bluuebunny/crossref_metadata_2025_split huggingface dataset:
Genetics in Otolaryngology: Translational Research
Authors: Lesperance Marci , Gruber Stephen B. , Runge‐Samuelson Christina L. 
Published: September 2011

Program DescriptionRecent years have seen great advances in our understanding of the molecular genetic basis of many clinical disorders. Building on the success of the Human Genome Project, new technologies are in development to identify disease‐causing mutations through genetic testing. However, there is a knowledge gap among otolaryngologists regarding which patients should undergo genetics evaluation and how genetic testing should be utilized in the care of patients. The three participants are clinician‐scientists who investigate the genetic factors underlying human disease, and also apply their understanding of genetics to the care of patients. This panel will discuss the state of the art in genetic testing in otolaryngology as well as translation of recent research which will soon be clinically available. Dr Gruber will address cancer genetics, applying his work in cancer in general to head and neck tumors; Dr Runge will discuss the evaluation of auditory neuropathy beyond routine clinical measures and also genetic testing as an example of genetic hearing loss. Dr Lesperance will discuss approaches to genetic evaluation of the pediatric patient, for children with rare genetic disorders, multiple congenital anomalies, and for Mendelian disorders. The emphasis will be on providing the practicing otolaryngologist with the tools to counsel and evaluate their patients with potential genetic disorders.Educational Objectives1) Describe relationships between genotype and phenotype in auditory neuropathy spectrum disorder. 2) List the most common methods of genetic testing and the risks and benefits of each. 3) Understand the role of the geneticist in evaluating patients with otolaryngologic disorders.
Hot Topics in Otolaryngology: 2011
Authors: Abramson Peter , King Raymond , Koriwchak Michael J. , Geller Lawrence , Love Rick G. 
Published: September 2011

Program DescriptionThe executive committee of the Board of Governors is proud to present its annual miniseminar. There are many topics that are at the forefront of the practice of otolaryngology. This miniseminar will present three topics that are exceptionally important at this time. Reimbursement for Emergency Department coverage, hospital/physician joint ventures, and an update on payments for EHR and meaningful use. Many hospitals are now reimbursing for emergency department (ED) coverage, many are not. Rick Love, MD, headed the BOG Legislative Committee task force on pay for ED call that resulted in the Academy position paper on this matter. He will give us recommendations on how to successfully merge the feeling of obligation to care for hospital emergency room patients in light of increasing overhead, liability, and decreasing physician reimbursement. Dr Love will shed light on how to be remunerated for hospital ED coverage and at the same time stay within OIG regulations. Lawrence Geller, vice president of consulting services for the group Medical Management Associates, is a sought after speaker and consultant on topics related to healthcare. As portions of the new healthcare law become implemented, hospital/physician joint ventures will be a common trend. Mr Geller will present on the implications of such alliances. The government has recommended that our country’s healthcare providers adopt electronic healthcare record keeping. There are multiple monetary incentives attached to meaningful use and 2011 is the first year slated for reimbursement. Michael Koriwchak, MD, an Atlanta‐based otolaryngologist is a noted lecturer and consultant on matters of EHR design, implementation, and “meaningful use.” He also has a popular blog dedicated to topics related to EHR and physician practices‐ “The Wired EMR Practice.” Dr Koriwchak will update attendees on the progress of the EHR initiatives, how you can you stay or get compliant, and whether the government is keeping their end of the bargain.Educational Objectives1) Learn the current opinion, regulations, and AAO‐HNS position regarding pay for emergency department coverage. 2) Understand accountable care organizations and the pros and cons of hospital/physician joint ventures. 3) Learn about implementation of an electronic health record strategy that qualifies for government reimbursement.
Safer Radiologic Imaging of Otolaryngologic Disease in Children
Authors: Tunkel David E. , Gorges Sandra , Wei Julie L. , de Jong Andrew L. , Skinner Margaret L. 
Published: September 2011

Program DescriptionRadiation exposure from medical imaging has increased six‐fold over the past 30 years, and such imaging has been estimated to provide half of an individual’s radiation exposure. The risk of cancer development from such radiation exposure has been discussed recently in the medical literature and the lay press. These issues are most notable in children, with long life expectancy and the potential for multiple exposures to medical imaging in their future. This symposium will be a multi‐speaker symposium, and at the end of the various presentations, specific case scenarios will be presented with the opportunity to use the Audience Response System for audience participation for better understanding of current otolaryngology practice patterns related to imaging study selection in pediatric patients. The speakers will include a pediatric radiologist as well as 3 pediatric otolaryngologists, and presentations will include strategies on how to use reduced radiation doses for select imaging studies, review the current American College of Radiology Appropriateness Criteria for Otolaryngology related image study selection, appropriateness of using the MiniCAT image system in the office setting, as well as risks and benefits for each image modality for specific pediatric head and neck diseases.Educational Objectives1) Discuss current issues related to safety of radiologic imaging studies used most often in children. 2) Review specific case scenarios and discuss imaging options, relative risks, and benefits of each modality. 3) Enhance judicious use of imaging studies for given pathology, and counseling of parents about risks.
Rhinology/Allergy
Authors: Kennedy David W. , Palmer James N. , Zinreich S. James , Ferguson Berrylin J. , Stankiewicz James A. , Hwang Peter H. 
Published: September 2011

