bluuebunny/crossref_metadata_2025_split huggingface dataset:
The New Cancer Patient: Young, Non‐smoker, HPV+: Evaluation
Authors: Deschler Daniel G. , Ferris Robert L. , Wang Marilene B. , Khariwala Samir S. , Richmon Jeremy D. 
Published: August 2013

Program Description:The near‐epidemic rise of the incidence of human papillomavirus (HPV)‐related oropharyngeal carcinomas presents the practitioner with a “new” head and neck cancer patient, vastly different from those with the traditional risk factors who formed the basis of our training experience. Accordingly, a thorough and disease‐specific evaluation process is necessitated. Using a case‐based format and the following presentations from experts in the field, this miniseminar will review the evaluation of the HPV‐related cancer patient: The HPV oropharyngeal cancer epidemic: surgeon's perspective, role of imaging, evaluation of the neck mass, evaluation of the primary questions every patient wants to ask.Educational Objectives:1) Recognize the key clinical, epidemiological and pathologic features differentiating HPV‐positive oropharyngeal cancer from cancers related to traditional risk factors. 2) Implement a consistent, efficient, and evidence‐based evaluation process for the increasing number of patients presenting with oropharyngeal cancers that may be HPV related. 3) Acknowledge and prepare for patient questions related to the viral etiology of HPV‐positive oropharyngeal cancer.
The New Cancer Patient: Young, Non‐smoker, HPV+: Management
Authors: Smith Richard V. , Scharpf Joseph , Moore Eric J. , Nussenbaum Brian , Gourin Christine G. 
Published: August 2013

Program Description:As the demographics of oropharyngeal cancer change, so too will its management. Since these patients are often younger, have a better prognosis, and have presumably a longer life expectancy, we will discuss variations in treatment regimens. Using a case‐based format and presentations from experts in the field, this miniseminar will review the management of the HPV‐related cancer patient: molecular markers, chemotherapy and radiotherapy, the expanding role of surgery, neck management, and the potential for de‐escalation of therapy. We will provide the practitioner with a practical, useful, and evidence based approach to the treatment of the HPV positive cancer patient.Educational Objectives:1) Recognize biomarkers for HPV‐related head and neck cancer and understand their utility and limitations in clinical practice. 2) Develop a rational treatment plan for HPV‐related head and neck cancer patients.
Hot Topics in Otolaryngology 2013: Accountable Care Organizations
Authors: Stern Wendy B. , King Raymund C. , Denneny James C. , Johnson C. Brett , LaFreniere Denis C. 
Published: August 2013

Program Description:The practice of medicine is rapidly transforming in response to healthcare reform and cost reduction efforts. ACOs, first introduced into the Patient Protection and Affordable Care Act in 2009, are a payment and care delivery model that tie reimbursements to performance and cost reduction for a defined patient population. The physician must understand the laws and economics that affect the delivery of healthcare. Participants will gain an understanding of 1) Healthcare laws 2) ACOs, with a focus on outcomes, safety, and satisfaction while decreasing costs, negotiation tactics, and methods of awarding any shared savings. 3) Socioeconomic factors and concerns regarding emerging payment paradigms.Educational Objectives:1) Evaluate the current and future impact of Federal Healthcare Regulations upon otolaryngologic practice. 2) Comprehend physician and hospital organized ACOs, their objectives and considerations that will affect your role within that structure. 3) Recognize socioeconomic concerns related to transitioning from a fee for service model into ACOs and other future payment paradigms and what the Board of Governors is doing on behalf of our members.
Reconstruction after Salvage Laryngectomy
Authors: Chepeha Douglas B. , Hanasono Matthew M. , Patel Urjeet , Genden Eric M. , Rosco Andrew , Chanowski Eric 
Published: August 2013

