Pub Date : 2023-09-15DOI: 10.1007/s40136-023-00485-y
Luis F. Riquelme, Mershen Pillay, Lynne Brady Wagner
{"title":"Diversity, Culture and Practice: From Society to “the Bedside”","authors":"Luis F. Riquelme, Mershen Pillay, Lynne Brady Wagner","doi":"10.1007/s40136-023-00485-y","DOIUrl":"https://doi.org/10.1007/s40136-023-00485-y","url":null,"abstract":"","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135436791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-09DOI: 10.1007/s40136-023-00487-w
Lu Hui Png, Larry Kalish, Raymond Sacks
Abstract Purpose of Review Although empty nose syndrome (ENS) is axiomatically defined post nasal surgery, these patients present to otolaryngologists with complaints of nasal airflow dysfunction preoperatively. The critical question of how to resolve ENS should be in the preoperative assessment rather than focusing on interventions post nasal surgery. There are no proven factors from surgery that predict ENS post turbinate surgery. We review the latest literature on ENS and evaluate developing trends in the understanding of its pathophysiology and associations. This review seeks to develop a modern approach to the management of this recalcitrant condition. Recent Findings Recent literature on ENS suggests possible psychogenic etiologies and associations, providing an avenue for treatment strategies. Previous theories of ENS pathogenesis regarding extent of turbinate surgery are not supported by airflow and radiologic assessments. Premorbid neurosensory alterations may explain why some patients, often with mental health comorbidities, present for nasal surgery without significant clinical findings and is a patient population predisposed to ENS. Summary The concept of “functional nasal obstruction” or FNO, needs to become a diagnostic option for the clinician when assessing patients for nasal surgery. Patients identifying with ENS may be a population of patients with functional nasal obstruction, unrecognized and now after surgical efforts to relieve symptoms. The disorder underlying ENS should be considered an unrecognized risk factor in patient selection “prior” to nasal surgery rather than a postoperative complication “from” nasal surgery. Identifying this risk factor preoperatively is critical in avoiding subsequent morbidity. Further research into identifying “functional nasal obstruction” prior to nasal surgery should be undertaken as a priority over interventions after the ENS condition occurs.
{"title":"Empty Nose Syndrome: The Case for “Functional Nasal Obstruction” as a Predisposing Risk Prior to Nasal Surgery","authors":"Lu Hui Png, Larry Kalish, Raymond Sacks","doi":"10.1007/s40136-023-00487-w","DOIUrl":"https://doi.org/10.1007/s40136-023-00487-w","url":null,"abstract":"Abstract Purpose of Review Although empty nose syndrome (ENS) is axiomatically defined post nasal surgery, these patients present to otolaryngologists with complaints of nasal airflow dysfunction preoperatively. The critical question of how to resolve ENS should be in the preoperative assessment rather than focusing on interventions post nasal surgery. There are no proven factors from surgery that predict ENS post turbinate surgery. We review the latest literature on ENS and evaluate developing trends in the understanding of its pathophysiology and associations. This review seeks to develop a modern approach to the management of this recalcitrant condition. Recent Findings Recent literature on ENS suggests possible psychogenic etiologies and associations, providing an avenue for treatment strategies. Previous theories of ENS pathogenesis regarding extent of turbinate surgery are not supported by airflow and radiologic assessments. Premorbid neurosensory alterations may explain why some patients, often with mental health comorbidities, present for nasal surgery without significant clinical findings and is a patient population predisposed to ENS. Summary The concept of “functional nasal obstruction” or FNO, needs to become a diagnostic option for the clinician when assessing patients for nasal surgery. Patients identifying with ENS may be a population of patients with functional nasal obstruction, unrecognized and now after surgical efforts to relieve symptoms. The disorder underlying ENS should be considered an unrecognized risk factor in patient selection “prior” to nasal surgery rather than a postoperative complication “from” nasal surgery. Identifying this risk factor preoperatively is critical in avoiding subsequent morbidity. Further research into identifying “functional nasal obstruction” prior to nasal surgery should be undertaken as a priority over interventions after the ENS condition occurs.","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136192723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01Epub Date: 2023-07-04DOI: 10.1007/s40136-023-00467-0
Karthik Balakrishnan, Erynne A Faucett, Jennifer Villwock, Emily F Boss, Brandon I Esianor, Gina D Jefferson, Evan M Graboyes, Dana M Thompson, Valerie A Flanary, Michael J Brenner
Purpose of review: To summarize the current literature on allyship, providing a historical perspective, concept analysis, and practical steps to advance equity, diversity, and inclusion. This review also provides evidence-based tools to foster allyship and identifies potential pitfalls.
Recent findings: Allies in healthcare advocate for inclusive and equitable practices that benefit patients, coworkers, and learners. Allyship requires working in solidarity with individuals from underrepresented or historically marginalized groups to promote a sense of belonging and opportunity. New technologies present possibilities and perils in paving the pathway to diversity.
Summary: Unlocking the power of allyship requires that allies confront unconscious biases, engage in self-reflection, and act as effective partners. Using an allyship toolbox, allies can foster psychological safety in personal and professional spaces while avoiding missteps. Allyship incorporates goals, metrics, and transparent data reporting to promote accountability and to sustain improvements. Implementing these allyship strategies in solidarity holds promise for increasing diversity and inclusion in the specialty.
