bluuebunny/crossref_metadata_2025_split huggingface dataset:
Novel Techniques for Detection and Treatment of Precancer
Authors: Nathan Cherie‐Ann O. , Wang Marilene B. , Nussenbaum Brian , Farwell D. Gregory , Boyle Jay O. 
Published: August 2013

Program Description:Detection and treatment of precancerous lesions is a challenge given the widespread nature of these lesions. Advances in optical visualization using the world's smallest microscope, availability of commercial products evaluating fluorescent targeting of abnormal tissue and molecular biology will play an important role in determining when to initiate treatment. Clinical trials with promising targeted agents and nutraceuticals, a billion dollar industry, will be discussed. With the emerging epidemic of HPV tumors early detection and prevention will be key in counseling patients and their families. Screening salivary rinses and serum for markers of early detection or persistent disease will be discussed.Educational Objectives:1) Apply novel approaches for HPV detection and prevention of oropharyngeal cancer. 2) Recognize intra‐operative detection and treatment of premalignant lesions using the world's smallest microscope, novel fluorescent agents, and laser treatment. 3) Describe chemoprevention of head and neck squamous cell carcinoma with special emphasis on clinical trials with targeted agents and nutraceuticals.
Robotic Surgery: The Current Standard of Practice
Authors: Genden Eric M. , Magnuson Scott , Kuppersmith Ronald B. , Holsinger F. Christopher 
Published: August 2013

Program Description:This miniseminar is presented by select members of the AAO‐HNS Task Force on Robotic Surgery for the purpose of defining the current standards for integrating robotic surgery into a clinical practice. The program is designed to inform the general AAO‐HNS membership of: 1) The pathway to gain training in robotic surgery; 2) The ethics of integrating new robotic technologies into clinical practice; 3) The robotic surgical learning curve; and 4) The nuts and bolts of starting a robotic surgical practice. At the completion of the panel presentations, time will be set aside to encourage questions from the audience.Educational Objectives:1) Describe the training pathway for gaining competence in robotic surgery. 2) Evaluate the ethical concerns of introducing new robotic technologies into a clinical practice. 3) Recognize the framework for initiating a robotic surgery program.
Sialendoscopy: Paradigm Shift in Salivary Gland Treatment?
Authors: Marchal Francis , Arndal Helge , Carrau Ricardo , Irvine Robert A. , Eisele David W. , Cernea Claudio R. , Morton Randall P. 
Published: August 2013

Program Description:This miniseminar intends to open a discussion with the audience on the exponential growth of sialendoscopy throughout the United States (about 150 centers by end 2011) and throughout the world. During the last years, it has proven to be efficient in treating salivary gland ductal pathologies, and more importantly sparing unnecessary and high morbidity removal of salivary glands. The international panel from all continents will discuss with the audience the 2013 state of the art attitude towards sialadenitis, from the first acute episode, investigations, treatment (with all options: balloon dilatation, laser fragmentation, stenting, endoscopic‐surgical combined approaches) and complications.Educational Objectives:1) Recognize the role of sialendoscopy, replacing gradually parotidectomy and submandibulectomy, in case of symptomatic sialadenitis due to stones or strictures. 2) Evaluate the importance this technique has gained over the years and its cost‐effective implementation on all continents. 3) Describe tips, tricks, and the state of the art attitude towards sialadenitis.
Surgical Innovations for Larynx and Pharynx Cancer
Authors: Burns James A. , Haughey Bruce H. , Weinstein Gregory S. 
Published: August 2013

Program Description:Transoral treatment of larynx and pharynx cancer has been done for over a century. Despite substantial technical innovations such as enhanced imaging, innovative laser technologies, and robotic guidance systems, chemoradiation protocols dominate treatment strategies at many institutions. Outcomes data on transoral microsurgical management for advanced oropharynx and larynx cancer will be presented to illustrate the efficacy of surgical management of these diseases. Robotics and laser photoangiolysis of laryngeal cancer are two emerging technologies that can enhance endoscopic surgery. This miniseminar will highlight advantages and disadvantages of endoscopic techniques and innovative technology through presentations from experts in the field.Educational Objectives:1) Evaluate outcomes data on transoral laser microsurgery for advanced oropharyngeal and laryngeal cancer. 2) Interpret the emerging role of robotics in the endoscopic surgical management of larynx and pharynx cancer. 3) Apply concepts of photoangiolysis in treatment of aerodigestive tract malignancy.
Thyroid Surgical Care 2013: The Impact of Molecular Testing
Authors: Witt Robert L. , Ferris Robert L. , Pribitkin Edmund A. , Randolph Gregory W. , Steward David L. 
Published: August 2013

