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Otolaryngologic Clinics of North America

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https://www.readbyqxmd.com/read/28606602/it-takes-a-village-the-importance-of-multidisciplinary-care
#1
REVIEW
Thomas Heineman, Maie A St John, Richard O Wein, Randal S Weber
This article explores the evolving world of cancer care that requires increasing collaboration and is focused on value, quality, and efficiency, while placing the utmost importance on patient autonomy and individualized care plans. The expanding membership of the multidisciplinary team and the role integrated patient care units are reviewed in the context of care for the patient with head and neck cancer.
June 9, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28606601/changes-at-the-dinner-table%C3%A2-and-beyond-nourishing-our-patients-throughout-the-trajectory-of-their-cancer-journey
#2
REVIEW
Amy Lewis Madnick, Elizabeth Grace Morasso
Patients with head and neck cancers (HNC) can experience significant distress from presentation of symptoms to surveillance/survivorship and end-of-life. It is of value to all members of the HNC team to practice patient-centered care in assessment and interventions with patients and their support systems to achieve the best possible outcome given patient health status. Early assessment and referral to ancillary support provide a strong foundation across the illness trajectory. Specific attention should be given to the psychosocial implications of changes in physiologic functioning...
June 9, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28606600/maximizing-functional-outcomes-in-head-and-neck-cancer-survivors-assessment-and-rehabilitation
#3
REVIEW
Nausheen Jamal, Barbara Ebersole, Andrew Erman, Dinesh Chhetri
With increases in survivorship for patients with head and neck cancer, attention is turning to quality-of-life issues for survivors. Care for these patients is multifaceted. Dysphagia and issues of voice/speech, airway obstruction, neck and shoulder dysfunction, lymphedema, and pain control are important to address. Rehabilitation interventions are patient-specific and aim to prevent, restore, compensate, and palliate symptoms and sequelae of treatment for optimal functioning. Central to providing comprehensive interdisciplinary care are the head and neck surgeon, laryngologist, and speech-language pathologist...
June 9, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28602354/head-and-neck-cancer-pain
#4
REVIEW
Jakun W Ing
Pain is a significant morbidity resulting from head and neck cancer. Pain may also be the result of the treatments directed against head and neck cancer. An experienced practitioner may manage this pain by understanding the multifactorial mechanisms of pain and the various pharmacotherapies available. Pain should be managed with multiple medications in a multimodal approach, and nonpharmacologic therapies should be considered as well.
June 8, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28601195/new-frontiers-in-surgical-innovation
#5
REVIEW
Ryan S Jackson, Cecelia E Schmalbach
It is an exciting time for head and neck surgical innovation with numerous advances in the perioperative planning and intraoperative management of patients with cancer, trauma patients, and individuals with congenital defects. The broad and rapidly changing realm of head and neck surgical innovation precludes a comprehensive summary. This article highlights some of the most important innovations from surgical planning with sentinel node biopsy and three-dimensional, stereolithic modeling to intraoperative innovations, such as transoral robotic surgery and intraoperative navigation...
June 7, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28571665/decision-making-for-diagnosis-and-management-a-consensus-comes-to-life
#6
REVIEW
Rebecca C Hoesli, Andrew G Shuman, Carol R Bradford
The diagnosis and treatment of head and neck cancer is extremely complex. As a result, multiple medical providers are involved in a patient's care, and the multidisciplinary tumor boards provide a forum whereby they can share and discuss the intricacies of each individual patient's case. When recommendations are presented to the patient and decisions are to be finalized, the patient should benefit from the collective wisdom of a team of providers to achieve and implement a patient-centric and clinically sound consensus...
May 29, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28571664/the-role-of-patients-shared-decision-making
#7
REVIEW
Emily Beers, Marci Lee Nilsen, Jonas T Johnson
Shared decision-making affords patients and their families the autonomy to make difficult decisions after receiving comprehensive information about medical facts and treatment options. It is essential that patients' values are respected. The essential steps include first informing patients of the need for a decision, then explaining the various facts involved; after which, it is important to elicit patients' preferences and goals. Once the treatment options and outcomes important to patients are identified, an actual decision can be made...
May 29, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28550934/a-story-in-black-and-white-radiologic-evaluation-in-the-multidisciplinary-setting
#8
REVIEW
Ali R Sepahdari, Banafsheh Salehi
Strong engagement from expert radiologists is essential in ensuring the optimal function of a multidisciplinary group focused on the treatment of head and neck cancer. Active participation in multidisciplinary conference can be among the most rewarding roles for radiologists. Despite many benefits to radiologist involvement in multidisciplinary teams, there are obstacles and challenges that can prevent full participation. This article highlights the key issues that should be considered by radiologists and multidisciplinary team leaders when planning participation in a new or existing multidisciplinary group that focuses on the care of patients with head and neck cancer...
May 25, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28527523/advances-in-radiation-oncology-what-to-consider
#9
REVIEW
John V Hegde, Allen M Chen, Robert K Chin
Treatment of squamous cell carcinoma of the head and neck is rapidly evolving due to changing patient populations, an emphasis on quality of life-related outcomes, and advances in radiotherapy concepts and techniques to meet these new demands. This review includes recent and ongoing studies that are potentially practice changing, including improvements in intensity-modulated radiotherapy planning, the use of deintensified regimens in the human papilloma virus-related setting, and adjuvant therapy after transoral robotic surgery...
