Pub Date : 2020-04-04DOI: 10.1177/0003489420912420
V. Mehta
Head and Neck Cancer: Management and Reconstruction represents the 2nd edition of Eric Genden’s textbook on the subject, and is a combination of two prior prior texts: Reconstruction of the Head and Neck: A Defect-Oriented Approach and Head and Neck Cancer: An Evidence-Based Team Approach. He has collaborated with 46 different contributors from internationally renowned academic institutions to produce this contemporary and pragmatic reference. The chapters are organized anatomically, and are followed by a corresponding chapter on the principles of reconstruction and functional rehabilitation for that particular head and neck cancer site. This enables the reader to get full exposure to, and appreciation for, all the facets of head and neck cancer surgery. Many of the chapters conclude with corresponding case studies, and there is also available online, high-quality video content demonstrating surgical techniques for several of the topics. The structure of the book allows the text to be a comprehensive and concise review of head and neck cancer surgical techniques and reconstruction, thereby functioning as a single reference source for physicians and other providers involved in the care of these patients. The chapters contain essential and practical information, rather than functioning as an encyclopedic reference. This approach makes the book more attractive to physicians earlier in their career or those that are still in training. However, combined with the welldesigned figures and tables, the text allows the reader to efficiently and expeditiously get the vital information needed to manage complex head and neck cancer cases, and thoroughly understand and explore options for functional reconstruction of oncologic defects. Overall, this is an excellent reference source for those looking for a single textbook that contains complete and practical knowledge on the subject. 912420 AORXXX10.1177/0003489420912420Annals of Otology, Rhinology & LaryngologyBook Review book-review2020
{"title":"Book Review: Head and Neck Cancer: Management and Reconstruction","authors":"V. Mehta","doi":"10.1177/0003489420912420","DOIUrl":"https://doi.org/10.1177/0003489420912420","url":null,"abstract":"Head and Neck Cancer: Management and Reconstruction represents the 2nd edition of Eric Genden’s textbook on the subject, and is a combination of two prior prior texts: Reconstruction of the Head and Neck: A Defect-Oriented Approach and Head and Neck Cancer: An Evidence-Based Team Approach. He has collaborated with 46 different contributors from internationally renowned academic institutions to produce this contemporary and pragmatic reference. The chapters are organized anatomically, and are followed by a corresponding chapter on the principles of reconstruction and functional rehabilitation for that particular head and neck cancer site. This enables the reader to get full exposure to, and appreciation for, all the facets of head and neck cancer surgery. Many of the chapters conclude with corresponding case studies, and there is also available online, high-quality video content demonstrating surgical techniques for several of the topics. The structure of the book allows the text to be a comprehensive and concise review of head and neck cancer surgical techniques and reconstruction, thereby functioning as a single reference source for physicians and other providers involved in the care of these patients. The chapters contain essential and practical information, rather than functioning as an encyclopedic reference. This approach makes the book more attractive to physicians earlier in their career or those that are still in training. However, combined with the welldesigned figures and tables, the text allows the reader to efficiently and expeditiously get the vital information needed to manage complex head and neck cancer cases, and thoroughly understand and explore options for functional reconstruction of oncologic defects. Overall, this is an excellent reference source for those looking for a single textbook that contains complete and practical knowledge on the subject. 912420 AORXXX10.1177/0003489420912420Annals of Otology, Rhinology & LaryngologyBook Review book-review2020","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"4 4 1","pages":"840 - 840"},"PeriodicalIF":0.0,"publicationDate":"2020-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88359090","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 : 2020-04-01DOI: 10.1177/0003489419888637
Gina L. Palma
{"title":"Book Review: Patient and Family-Centered Speech-Language Pathology and Audiology","authors":"Gina L. Palma","doi":"10.1177/0003489419888637","DOIUrl":"https://doi.org/10.1177/0003489419888637","url":null,"abstract":"","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"1 1","pages":"413 - 413"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84486322","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 : 2020-04-01DOI: 10.1177/0003489419885875