Program Description:Patients undergoing salvage laryngectomy after concurrent chemoradiation are predisposed to impaired wound healing that can lead to pharyngocutaneous fistula (PCF). When a PCF develops, extended hospitalization and/or re‐operation are often required. A variety of reconstructive techniques are used to try and mitigate this complication and improve outcome. The microvascular committee conducted a multicenter retrospective review at 19 institutions. Data on over 450 patients will be presented. Overall, pharyngocutaneous fistula rates were 36% and ranged from 21‐46% based on reconstructive approach and size of accompanying pharyngeal defect. Differences in reconstructive approach and guidelines for treating this patient group will be presented.Educational Objectives:1) Demonstrate the research approach to a multi‐institutional review to establish treatment guidelines for the reconstruction of salvage laryngectomy patients. 2) Contrast reconstructive approaches for the patient undergoing salvage laryngectomy. 3) Provide practice‐based evidence for the reconstruction of the salvage laryngectomy patient.
Sialendoscopy: The Beginner's Guide to Success
Authors: Siegel Gordon J. , Schaitkin Barry M. , Zenk Johannes , Eisele David W. , Fritsch Michael H. 
Published: August 2013

Program Description:Sialendoscopy is a relatively new addition to otolaryngology. It offers the opportunity to work with salivary gland disease with non‐invasive procedures that yield potentially superior outcomes to previous techniques. It is exciting but very challenging. This miniseminar is geared towards the beginner. It will give basic techniques and point out potential pitfalls. Additional information will include the appropriate diagnostic work‐up, 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. Experienced experts will explain beginning basic techniques. Mistakes and pitfalls common to the beginner will be described.
Airway: Advances in Management
Authors: Weinberger Paul M. , Courey Mark S. , Lorenz Robert R. , Birchall Martin A. 
Published: August 2013

Program Description:This miniseminar will highlight advances in clinical case management of patients with dyspnea associated with upper airway tract abnormalities. Both endoscopic and open management of the difficult airway will be discussed. A perspective on advances and options for office based management will be offered. A perspective on indications for advanced techniques including airway transplantation will be offered. This miniseminar will be interactive, with audience participation encouraged.Educational Objectives:1) Differentiate options and indications for endoscopic and open management of upper airway stenosis. 2) Demonstrate office based management of the difficult airway. 3) Recite the decision pathway for upper airway transplantation.
Dysphagia: From Science to Clinical Practice
Authors: Amin Milan R. , Belafsky Peter C. , McCulloch Timothy M. , Langmore Susan E. 
Published: August 2013

Program Description:This miniseminar will focus on advances in the field of dysphagia. Dysphagia is an extremely common problem that has a profound effect on the lives of patients who suffer from it. However, there is little consensus on how to evaluate and treat patients with this problem, largely because of the lack of data‐driven protocols. This miniseminar is designed to update the audience on recent basic science, translational, and clinical research in the field of dysphagia. It is anticipated that the talks will stimulate participants to think critically about how best to manage their patients with dysphagia.Educational Objectives:1) Evaluate the impact of dysphagia and dysphagia‐related disorders. 2) Analyze new research related to dysphagia and how it impacts management of the patient with dysphagia. 3) Explore options for treating patients with dysphagia.
Endoscopic vs Open Treatment of Laryngotracheal Stenosis
Authors: Khosla Sid , Rutter Michael J. , de Alarcon Alessandro , Sandhu Guri , Halum Stacey L. , Hillel Alexander T. 
Published: August 2013

Program Description:A significant challenge in the surgical management of laryngotracheal stenosis is when to choose an open repair over an endoscopic approach. This clinical decision‐making process is made more difficult by the fact that there is significant controversy about this topic, and thus there is no general consensus. This miniseminar will focus on the surgical details of different endoscopic and open procedures. On the panel, there will be both surgeons who favor endoscopic approaches and those who frequently do both. Discussion will be further enhanced by the use of multiple case presentations and interactive audience participation.Educational Objectives:1) Recite the details of multiple endoscopic approaches, including the use of balloons, lasers, stents, application of mitomycin C, and injection of steroids for both children and adults. 2) Describe how co‐morbidities, patient age, patient preferences, airway surgical history, and nature (eg, length, location, firmness) modify the decision of when to choose an open versus endoscopic approach. 3) Recognize when to choose a cricotracheal resection versus a laryngotracheal resection and the details of both procedures.
Globus: The Perennial Complaint
Authors: Tan Melin , Mirza Natasha , Franco Ramon A. , Weissbrod Philip A. 
Published: August 2013