Program DescriptionThe miniseminar provides an open forum for interactive discussion of management options and the decision rationale involved in sinus and skull base cases of varying complexity. A case presentation format is utilized with case presentations from each of the panelists. Questions regarding differential diagnosis, evaluation, imaging, and treatment are posed to the audience in multiple choice format. The responses provided by the audience response system are then discussed and expanded upon by the panelists in an interactive discussion. In general, cases are selected that might be encountered by either a general otolaryngologist or a subspecialty rhinologist, but which have important decision and management dilemmas. Each panelist has been chosen because of their depth of knowledge in the field and because of the clarity of their presentations. Particular emphasis is placed on the decision making process and on frontal sinus disease, revision surgery, and fungal sinusitis, as well as the management of more common tumors. The rationale behind each recommendation will be carefully elucidated. Discussion from the floor is encouraged and the use of a touch pad audience response system creates audience participation as an integral aspect of the case discussions.Educational Objectives1) Improve knowledge of the surgical decision making process in chronic sinus disease. 2) Learn different imaging modalities and improve quality of interpretation for both CT and MRI images. 3) Improve understanding of the management of difficult to treat chronic rhinosinusitis.
Balloon Catheter Technology in Rhinology: Reviewing the Evidence
Authors: Batra Pete S. , Marple Bradley F. , Ryan Matthew W. , Sindwani Raj 
Published: September 2011

Program DescriptionBalloon catheter technology was introduced to otolaryngology in 2005 for management of paranasal sinus inflammatory disease. Since its introduction, it has engendered considerable controversy with proponents for and against adoption of the technology. Over time, alternate balloon devices have been advocated for office‐based sinus ostia dilatation. Balloon technology has been promoted to be less invasive resulting in reduced pain and quicker recovery, generating significant press and interest by the lay public looking for new solutions for sinonasal problems. Thus, proper vetting of the balloon devices is essential to elucidate their proper role in the surgical paradigm for management of chronic rhinosinusitis. This miniseminar will objectively evaluate the currently available operative suite and office‐based balloon catheter technology. 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 potential complications unique to balloon catheters will be reviewed. The concerns of radiation exposure from fluoroscopy will be discussed. Current coding dilemmas and socioeconomic issues will also be addressed. At the conclusion of the miniseminar, participants should have a better understanding of the potential strengths and weaknesses of the balloon catheter technology in the context of management of paranasal sinus disease. This information will also serve as the foundation for better evaluation of new technologies that are introduced to our specialty. The miniseminar will be presented in a multimedia powerpoint format with video demonstrations, when applicable. Audience participation will be encouraged to stimulate discussion through the course of the miniseminar.Educational Objectives1) Review currently available balloon catheter technologies and to explore implications on the FESS paradigm. 2) Critically appraise the existing peer‐review literature and address potential complications and radiation exposure. 3) Assess socioeconomic implications and CPT coding issues related to balloons.
Clinical Consensus Statement: Appropriate Use of Computed Tomography for Paranasal Sinus Disease
Authors: Setzen Gavin , Rhee John S. , Ferguson Berrylin J. , Han Joseph 
Published: September 2011

Program DescriptionThe miniseminar will consist of a lively panel discussion on the newly developed AAO‐HNS clinical consensus statement (CS) on the appropriate use of computed tomography (CT) for paranasal sinus disease. There is increasing scrutiny by government, health policy makers, and third‐party payers, regarding issues of radiation safety and appropriate utilization with CT imaging. Unlike clinical practice guidelines that could encompass other disciplines, CSs produced by the AAO‐HNS are focused on the specialty of otolaryngology‐head and neck surgery. Because clinical evidence is lacking, the terms “evidence‐based,” and “guideline” should not be used in the context of CSs. Nonetheless, the development panel has conducted a systematic review to ensure that the best available evidence is identified to support decisions, even if this evidence is limited to case series or previously published consensus documents.Educational Objectives1) Learn about the systematic review that was conducted to identify the best available evidence to support decisions on the appropriate use computed tomography (CT) for paranasal sinus disease. 2) Understand when it is most appropriate to use CT for paranasal sinus disease.
Complications in FESS: Doing Right When Things Go Wrong
Authors: Getz Anne E. , Hwang Peter H. , Goyal Parul , Wormald Peter J. , Stankiewicz James A. , Kennedy David W. 
Published: September 2011