{"title":"Allyship to Advance Diversity, Equity, and Inclusion in Otolaryngology: What We Can All Do.","authors":"Karthik Balakrishnan, Erynne A Faucett, Jennifer Villwock, Emily F Boss, Brandon I Esianor, Gina D Jefferson, Evan M Graboyes, Dana M Thompson, Valerie A Flanary, Michael J Brenner","doi":"10.1007/s40136-023-00467-0","DOIUrl":"10.1007/s40136-023-00467-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>To summarize the current literature on allyship, providing a historical perspective, concept analysis, and practical steps to advance equity, diversity, and inclusion. This review also provides evidence-based tools to foster allyship and identifies potential pitfalls.</p><p><strong>Recent findings: </strong>Allies in healthcare advocate for inclusive and equitable practices that benefit patients, coworkers, and learners. Allyship requires working in solidarity with individuals from underrepresented or historically marginalized groups to promote a sense of belonging and opportunity. New technologies present possibilities and perils in paving the pathway to diversity.</p><p><strong>Summary: </strong>Unlocking the power of allyship requires that allies confront unconscious biases, engage in self-reflection, and act as effective partners. Using an allyship toolbox, allies can foster psychological safety in personal and professional spaces while avoiding missteps. Allyship incorporates goals, metrics, and transparent data reporting to promote accountability and to sustain improvements. Implementing these allyship strategies in solidarity holds promise for increasing diversity and inclusion in the specialty.</p>","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"11 1","pages":"201-214"},"PeriodicalIF":0.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10707492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49115046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1007/s40136-023-00488-9
N. Haloob, C. Hopkins
{"title":"Moving the Classification of Chronic Rhinosinusitis Away from Polyp/No Polyps","authors":"N. Haloob, C. Hopkins","doi":"10.1007/s40136-023-00488-9","DOIUrl":"https://doi.org/10.1007/s40136-023-00488-9","url":null,"abstract":"","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47268037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1007/s40136-023-00481-2
Ari M. Stone, S. Russel, A. Flaherty, Erynne A. Faucett
{"title":"Best Practices for LGBTQIA + Patient Care in Otolaryngology","authors":"Ari M. Stone, S. Russel, A. Flaherty, Erynne A. Faucett","doi":"10.1007/s40136-023-00481-2","DOIUrl":"https://doi.org/10.1007/s40136-023-00481-2","url":null,"abstract":"","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"11 1","pages":"229 - 239"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49550740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1007/s40136-023-00484-z
Lynn Maxfield, D. Orbelo
{"title":"Singing After Superior Laryngeal Nerve Weakness: A Story of Hope","authors":"Lynn Maxfield, D. Orbelo","doi":"10.1007/s40136-023-00484-z","DOIUrl":"https://doi.org/10.1007/s40136-023-00484-z","url":null,"abstract":"","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"11 1","pages":"307 - 311"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52781342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-24DOI: 10.1007/s40136-023-00475-0
Manon Blauwblomme, Philippe Gevaert, Thibaut Van Zele
Abstract Purpose of Review The purpose of this review is to summarize the current literature on the extensiveness of surgery in patients with diffuse type 2 chronic rhinosinusitis (CRS). Recent Findings There is currently no consensus on the role of the extent of sinus surgery in disease control and definitions of surgical terms in diffuse type 2 CRS. Several suggestions have been made to quantify the extent of surgery or standardize the description of surgical interventions. Summary The extent of surgery in CRS depends potentially on the severity of disease and the type of underlying inflammation. A variety of extended endoscopic procedures can be used in the management of primary diffuse bilateral type 2 chronic rhinosinusitis; however, long-term follow-up results and clear definitions of complete surgery are lacking in the current literature.
{"title":"Chronic Rhinosinusitis: Matching the Extent of Surgery with Pathology or Does the Extent of Surgery Matter?","authors":"Manon Blauwblomme, Philippe Gevaert, Thibaut Van Zele","doi":"10.1007/s40136-023-00475-0","DOIUrl":"https://doi.org/10.1007/s40136-023-00475-0","url":null,"abstract":"Abstract Purpose of Review The purpose of this review is to summarize the current literature on the extensiveness of surgery in patients with diffuse type 2 chronic rhinosinusitis (CRS). Recent Findings There is currently no consensus on the role of the extent of sinus surgery in disease control and definitions of surgical terms in diffuse type 2 CRS. Several suggestions have been made to quantify the extent of surgery or standardize the description of surgical interventions. Summary The extent of surgery in CRS depends potentially on the severity of disease and the type of underlying inflammation. A variety of extended endoscopic procedures can be used in the management of primary diffuse bilateral type 2 chronic rhinosinusitis; however, long-term follow-up results and clear definitions of complete surgery are lacking in the current literature.","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135466060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-15DOI: 10.1007/s40136-023-00486-x
Gaurav Ghosh, P. Katz
{"title":"Collaboration with Gastroenterology in Management of Complex Dysphagia","authors":"Gaurav Ghosh, P. Katz","doi":"10.1007/s40136-023-00486-x","DOIUrl":"https://doi.org/10.1007/s40136-023-00486-x","url":null,"abstract":"","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44200434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-12DOI: 10.1007/s40136-023-00469-y
Elisa Monti, L. Carroll
{"title":"Psychology of Performance","authors":"Elisa Monti, L. Carroll","doi":"10.1007/s40136-023-00469-y","DOIUrl":"https://doi.org/10.1007/s40136-023-00469-y","url":null,"abstract":"","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41772421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-11DOI: 10.1007/s40136-023-00478-x
C. Best, B. Wong
{"title":"Nasal Valve Management: The Case to Move Away from Grafts to Tensioning","authors":"C. Best, B. Wong","doi":"10.1007/s40136-023-00478-x","DOIUrl":"https://doi.org/10.1007/s40136-023-00478-x","url":null,"abstract":"","PeriodicalId":36165,"journal":{"name":"Current Otorhinolaryngology Reports","volume":"11 1","pages":"260 - 265"},"PeriodicalIF":0.6,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41583897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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