V. Hsue, Andrew Y. Lee
{"title":"Book Review: The Power of the Voice","authors":"V. Hsue, Andrew Y. Lee","doi":"10.1177/0003489419885875","DOIUrl":"https://doi.org/10.1177/0003489419885875","url":null,"abstract":"","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"5 1","pages":"414 - 414"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87858839","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 : 2020-04-01DOI: 10.1177/0003489419885879
S. Mooney, J. Bent
{"title":"Book Review: Textbook of Vertigo: Diagnosis and Management","authors":"S. Mooney, J. Bent","doi":"10.1177/0003489419885879","DOIUrl":"https://doi.org/10.1177/0003489419885879","url":null,"abstract":"","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"124 1","pages":"411 - 411"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75812181","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 : 2020-03-01DOI: 10.1177/0003489419887195
T. Higgins, B. Öcal, Ridwan Adams, Arthur W. Wu
Objective: Functional endoscopic sinus surgery (FESS) and balloon sinus ostial dilation (BSD) are well-recognized minimally invasive surgical treatments for chronic rhinosinusitis without nasal polyps (CRSsNP) refractory symptoms to medical therapy. Patients on antiplatelet and anticoagulant therapies (AAT) usually are recommended to discontinue their medications around the period of endoscopic sinus surgery. The goal of this study is to assess the clinical experience of BSD in CRSsNP patients with concurrent anticoagulant or antiplatelet therapy. Methods: A review of prospectively-collected clinical data from October 2012 to March 2017 were used to perform a cohort study of subjects with CRSsNP who met criteria for surgical intervention while on antiplatelet and anticoagulant therapy. Data were collected on demographics, details of the procedures, type of AAT used, pre- and postoperative 22-item Sino-Nasal Outcome Test (SNOT-22) scores, and complications. Results: Thirty-five patients underwent in-office BSD while on antiplatelet and/or anticoagulant therapy. The mean difference in pre- and postoperative SNOT-22 scores of 9.9 (SD 14.4, P < .001) was both statistically significant and exceeded the minimal clinically important difference of 8.9. Absorbable nasal packing was used for persistent bleeding immediately post-procedure in two patients. Intraoperative bleeding was associated with aspirin 325 mg and warfarin. FESS was required for further management of chronic sinusitis in four patients after anticoagulant/antiplatelet therapy could be discontinued. There were no systemic complications. None of the patients experienced significant bleeding events postoperatively after leaving the office. Conclusion: In-office BSD appears to be a safe alternative to endoscopic sinus surgery in select patients who cannot discontinue antiplatelet and anticoagulant therapy. Levels of Evidence: IV
目的:功能性内窥镜鼻窦手术(FESS)和球囊鼻窦口扩张术(BSD)是公认的无鼻息肉(CRSsNP)难治性症状的慢性鼻窦炎的微创手术治疗方法。接受抗血小板和抗凝治疗(AAT)的患者通常被建议在鼻窦内窥镜手术期间停药。本研究的目的是评估同时接受抗凝或抗血小板治疗的CRSsNP患者BSD的临床经验。方法:回顾2012年10月至2017年3月期间前瞻性收集的临床数据，对符合手术干预标准且接受抗血小板和抗凝治疗的crsssnp患者进行队列研究。收集人口统计学、手术细节、AAT使用类型、术前和术后22项鼻结果测试(SNOT-22)评分和并发症的数据。结果:35例患者在接受抗血小板和/或抗凝治疗时接受了BSD。术前和术后SNOT-22评分的平均差异为9.9 (SD 14.4, P < 0.001)，均有统计学意义，且超过了临床重要的最小差异8.9。2例患者术后立即使用可吸收性鼻填充物治疗持续出血。术中出血与阿司匹林325 mg和华法林有关。在抗凝血/抗血小板治疗可以停止后，4例慢性鼻窦炎患者需要FESS进一步治疗。无系统性并发症。没有患者在离开办公室后出现明显的出血事件。结论:在不能停止抗血小板和抗凝治疗的患者中，办公室BSD似乎是内窥镜鼻窦手术的安全选择。证据等级:IV
{"title":"“In-Office Balloon Sinus Ostial Dilation with Concurrent Antiplatelet and Anticoagulant Therapy for Chronic Rhinosinusitis without Nasal Polyps”","authors":"T. Higgins, B. Öcal, Ridwan Adams, Arthur W. Wu","doi":"10.1177/0003489419887195","DOIUrl":"https://doi.org/10.1177/0003489419887195","url":null,"abstract":"Objective: Functional endoscopic sinus surgery (FESS) and balloon sinus ostial dilation (BSD) are well-recognized minimally invasive surgical treatments for chronic rhinosinusitis without nasal polyps (CRSsNP) refractory symptoms to medical therapy. Patients on antiplatelet and anticoagulant therapies (AAT) usually are recommended to discontinue their medications around the period of endoscopic sinus surgery. The goal of this study is to assess the clinical experience of BSD in CRSsNP patients with concurrent anticoagulant or antiplatelet therapy. Methods: A review of prospectively-collected clinical data from October 2012 to March 2017 were used to perform a cohort study of subjects with CRSsNP who met criteria for surgical intervention while on antiplatelet and anticoagulant therapy. Data were collected on demographics, details of the procedures, type of AAT