Program DescriptionFunctional Endoscopic Sinus Surgery (FESS) is one of the most frequently performed procedures in otorhinolaryngology and is thus responsible for a significant incidence of complications. Thorough knowledge of the paranasal sinuses and their surrounding structures and adequate surgical experience are keys to preventing surgical complications. Special considerations in hemostasis help optimize visualization and increase safety. Meticulous preoperative review of the patient’s imaging studies is critical in successfully identifying the patient’s unique anatomic and surgical issues, thereby facilitating avoidance of complications. Maxillofacial CT is an absolute requirement prior to surgery, and systematic review of danger areas is critical. These will be reviewed and discussed in detail. Despite these preparatory measures, both minor and major complications may still occur. The surgeon must therefore possess the skill set to deal with these complications in order to consider him‐ or herself a safe surgeon. Specific complications including cerebrospinal fluid leak, neurovascular injuries, and orbital complications will be discussed in a case presentation format. Algorithms on how to address such scenarios will be presented. Finally, the medicolegal aspects of surgical complications will be considered including documentation and discussion with the patient and their families.Educational Objectives1) Learn strategies to avoid complications during FESS. 2) Understand management (both surgical and medicolegal) of FESS‐related complications.
Evidence‐Based Approach to Treating Chronic Rhinosinusitis
Authors: Davis Greg E. , Smith Timothy L. , Marple Bradley F. , Orlandi Richard R. 
Published: September 2011

Program DescriptionThe treatment of chronic rhinosinusitis (CRS) requires extensive skill in surgical and medical management strategies. Innovations in this field are constantly evolving. Not uncommonly, payers are hesitant to compensate for technology that is innovated and has not yet stood the test of time. The presentations will provide specific citations for the clinician to effectively communicate with payers, patients, and hospital administrators. The purpose of this miniseminar is to provide a state‐of the‐art summary of the best scientific evidence available to help clinicians treat patients with CRS. This miniseminar will present the highest level of evidence‐based medicine available for: 1) endoscopic sinus surgery, 2) balloon sinuplasty, 3) image‐guided sinus surgery, and 4) medical management of CRS. By focusing on strong, well‐performed clinical studies, the attendee will learn the research studies that directly impact the surgical and medical treatment of CRS. The miniseminar will conclude with applying this evidence‐based research to clinical cases to solidify the applicability and understanding of the research presented.Educational Objectives1) Recognize the state‐of‐the‐art evidence‐based research for the management of CRS. 2) Apply evidence‐based clinical research to improve medical and surgical treatment of CRS. 3) Understand evidence behind recent advances in the treatment of CRS including image‐guidance and balloon sinuplasty.
Improving Outcomes in FESS: Tips from Revision Surgeons
Authors: Palmer James N. , Schlosser Rodney J. , Wormald Peter J. , Stamm Aldo E. C. 
Published: September 2011

Program DescriptionFunctional Endoscopic Sinus Surgery (FESS) is a well‐established technique for treatment of patients with Chronic Rhinosinusitis. Applied in properly selected patients, FESS is associated with an 80% to 90% success rate. However, the remainder 10% to 20% of patients often have recurrence of disease and require subsequent surgery. This seminar will use a case‐based approach to evaluate and discuss the common problems and difficulties that are seen by the revision surgeon. In the process of dissecting surgical situations that require revision, the panelists will discuss strategies to avoid recurrent disease and maximize the success of primary FESS. The panelists will be able to draw from years of revision FESS experience, as well as multiple publications. All clinical cases will be accompanied by endoscopic pictures and videos, as well as a complete complement of appropriate radiologic images. Special highlights of the seminar will include an emphasis on frontal and sphenoid sinus disease, as well as methods of perioperative medical treatment to achieve long term surgical success and improvement of outcomes.Educational Objectives1) Identify common areas of post‐operative sinus disease. 2) Learn surgical techniques that avoid the need for revision surgery, and revision surgery strategies. 3) Have a greater understanding of peri‐operative medical treatments to improve surgical outcomes.
The Nose Inside and Out
Authors: Setzen Michael , Becker Daniel , Toffel Paul H. , Pearlman Steven J. , Kridel Russell W. H. , Davis Richard E. 
Published: September 2011