Program Description:Increase the awareness and cost‐effectiveness of molecular alteration testing so that clinicians can consider integrating this into their thyroid practices through didactic presentations and case studies. BRAF and RET/PTC testing through routine FNA for the indeterminate nodule are nearly 100% specific for papillary thyroid cancer and can lead to initial therapeutic thyroidectomy, reducing the need for completion thyroidectomy. Molecular classifiers have a 95% negative predictive value for indeterminate nodules and may have a broad effect on reducing unnecessary diagnostic lobectomies. BRAF positive patients may have a higher rate of central neck recurrence and poorer prognosis leading to tailored surgical management.Educational Objectives:1) Evaluate commercially available molecular alteration testing approaches and their cost‐effectiveness for diagnosis, tailored management, and prognosis for indeterminate nodules through didactic and case presentations. 2) Interpret the potential of molecular alteration testing to lead to initial therapeutically optimal thyroidectomy for indeterminate nodules potentially reducing the rate of completion thyroidectomy. 3) Recognize the potential of molecular classifier testing to reduce unnecessary diagnostic thyroid lobectomy for indeterminate nodules that are benign.
Pearls on How to Transition to ICD‐10 Coding by 2014
Authors: Waguespack Richard W. , Setzen Michael , Buckholtz Rhonda , Lorenz Robert R. , Boynton Angela A. 
Published: August 2013

Program Description:The largest change to the healthcare system in our history is coming and careful planning will be necessary in order to successfully implement and use the ICD‐10 coding system. Attendees will participate in an interactive panel discussion about the importance of starting now and how your practice will be impacted by clinical documentation issues. Topics included in the discussion will provide a timeline of essential activities for implementation and what hurdles to anticipate in preparation for implementation. Presenters will also review commonly billed ear, nose, and throat (ENT) ICD‐9 diagnosis codes and what they will look like in ICD‐10‐CM.Educational Objectives:1) Evaluate how the transition to ICD‐10‐CM will impact physician practice and resources offered through the Academy to help prepare your practices. 2) Recognize why an implementation timeline is important for successful implementation and how the proper steps can lessen impact of implementation on October 1, 2014. 3) Interpret ENT case examples for clinical documentation hurdles and specificity required in ICD‐10‐CM to properly assign codes.
Injection Laryngoplasty: Contemporary Indications/Techniques
Authors: Verma Sunil P. , Courey Mark S. , Woodson Gayle E. , Simpson C. Blake 
Published: August 2013

Program Description:This miniseminar will provide a contemporary review of injection laryngoplasty (IL). Common and overlooked causes of glottal insufficiency will be reviewed. Methods of evaluating patients and the timing of IL relative to patient presentation will be addressed. Technical discussions of how to perform IL in the operating room and in the office will take place. A thorough review of in‐office IL will highlight indications and techniques for injection as well as discuss costs, billing, and other practical aspects required for establishing and maintaining an office‐based practice. Case‐based scenarios will be used to demonstrate pearls and pitfalls in performance of IL.Educational Objectives:1) Recognize laryngeal conditions that will benefit from vocal fold injection. 2) Gain familiarity with indications and approaches for in‐office vocal fold injection. 3) Apply techniques to improve outcomes of vocal fold injections.
Laryngeal Inflammation: Diagnosis and Treatment Challenges
Authors: Fried Marvin P. , Krouse John H. , Altman Kenneth W. , DelGaudio John M. , Postma Gregory N. 
Published: August 2013

Program Description:Using an interactive format, panelists will discuss epidemiology, symptomatology, and co‐morbid conditions contributing to laryngopharyngeal inflammation; diagnosis/differential diagnosis; challenges in diagnosing causative factors; addressing diagnostic challenges to define a treatment plan; current evidence; treatment challenges and impact of co‐morbid conditions; and future research and management implications. The panel will consider “real world” patient management algorithms. The audience will help answer the following questions: What are the typical ‘challenges’ in diagnosing laryngopharyngeal inflammation? What diagnostic testing options should be employed? Which after first treatment failure? What are the common treatment pathways? What differential data should be considered? What healthcare costs impact options? When is referral recommended?Educational Objectives:1) Describe current practice trends on the diagnosis and management of laryngopharyngeal inflammation. 2) Recognize the common challenges in diagnosing laryngeal inflammation to define appropriate treatment strategies. 3) Evaluate current evidence‐based literature supporting current diagnosis and treatment paradigms.
Microlaryngoscopy: Difficult Exposures/Operative Techniques
Authors: Bryson Paul C. , Benninger Michael S. , Hillel Alexander T. , Johns Michael M. , Simpson C. Blake 
Published: August 2013