May 17, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28527522/precision-medicine-genomic-profiles-to-individualize-therapy
#10
REVIEW
Oscar E Streeter, Phillip J Beron, Prashant Natarajan Iyer
Precision medicine is the application of genotypic and Omics biomarkers to determine the most appropriate, outcome-driven therapy for individual patients. To determine the best choice of therapy, institutions use significant information technology-enabled data from imaging, electronic medical records, sensors in the clinic/hospitals, and wearable sensors to determine treatment response. With genomic profiling, targets to affect a disease course are continuing to be developed. As clonal mutational prevalence continues to be understood, information can be communicated to patients to inform them that resistance is common, requiring collection of more genetic mutations from patients with further biopsies or blood collection...
May 17, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28389018/topical-drug-therapies-for-chronic-rhinosinusitis
#11
REVIEW
Lauren J Luk, John M DelGaudio
Chronic rhinosinusitis is recognized as an inflammatory syndrome involving the nose and paranasal sinuses of multifactorial etiology. Research has demonstrated a complex interplay between host factors, microbiota, environmental exposures, and epigenetics resulting in chronic mucosal inflammation. The mainstay of medical therapy addresses this inflammation. In previously operated sinuses this includes topical saline and corticosteroids, reserving antibiotics for culture-directed acute exacerbations. Topical antiinflammatory therapies allow increased local concentration of drugs while minimizing side effects...
April 4, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28372813/innovations-in-balloon-catheter-technology-in-rhinology
#12
REVIEW
Brian D'Anza, Raj Sindwani, Troy D Woodard
Since being introduced more than 10 years ago, balloon catheter technology (BCT) has undergone several generations of innovations. From construction to utilization, there has been a myriad of advancements in balloon technology. The ergonomics of the balloon dilation systems have improved with a focus on limiting the extra assembly. "Hybrid" BCT procedures have shown promise in mucosal preservation, including treating isolated complex frontal disease. Multiple randomized clinical trials report improved long-term outcomes in stand-alone BCT, including in-office use...
March 31, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28372812/advances-in-microdebrider-technology-improving-functionality-and-expanding-utility
#13
REVIEW
Dennis Tang, Brian C Lobo, Brian D'Anza, Troy Woodard, Raj Sindwani
Since its application in nasal surgery, the microdebrider has revolutionized the practice of endoscopic sinus surgery. As the demands and breadth of procedures performed endoscopically have increased, so has the need for improvement in the microdebrider and related technologies. This article addresses how use of the microdebrider has impacted endonasal surgery and discusses current advances, which include creation of specialty hand pieces and blades, increases in instrument rotational speed, incorporation of navigation and energy, adaptation for intracranial use, and disposable instrumentation designed for in office use...
March 31, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28502533/harnessing-technology-at-the-edges-of-otolaryngology
#14
EDITORIAL
Sujana S Chandrasekhar
No abstract text is available yet for this article.
June 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28502532/retraction
#15
(no author information available yet)
No abstract text is available yet for this article.
June 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28502531/technological-advances-in-sinus-and-skull-base-surgery
#16
EDITORIAL
Raj Sindwani
No abstract text is available yet for this article.
June 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28502530/the-operating-room-of-the-future-versus-the-future-of-the-operating-room
#17
REVIEW
Amin B Kassam, Richard A Rovin, Sarika Walia, Srikant Chakravarthi, Juanita Celix, Jonathan Jennings, Sammy Khalili, Lior Gonen, Alejandro Monroy-Sosa, Melanie B Fukui
Technological advancement in the operating room is evolving into a dynamic system mirroring that of the aeronautics industry. Through data visualization, information is continuously being captured, collected, and stored on a scalable informatics platform for rapid, intuitive, iterative learning. The authors believe this philosophy (paradigm) will feed into an intelligent informatics domain fully accessible to all and geared toward precision, cell-based therapy in which tissue can be targeted and interrogated in situ...
June 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28392038/the-emerging-role-of-3-dimensional-printing-in%C3%A2-rhinology
#18
REVIEW
Janalee K Stokken, John F Pallanch
Nasal septal perforations, particularly those that are large and irregular in shape, often present as challenging surgical dilemmas. New technology has allowed us to develop techniques using computed tomography imaging and 3-dimensional (3D) printers to design custom polymeric silicone septal buttons. These buttons offer patients an option that avoids a surgical intervention when standard buttons do not fit well or are not tolerated. Preliminary data suggest that buttons designed by 3D printer technology provide more comfort than standard commercially available or hand-carved buttons with equivalent reduction of symptoms...
June 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28392037/next-generation-surgical-navigation-systems-in-sinus-and-skull-base-surgery
#19
REVIEW
Martin J Citardi, William Yao, Amber Luong
Over the past 25 years, rhinologists have adopted surgical navigation technology for endoscopic sinus and skull base procedures. Navigation systems often produce a wide target registration error (TRE). Ideally, next-generation systems will include a leap in target registration error reduce TRE through innovative hardware and software. Incorporation of microsensors will be another important innovation. Future systems are likely to include augmented reality, which can project overlays of critical anatomy on real-world endoscopic images...
June 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28389019/evolution-in-visualization-for-sinus-and-skull-base-surgery-from-headlight-to-endoscope
#20
REVIEW
Omar H Ahmed, Sonya Marcus, Richard A Lebowitz, Joseph B Jacobs
Rhinoscopy became a formal field of study in the mid-nineteenth century as improvements in nasal specula were made and the potent vasoconstrictive effects of cocaine on the intranasal tissues were discovered. Since then, a multitude of advances in visualization and illumination have been made. The advent of the Storz-Hopkins endoscope in the mid-twentieth century represents a culmination of efforts spanning nearly 2 centuries, and illumination has evolved concomitantly. The future of endoscopic sinus surgery may integrate developing technologies, such as 3-dimensional endoscopy, augmented reality navigation systems, and robotic endoscope holders...
June 2017: Otolaryngologic Clinics of North America
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