Program Description:Globus pharyngeus is a sensory abnormality of the throat affecting 4‐6% of the population. To date, the etiology of globus still remains poorly elucidated although many theories have evolved. There is no consensus regarding the diagnosis and management for these patients. This miniseminar is intended to concisely: 1) Review all of the key elements of evaluation, examination, diagnosis, and management of patients with globus; 2) Evaluate all possible etiologies for globus sensation; 3) Summarize the literature supporting or refuting all diagnostic modalities for patients with globus; 4) Discuss a practical management algorithm for treatment of patients with globus.Educational Objectives:1) Acquire practical tools for assessment and diagnosis of patients with globus. 2) Consider all potentially beneficial diagnostic options of patients with globus. 3) Survey current clinical practice methods for management of patients with globus.
Practical Approach to Swallowing Problems
Authors: Lintzenich Catherine R. , Amin Milan R. , Postma Gregory N. , Merati Albert L. 
Published: August 2013

Program Description:This miniseminar will present a practical approach to the evaluation of swallowing problems, one of the most common problems seen in otolaryngology practices. A combination of didactic teaching and case presentations will be used to illustrate appropriate workup of swallowing problems, including history, examination, and diagnostic tests. The use of swallowing evaluations, such as fluoroscopy, endoscopy, and manometry, will be discussed. Non‐surgical and surgical approaches to managing swallowing problems, along with risks and benefits, will be presented.Educational Objectives:1) Identify a practical algorithm for the evaluation of swallowing problems. 2) Discuss the benefits of diagnostic tests for swallowing problems, including fluoroscopy, endoscopy, and manometry. 3) Apply the appropriate approach to non‐surgical and surgical therapeutics for swallowing problems.
Reflux: Pathophysiology to Management
Authors: Blumin Joel H. , Johnston Nikki , Jobe Blair A. , Merati Albert L. 
Published: August 2013

Program Description:This miniseminar will highlight advances in science and management of extra esophageal reflux. For decades, management of reflux has focused on acid suppression, often with variable patient outcome. Advances in understanding the mechanism of extra esophageal reflux have demonstrated the importance of all reflux events, from acid to alkaline. This miniseminar will feature thought provoking perspectives from leaders in translational and clinical research. Pathophysiology, surgical, and medical management of extra esophageal reflux will be highlighted.Educational Objectives:1) Evaluate the impact of reflux mediated injury to the epithelia of the upper aerodigestive tract. 2) Recognize that management of reflux is more than acid suppression. Appreciate the role of surgical management of extraesophageal symptoms. 3) Identify shifts in management of reflux mediated laryngitis.
Voice: From Cells to Song
Authors: Sulica Lucian , Rosen Clark A. , Simpson C. Blake , Thibeault Susan 
Published: August 2013

Program Description:This miniseminar will feature thought provoking perspectives from leaders in translational and clinical research. An exploration of the pathophysiology of vocal fold scar and present cell biology treatment methods will be presented. This will include recent advances for vocal fold lamina propria rehabilitation. A discussion will be presented regarding evidence for vocal fold paralysis treatment of laryngeal framework surgery versus laryngeal re‐innervation. This discussion will highlight the areas of indications and results. Advanced voice procedures to optimize voice outcomes will be presented, including laser application for a variety of voice disorders and vocal fold augmentation approaches and materials.Educational Objectives:1) Describe the cellular biology of vocal fold scar and approaches of regenerative medicine as treatment options. 2) Interpret the known and unknown aspects of vocal fold paralysis treatment with laryngeal framework surgery in contrast to laryngeal re‐innervation. 3) Apply the most modern, advanced voice surgical methods, including laser and vocal fold injection approaches.
Advances in the Objective Diagnosis of Ménière's Disease
Authors: Hornibrook Jeremy , Gibson William P. R. , Manzari Leonardo , Nakashima Tsutomu 
Published: August 2013