used, pre- and postoperative 22-item Sino-Nasal Outcome Test (SNOT-22) scores, and complications. Results: Thirty-five patients underwent in-office BSD while on antiplatelet and/or anticoagulant therapy. The mean difference in pre- and postoperative SNOT-22 scores of 9.9 (SD 14.4, P < .001) was both statistically significant and exceeded the minimal clinically important difference of 8.9. Absorbable nasal packing was used for persistent bleeding immediately post-procedure in two patients. Intraoperative bleeding was associated with aspirin 325 mg and warfarin. FESS was required for further management of chronic sinusitis in four patients after anticoagulant/antiplatelet therapy could be discontinued. There were no systemic complications. None of the patients experienced significant bleeding events postoperatively after leaving the office. Conclusion: In-office BSD appears to be a safe alternative to endoscopic sinus surgery in select patients who cannot discontinue antiplatelet and anticoagulant therapy. Levels of Evidence: IV","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"109 3","pages":"280 - 286"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91477825","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 : 2020-03-01DOI: 10.1177/0003489419884337
Katherine R. Keefe, Jessica R. Levi, C. Brook
Objectives: Evidence shows that scribes can improve provider efficiency and satisfaction in several settings, but is mixed on whether scribes improve patient satisfaction. We studied whether scribes improved patient satisfaction in an academic otolaryngology clinic. Methods: The authors performed a retrospective review of patient responses to the Press Ganey survey between 12/2016 and 12/2017. Their responses about satisfaction with the provider and wait times were examined. Three providers worked with scribes during this year; each spent six months with a scribe and six without. The authors compared survey responses from periods with and without scribes using the Fischer exact test. Average overall provider ratings were compared using the Student’s t-test. Results: A total of 87 patients filled out Press Ganey surveys for the 3 providers over the year: 54 for visits without scribes, and 33 for visits with scribes. Fischer exact analysis demonstrated no significant difference in satisfaction with providers and wait times for both individual providers and all providers combined (all P > .05). There was also no difference in patients’ likelihood of recommending the provider’s office (P = .91). Overall provider rating (0-10 scale) was high without scribes (9.48 ± 1.06) and was unchanged by the presence of scribes (9.53 ± 0.8) (P = .97). Conclusion: Patient satisfaction with wait times and providers was high overall and was not affected by the presence of a medical scribe.
{"title":"The Impact of Medical Scribes on Patient Satisfaction in an Academic Otolaryngology Clinic","authors":"Katherine R. Keefe, Jessica R. Levi, C. Brook","doi":"10.1177/0003489419884337","DOIUrl":"https://doi.org/10.1177/0003489419884337","url":null,"abstract":"Objectives: Evidence shows that scribes can improve provider efficiency and satisfaction in several settings, but is mixed on whether scribes improve patient satisfaction. We studied whether scribes improved patient satisfaction in an academic otolaryngology clinic. Methods: The authors performed a retrospective review of patient responses to the Press Ganey survey between 12/2016 and 12/2017. Their responses about satisfaction with the provider and wait times were examined. Three providers worked with scribes during this year; each spent six months with a scribe and six without. The authors compared survey responses from periods with and without scribes using the Fischer exact test. Average overall provider ratings were compared using the Student’s t-test. Results: A total of 87 patients filled out Press Ganey surveys for the 3 providers over the year: 54 for visits without scribes, and 33 for visits with scribes. Fischer exact analysis demonstrated no significant difference in satisfaction with providers and wait times for both individual providers and all providers combined (all P > .05). There was also no difference in patients’ likelihood of recommending the provider’s office (P = .91). Overall provider rating (0-10 scale) was high without scribes (9.48 ± 1.06) and was unchanged by the presence of scribes (9.53 ± 0.8) (P = .97). Conclusion: Patient satisfaction with wait times and providers was high overall and was not affected by the presence of a medical scribe.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"48 1","pages":"238 - 244"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79754254","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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