer , Gillespie M. Boyd 
Published: September 2014

Program Description:Obstructive sleep apnea (OSA) significantly affects sleep, daytime function, quality of life, public safety, and cardiovascular risk. Although positive pressure remains the primary treatment, suboptimal adherence rates necessitate alternative treatment strategies. Hypoglossal nerve stimulation is a new and emerging treatment option with published prospective clinical trial data. Sleep‐boarded otolaryngologists will review the physiology and basic science of upper airway stimulation, demonstrate the current technology and surgical procedure, present safety and efficacy data from recent multicenter clinical trials, and discuss patient selection and cost‐effectiveness. A panel will explore future directions and the advantages/disadvantages of this technology as it compares to other sleep apnea treatment options.Educational Objectives:(1) Examine the pathophysiology of OSA with a particular focus on the neuromuscular control mechanisms. (2) Interpret the basic science and feasibility studies on hypoglossal nerve stimulation and describe the current technology and surgical procedure. (3) Report the safety, efficacy, and cost‐effectiveness data from published prospective multicenter clinical trials.
Procedure Selection with Drug‐Induced Sleep Endoscopy
Authors: Friedman Norman R. , Kezirian Eric J. , de Vries Nico , Soose Ryan J. , Weaver Edward M. 
Published: September 2014

Program Description:Drug‐induced sleep endoscopy (DISE) is a novel technique to identify sites of anatomic obstruction that may be amenable to surgery. Although the technical aspect of the procedure is straight forward, the interpretation and management is not. The science of DISE is rapidly expanding, but there are still many gaps. This miniseminar will present a variety of DISE videos. After audience polling, an expert panel will provide their interpretation and management. Both the art and science behind the decision process will be discussed.Educational Objectives:(1) Evaluate a DISE video and classify the obstruction. (2) Formulate a management plan for a variety of anatomic sites of obstruction. (3) Predict the best OSA surgical candidates.
Acute and Delayed Management of Maxillofacial Trauma
Authors: Kellman Robert M. , Jordan James R. , Strong Bradley , Brickman Todd M. , Tatum Sherard A. 
Published: September 2014

Program Description:Otolaryngologists are frequently faced with the challenges of managing patients who have sustained significant injuries due to maxillofacial trauma. Often, these are associated with injuries to other organ systems that may preclude timely attention to the maxillofacial injuries. Sometimes, patients present for medical care after some delay. It is important for surgeons to be able to decide when it is reasonable to delay intervention and when delay is mandatory, as well as have an understanding of how surgical intervention may change as a result of such delays. This miniseminar will address these issues.Educational Objectives:(1) Explain the indications for delayed management of maxillofacial injuries. (2) Recognize typical contraindications to early intervention for the management of maxillofacial injuries. (3) Use techniques for delayed intervention and management of maxillofacial injuries and how they differ from acute interventions.
Bridging the Generation Gap: The Reality of EMR Implementation
Authors: Garcia‐Rodriguez Laura R. , Singer Michael C. , Ko Alvin B. 
Published: September 2014

Objectives:Assess the attitude of academic otolaryngology faculty members toward a new electronic medical record (EMR) and determine the impact of implementation on their perspectives.Methods:A longitudinal survey study was conducted from December 2013 to June 2013 at an academic medical center. All otolaryngology and audiology faculty members were serially administered an online, 10‐question survey assessing their attitudes toward implementation of a new EMR system. These surveys were completed 3 months prior and 1 and 3 months after implementation. Basic demographic information was also collected.Results:Thirty faculty members completed all 3 surveys. Compared with respondents over 40 years old, those under 40 years reported being more comfortable with computers (P =. 035). Prior to implementation, respondents under 40 years were statistically more likely to believe that the new EMR documentation would be both more efficient (P =. 018) and higher quality (P =. 030). However, by the end of the study the attitudes of the groups had converged; those under 40 years were less positive about the efficiency and quality of documentation in the new system and those over 40 years had become more enthusiastic about these aspects of EMR documentation.Conclusions:Younger faculty members appear to be more comfortable with the use of computers. This possibly led them to be more optimistic about the potential benefits of the EMR system. However, implementation appeared to alter both age cohorts’ perspectives, with younger faculty becoming less positive and older faculty becoming more enthusiastic about the EMR's impact.
Development of National Guidelines for Office‐Based Otolaryngology Procedures
Authors: Singh Praby , Krespi Yosef P. 
Published: September 2014

Objectives:(1) Describe the various basic recommended guidelines to safely perform office‐based procedures in otolaryngology (levels of anesthesia, staff training, pre/post procedure care, critical equipment and supplies, and hospital transfer). (2) Discuss state‐specific guidelines for office‐based procedures. (3) Describe the basic equipment and room setup to ensure safe, efficient, and successful office‐based procedures for anesthesia without sedation. (4) Develop a national standard for office‐based procedures in otolaryngology that will act as a guideline for the office‐based surgeon.Methods:Office‐based procedures will continue to gain significant popularity in otolaryngology as more surgeons take advantage of this safe and effective alternative to procedures based in the operating room. This paper involved examining the various existing guidelines for office‐based procedures, including necessary equipment, staff training, anesthesia protocols, and documentation. The various state guidelines on office‐based procedures were reviewed on an individual basis to produce a set of guidelines that any otolaryngologist can use to develop an office‐based procedure practice.Results:A guideline has been developed covering all critical aspects necessary to perform safe, effective, and successful office‐based procedures, focusing on anesthesia without sedation, for the otolaryngology surgeon. This guideline will help outline the necessary steps for the creation of an office‐based procedure practice for otolaryngologists across the country.Conclusions:Office‐based otolaryngology procedures are quickly increasing in popularity and frequency. National guidelines are necessary to ensure these procedures continue to be successful, safe, and patient focused.
Evidence‐Based Soft‐Tissue Reconstruction: Incorporating Lessons Learned from Social Perception
Authors: Dey Jacob K. , Ishii Masaru , Boahene Kofi D. O. , Byrne Patrick J. , Ishii Lisa E. 
Published: September 2014

Objectives:Measure the impact of facial lesion reconstruction on observer‐graded attractiveness and measures of negative facial perception.Methods:One hundred twenty casual observers viewed images of faces with lesions of varying sizes and locations before and after reconstruction as well as normal comparison faces. Observers rated attractiveness, lesion severity, and how disfiguring, bothersome, and important to repair they considered each face.Results:Facial lesions decreased attractiveness –2.26 [–2.45, –2.08] on a 10‐point scale. Mixed effects linear regression modeling showed this attractiveness penalty varied with lesion size and location, with large and central lesions generating the greatest penalty. Reconstructive surgery increased attractiveness 1.33 [1.18, 1.47], an improvement that also varied with size and location, restoring some lesion categories to near normal ranges of attractiveness. Iterated principal factor analysis indicated the disfiguring, important to repair, bothersome, and severity variables were highly correlated and measured a common domain; thus they were combined to create the DIBS factor score, representing negative facial perception. The DIBS regression showed lesion faces have a 1.5 standard deviation increase in negative perception [DIBS: 1.69 (1.61,1.77)], which decreased by a similar magnitude after surgery [DIBS: –1.44 (–1.49, –1.38)]. These findings also varied with lesion size and location.Conclusions:Surgical reconstruction of facial lesions increased attractiveness and decreased negative social facial perception, an impact that varied with lesion size and location. This new social perception evidence, when combined with patient and expert perception data, will inform our evidence‐based soft tissue reconstructive algorithm.