Program Description:Adequate exposure in suspension microlaryngoscopy can be challenging. This miniseminar will review the principles of microlaryngoscopy and discuss the various techniques used to provide adequate operative exposure. Panel members will be from multiple institutions and training backgrounds and will share their combined experience. Case scenarios will be presented and operative techniques will be discussed. Audience participation will be solicited.Educational Objectives:1) Recite the principles and techniques of suspension microlaryngoscopy. 2) Prepare for difficult microlaryngeal exposures. 3) Employ a number of strategies to facilitate exposure and management of laryngeal pathology.
Auditory Neurology: Understanding Presbycusis
Authors: McKinnon Brian J. , Gates George A. , Backous Douglas D. , Francis Howard W. 
Published: August 2013

Program Description:What are we to make of the clinical sign of presbycusis: “I have difficulty understanding speech in noise, but do all right in quiet”? The need for accurate diagnosis and rational management has led to a new field, auditory neurotology. Speech understanding requires more than perception. Complex brain functions involve the associative cortical areas of the brain; activities such as executive functioning (short term memory, attention, inhibition, and decision‐making) call upon linguistic capabilities. This miniseminar will present established evaluations using an intake questionnaire, speech‐in‐noise testing, and tailored auditory rehabilitation interventions, reimbursable procedures to be incorporated for the benefit of our patients.Educational Objectives:1) Analyze the challenges of presbycusis to implement the necessary advocacy measures to improve evaluation and management. 2) Recognize the role of auditory neurotology in further understanding of presbycusis.
Contemporary Management of Chronic Ear Disease
Authors: Isaacson Brandon , Bojrab Dennis I. , Bennett Marc L. , Kaylie David , Warren Frank M. , Haynes David S. , Smouha Eric E. 
Published: August 2013

Program Description:This miniseminar will discuss various aspects of the management of chronic ear disease, including ossicular chain reconstruction, cartilage and pediatric tympanoplasty, the role of endoscopes, and the management of chronic otitis media without cholesteatoma. Time permitting, a discussion on the management of labyrinthine fistulas will also be presented. A case based approach to these topics will be presented by the moderators to the panel members.Educational Objectives:1) Describe ossicular chain reconstruction, including approaches, staging, and prosthesis selection (including autologous materials). 2) Recognize indications and methods of cartilage tympanoplasty and pediatric tympanoplasty. 3) Manage chronic otitis media without cholesteatoma and the role of endoscopes in chronic ear surgery.
Emerging Concepts in Migraine‐Associated Dizziness
Authors: Hoffer Michael , Goebel Joel A. , Gottshall Kim R. , Staab Jeffery P. 
Published: August 2013

Program Description:Over the last several years migraine has become an increasingly common diagnosis in otolaryngology. Despite the increasing frequency of this diagnosis, little is understood about how the pathophysiology of migraine impacts a range of otolaryngologic diagnoses. Nevertheless specialists in our field are increasingly being called on to diagnose and treat migraines. In this miniseminar we will discuss the role of migraines in hearing and balance disorders and examine the critical criteria that are helpful in distinguishing this disorder from other otologic diagnoses. We will examine the newest diagnostic and treatment modalities and how to apply these in common practice.Educational Objectives:1) Diagnose classical migraine associated dizziness. 2) Implement current treatment modalities for migraine, including medicines, therapy, and Botox treatment. 3) Discuss the evidence to support a continuum between migraines and Ménière'sdisease.
Endoscopic Ear Surgery: Tips and Pearls
Authors: Nogueira Joao F. , Tarabichi Muaaz , Marchioni Daniele , Presutti Livio , Pothier David D. 
Published: August 2013

Program Description:Endoscopic ear surgery (EES) is a current hot topic in our specialty, but it is not entirely correct to introduce EES as “new.” Although not new, it is clear that during the last few years, endoscopes have proven to be safe and effective instruments to manage ear diseases in a minimally invasive way, preserving important anatomical 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) Discuss the main 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 some important tips and pearls to surgeons to start doing endoscopic ear surgery.
Temporal Bone Radiology: Beyond the Basics
Authors: Monfared Ashkan , Taheri Mohammad R. , Jackler Robert K. , Blevins Nikolas H. , Gurgel Richard K. 
Published: August 2013

Program Description:Through this interactive presentation, the audience is exposed to challenging temporal bone radiology cases and offered strategies to improve his or her 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 (CT) and MRI examinations and their importance in creating and narrowing a differential diagnosis. 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.
The Top 10 Business Mistakes I Have Made in Practice
Authors: Brown Seth M. , Vaughan Winston C. , Lanza Donald C. , Setzen Michael 
Published: August 2013

Program Description:This program focuses on what is often not discussed in practice management: the mistakes made in setting up and running a practice. It features four otolaryngologists who have all formed their own practices and are all in different stages of their careers. The presenters will discuss the errors they have made along the way, including poor job selection, improper choice of partners, errors in forming professional relationships, isolation of referring physicians, and failed business ventures. They will further discuss when it is time to cut anchor, disband relationships, and start anew. The pros and cons of doing this will be presented.Educational Objectives:1) Describe the most common mistakes otolaryngologists have made when starting a practice. 2) Learn how to make smart decisions about their practice and its development. 3) Analyze what to do and not to do in practice management and development.
Pain Management after Tonsillectomy without Codeine
Authors: Tunkel David E. , Messner Anna H. , Lauder Gillian , Lin Sandra Y. , April Max M. , Cofer Shelagh A. 
Published: August 2013