Program DescriptionThis unique seminar will bring together leaders from both the American Rhinologic Society (ARS) and American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). We will be examining both functional and aesthetic considerations in nasal surgery from workup to revision surgery. When it comes to nasal surgery, all aspects of anatomy and physiology should be considered, especially when functional and aesthetic surgery is combined. A thorough evaluation is important prior to cosmetic rhinoplasty, with or without septoplasty, including an evaluation of the septum, ostiomeatal complex and inferior turbinates, often using fiber optic endoscopy. The indications for CT scanning will be discussed in patients with sinus disease prior to rhinoplasty. Functional endoscopic sinus surgery can be performed at the same time as rhinoplasty precluding the need for a second surgical procedure. Benefits and contraindications for a combined approach will be presented. Prevention and surgical treatment of nasal septal perforations will be presented since nasal septal perforations most commonly occur following nasal surgery or cocaine abuse. Preventative measures to reduce iatrogenic occurrences will be discussed as well as surgical techniques to repair septal perforations of various sizes. “Functionally safe cosmetic rhinoplasty” will address potential functional pitfalls from cosmetic rhinoplasty. The speaker will target reduced cross‐sectional area of the internal nasal valve following many standard rhinoplasty techniques. Methods for cosmetic rhinoplasty that preserve and/or enhance nasal valve function will be presented. Revision rhinoplasty is reported in 5% to 15% of patients. Based on a recent study, “Functional and aesthetic concerns of patients seeking revision rhinoplasty,” the most common complaints that patients present with, from the patients’ point of view, will be presented. This will be accompanied by a summary of these problems with tips on how to prevent them from occurring in the first place. Case presentations will highlight the above.Educational Objectives1) Understand the importance of a detailed workup prior to nasal surgery and rhinoplasty. 2) Understand that functional endoscopic sinus surgery can be performed concurrently with cosmetic rhinoplasty. 3) Perform safe septorhinoplasty while maintaining function; prevent sepal perforations; learn why patients seek revision surgery.
Sleep Medicine
Authors: Friedman Michael , Davidson Terence M. , Lipsey Marty R. 
Published: September 2011

Program DescriptionMedia coverage, physician education, and continued research on the long‐term sequelae of obstructive sleep apnea/hypopnea syndrome (OSAHS) have created a huge increase in the number of patients seeking treatment. At the same time, disillusionment with the results of classic surgery such as UPPP and genioglossal advancement has deterred many otolaryngologists from attempting to treat this condition. As the demand for treatment increases, diagnosis of OSAHS will become an increasingly significant component of every ENT practice and surgical treatment will remain an option for selected patients. The purpose of this course is to 1) Explain options for attached and unattached PSG or portable system, 2) Review new techniques and new clinical research on OSAHS, 3) Present a clinical staging system that helps identify appropriate treatment and predict the success for individual patients, 4) Identify patients with mild to moderate disease and those who are CPAP intolerant who could benefit from minimally‐invasive and non‐invasive techniques, 5) Present non‐invasive treatment options that can be incorporated into an ENT practice. In addition to classical OSAHS treatment, the course will review a variety of polysomnogram systems and the strengths and weakness of each system. Our experience with Provent, a non‐CPAP, non‐invasive treatment option, will also be discussed in addition to thermoplastic mandibular advancement devices. Simplified systems to setup a joint venture with dental specialists for custom‐made devices will also be presented. Presenters will discuss the economics of establishing a comprehensive sleep apnea center. We will detail startup strategies and costs for establishing a multidisciplinary sleep apnea team and center. In addition, coding and reimbursement procedures will be explained to maximize revenue production. Audience discussion will be encouraged and ample time will be allotted for a question and answer session.Educational Objectives1) Learn how to incorporate sleep testing into an ENT practice. 2) Learn an algorithm for successful treatment of snoring and obstructive sleep apnea. 3) Understand the approach for proper identification and treatment of each anatomic site. 4) Identify patients who can be helped by multilevel minimally invasive techniques rather than classic surgery. 5) Learn how and when to incorporate custom‐made mandibular advancement devices into an ENT/OSAHS practice.
Current Concepts in Tongue Surgery for OSA
Authors: Woodson B. Tucker , Rotenberg Brian , Pang Kenny P. 
Published: September 2011

Program DescriptionTo describe the various tongue base surgical techniques that are available for patients with OSA. Why we do them, who we do them for, and when? Tongue base obstruction has been known to be one of the levels of obstruction in OSA. Surgical treatment of the palate alone has been shown to be ineffective in patients with high Mallampati grades, Friedman Stage II & III, and tongue base collapse seen on dynamic nasopharyngoscopy. Severity of OSA is currently known to correlate with degree of tongue base and lateral pharyngeal wall collapse. Patients with severe OSA are more likely to have tongue base obstruction. Airway evaluation is vital in the management and assessment of patients with OSA. The indications for tongue base surgery is pivotal in the decision making process. All the indications based on the clinical examination would be explored and discussed. Various tongue base surgical techniques are discussed, ranging from radiofrequency of the tongue base, genioglossus advancement, hyoid suspension, laser midline glossectomy, tongue suspension, coblator channeling techniques, and robotic tongue base surgery. The surgical steps are illustrated, success rates are presented, and complications are discussed.Educational Objectives1) Apply the appropriate airway evaluation. 2) Choose the correct procedure. 3) Understand the technique behind each procedure.