Program Description:Ménière's disease is currently diagnosed by the AAO‐HNS Equilibrium Committee Guidelines (1995), which are used worldwide. In the guidelines a “Certain” diagnosis requires histopathological confirmation of endolymphatic hydrops, with no provision for any in vivo test which might confirm that. This seminar will present one well established test (tone burst electrocochleography) and two newer techniques (vestibular evoked myogenic potential [VEMPs] and magnetic resonance imaging [MRI] inner ear imaging with intratympanic gadolinium) for demonstrating hydrops, and their basis for advancing knowledge of the pathophysiology of Ménière's disease. Practical examples of the AAO‐HNS guidelines underdiagnosing Ménière's disease and its use in distinguishing Ménière's disease from vestibular migraine are presented.Educational Objectives:1) Relate the basis and validity of tone burst electrocochleography as a sensitive and specific test for hydrops and its methodology as a simple office test. 2) Demonstrate that during a Ménière's attack, the cervical VEMP amplitude is unchanged but the optical VEMP increases, implying a mechanical change in the membranous labyrinth as opposed to an ionic change. 3) Show that MRI inner ear imaging can visually demonstrate hydrops in the cochlea and vestibule.
Practical Guide to MOC: Who, What, When, Why, and How
Authors: Teng Marita S. , Malekzadeh Sonya , Miller Robert H. , Choi Sukgi S. , Lin Derrick T. , Weber Randal S. , Smith Shane 
Published: August 2013

Program Description:This miniseminar is designed to assist American Board of Otolaryngology (ABOto) diplomates in understanding the process of Maintenance of Certification (MOC). Panelists will include representatives from the American Academy of Otolaryngology—Head and Neck Surgery (AAO‐HNS) and ABO to, as well as recent examinees of Part III MOC. Discussion will include the purpose, layout, and timeline of MOC, as well as practical tips for completing the requirements and passing the Part III examination. The panelists will also review what educational resources are available for continuation of lifelong learning, maintenance of certification, and recertification. The miniseminar will conclude with an interactive question and answer session.Educational Objectives:1) Recognize MOC as a 10‐year cycle and understand the specific requirements for each of the four components of MOC. 2) Identify common concerns, anxieties, and misconceptions of Part III MOC. 3) List AAO‐HNS educational resources designed for lifelong learning, maintenance of certification, and recertification.
Hearing Loss 2013: Expanded Technology, Expanded Criteria
Authors: Coelho Daniel H. , Babu Seilesh , Papsin Blake C. , Buchman Craig A. , Roland J. Thomas 
Published: August 2013

Program Description:The purpose of this course is to educate our otolaryngology community about how best to provide the widest array of surgical technologies to the largest populations of patients with hearing loss. Traditionally, technologic advancement has driven the field forward, though recent attention has also focused on expanding eligibility criteria for existing technology. The format will be a panel of experts with proposed topics organized by patient population (rather than by technology), including patients with moderate to severe hearing loss and significant residual hearing, single sided‐deafness, tinnitus, children, age extremes, the multi‐handicapped, cochlear nerve deficiency, and others.Educational Objectives:1) Recognize the most current surgical technologies available to patients with hearing loss. 2) Articulate the rationale for expanding inclusion criteria for existing technologies to patients previously considered ineligible. 3) Evaluate how promising preliminary outcomes data support the continued expansion of both technology and criteria for patients with hearing loss.
The Martha Entenmann Tinnitus Research Center, Inc.: Abraham Shulman, MD; and Barbara Goldstein, PhD; International Tinnitus Miniseminar: New Concepts in Electrophysiology and Tinnitus
Authors: Hoffer Michael , Olivera Carlos , Prichep Leslie , Kleinjung Tobias , Shulman Abraham 
Published: August 2013