Program Description:Tonsillectomy is a painful procedure. Management of pain is more problematic with recent reports of deaths associated with codeine use and the potential for acetaminophen toxicity. We will discuss opiate sensitivity associated with childhood OSA, genetic variations in narcotic metabolism in children, and the use of non‐steroidal anti‐inflammatory drugs. We will present tonsillectomy techniques that may reduce the need for analgesics. Panelists will include general and pediatric otolaryngologists and a pediatric pain specialist, with short presentations and case discussions.Educational Objectives:1) Describe relative effectiveness and potential morbidities associated with narcotic use in children after adenotonsillectomy. 2) Use a safe and effective approach for pain control in children after adenotonsillectomy, including the use of narcotics and nonsteroidal anti‐inflammatory drugs. 3) Analyze surgical techniques and postoperative treatments that could help with management of pain after tonsillectomy.
Balloon Dilation in Rhinology: Reviewing the Evidence
Authors: Batra Pete S. , Stammberger Heinz R. , Marple Bradley F. , Sindwani Raj , Ryan Matthew W. 
Published: August 2013

Program Description:Balloon catheter technology was introduced in 2005 for management of paranasal sinus inflammatory disease. This miniseminar will objectively evaluate the currently available operative suite and office‐based balloon devices. Rhinologists with considerable experience without commercial conflicts on balloons will assess the frank advantages and limitations of the current balloon devices. Evidence‐based review will be incorporated to assess the strengths and weaknesses of the existing peer‐review literature. The recent large European clinical trial will be reviewed. The potential complications unique to balloon catheters will be discussed. An update on CPT coding, RUC values, and socioeconomic implications will also be addressed.Educational Objectives:1) Review the currently available operative suite and office‐based balloon catheter technologies and explore implications on the Functional Endoscopic Sinus Surgery (FESS) paradigm. 2) Critically appraise the existing peer‐review literature and address potential complications of balloon dilation. 3) Assess socioeconomic implications and CPT coding issues related to balloons.
Difficult Nasal Polyposis: Evolving Treatments and Remedies
Authors: Woodworth Bradford A. , Reh Douglas D. , Palmer James N. , Gosepath Jan 
Published: August 2013

Program Description:Chronic sinusitis with nasal polyposis has a detrimental impact on quality of life and may exacerbate co‐existing 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) Interpret 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.
Food Allergy 2013: State of the Science
Authors: Reisacher William R. , Calhoun Karen H. , Damask Cecelia , Veling Maria C. 
Published: August 2013

Program Description:This miniseminar includes didactic lectures, an audience‐interactive section, and Q&A. The lectures will focus on why food allergies develop by taking a critical look at the latest scientific evidence available in the literature, the role of oral tolerance in human evolution, and the relationship of failure to achieve oral tolerance on the health of the individual, relevant immunology, non‐immunologic food reactions versus immunologic reactions, both immunoglobulin E (IgE)‐mediated and non‐IgE‐mediated, current methods of diagnosing food allergies, cutting‐edge strategies such as component‐resolved testing, skin and in vitro methods versus double‐blind, placebo‐controlled food challenge.Educational Objectives:1) Analyze the literature comparing different methods for diagnosing food allergy. 2) Evaluate the scientific basis of IgE and non‐IgE mediated food allergy. 3) Describe the currently available treatments for food allergy as well as future directions.
Iatrogenic CSF Leaks: Avoidance, Diagnosis, and Management
Authors: Kutz Joe W. , Isaacson Brandon , Batra Pete S. , Bennett Marc L. , Manes Peter 
Published: August 2013

Program Description:This miniseminar will comprehensively review the pertinent anatomy and surgical techniques to help avoid an iatrogenic CSF leak during rhinologic or otologic surgery. The role of imaging to diagnose and locate a CSF fistula will be discussed. Techniques will be discussed to repair leaks in the intraoperative and postoperative settings, including use of lumbar drainage, transmastoid and middle fossa approaches to the temporal bone, as well as endoscopic and open approaches to repair rhinologic leaks. Materials used to repair these leaks will be reviewed. A case‐based format will be used to illustrate key points.Educational Objectives:1) List the pertinent anatomy and techniques to avoid an iatrogenic CSF leak of the temporal bone and anterior skull base. 2) Use of the various imaging modalities for the diagnosis and localization of postoperative CSF fistulas. 3) Identify and manage an intraoperative CSF fistula using various surgical techniques and materials for repair.