Program Description:A neurobiology for all clinical types of tinnitus is emerging, reflecting advances in the neuroscience of brain function and the cochleovestibular system. The electrophysiologic identification of brain functions activated in the presence of the tinnitus signal can provide a basis for translation to optimize tinnitus diagnosis and treatment. This miniseminar will focus on electrophysiology and tinnitus. Electrophysiologic markers of ear and brain function have been identified in subjective idiopathic tinnitus patients of all clinical types. This clinical experience has been reflective predominantly of site of lesion testing of cochleovestibular function. Tinnitus is an aberrant auditory percept. Advances in the neuroscience of brain imaging, sensory physiology, auditory physiology, brain function, and tinnitus have provided the otolaryngologist and all tinnitus professionals methods for objectification of the subjective tinnitus complaint. This miniseminar will initially review the past and present experience with electrophysiologic markers for tinnitus of cochleovestibular function. Second, the focus will be on presentation of two methods of objectification for the identification of electrophysiologic markers of tinnitus in brain as follows: 1) Quantitative electroencephalography (QEEG) and 2) low resolution electromagnetic tomography (Loreta). In this miniseminar, the fourth in a series examining tinnitus, each speaker will examine an electrophysiologic technique and then provide case discussions to examine the use of this technique in treatment selection.Educational Objectives:1) Understand the neurobiology of tinnitus. 2) Understand the availability of the use of electrophysiologic outcomes to provide objectivity for the subjective tinnitus complaint. 3) Recognize how established methodologies of recording electrophysiology of the ear and brain can be applied to the tinnitus patient.
Neurotologic Emergencies: What the General Otolaryngologist Needs to Know
Authors: Chandrasekhar Sujana S. , Hashisaki George T. , Lustig Lawrence R. , Brodie Hilary , Arriaga Moises A. 
Published: August 2013

Program Description:This miniseminar, presented on behalf of the American Neurotology Society, is designed to provide the practicing general otolaryngologist with immediately useful clinical pearls in the evaluation and management of patients presenting with neurotologic emergencies. Five expert neurotologists will present the current state of the art in the following areas: temporal bone fracture, acute mastoiditis, meningitis, idiopathic facial nerve palsy, and sudden hearing loss. These patients often present the clinician with challenges, including how to assess, when and what to test, and what treatment options to offer, as well as what the expected outcomes are. ARQ and Q&A will be emphasized.Educational Objectives:1) Describe what to do with a patient with temporal bone fracture, including anticipation and management of hearing loss, cerebrospinal fluid (CSF) leak, and other complications. 2) Manage the patient with sudden cranial nerve palsy, including facial nerve paralysis or sensorineural hearing loss, including medical and surgical management. 3) Apply the current best practices for the management of meningitis and acute mastoiditis, including acute medical management and workup for otogenic causes.
Otogenic Pain and Aural Fullness: Mystery Diagnosis
Authors: Micco Alan G. , Megerian Cliff , Toh Elizabeth H. , Angeli Simon I. 
Published: August 2013

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 a lack of diagnosis and treatment. This leads to multiple visits in search of the answer to their affliction. In this miniseminar, a panel of experts will discuss an appropriate evaluation and workup for these issues. Discussions will highlight appropriate examinations, testing, and imaging, as well as a thorough discussion of the differential diagnoses. Also, recommendations for treatment will be discussed. Case presentations will highlight proper workup and management of these confusing cases.Educational Objectives:1) Recite likely etiologies of aural fullness and otogenic pain. 2) Recognize potentially serious etiologies of these symptoms. 3) Use appropriate workup and treatment of these symptoms and their causes.
Clinical Pearls in Pediatric Otolaryngology: A Video Forum
Authors: Parikh Sanjay R. , Roy Soham , Derkay Craig S. , Hartnick Christopher J. , White David R. , Kazahaya Ken , Rutter Michael J. , Goudy Steven L. , Zdanski Carlton 
Published: August 2013

Program Description:This video‐based forum will provide audience members with state of the art concepts in pediatric otolaryngology. The speakers consist of: Carlton Zdanski: Transoral Robotic Surgery in Children: Indications and Results; Christopher Hartnick: Bevacizumab (Avastin) injection for pediatric RRP; Craig Derkay: Modifications of the Seldinger technique to secure the difficult pediatric airway; David White: Endoscopic division of the sternocleidomastoid muscle for treatment of torticollis; Ken Kazahaya: Endoscopic assisted otologic surgery; Michael Rutter: Tracheotomy tube fenestration; Sanjay Parikh: Diagnosis of sleep induced laryngomalacia; Soham Roy: Radiofrequency ablation of pediatric oral cavity lesions; Steven Goudy: Video‐assisted pharyngeal surgery.Educational Objectives:1) Consider contemporary airway management ideas for tracheotomy tubes, recurrent papillomatosis, and laryngomalacia. 2) Describe novel endoscopic laryngopharyngeal techniques with robotics, radiofrequency, and video‐assistance. 3) Implement novel endoscopic otologic and neck techniques.