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Otolaryngologic Clinics of North America

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https://www.readbyqxmd.com/read/28778353/simulation-in-otolaryngology
#1
EDITORIAL
Sonya Malekzadeh
No abstract text is available yet for this article.
August 2, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28778352/see-one-do-one-teach-one-no-more
#2
EDITORIAL
Sujana S Chandrasekhar
No abstract text is available yet for this article.
August 2, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28716337/physical-models-and-virtual-reality-simulators-in-otolaryngology
#3
REVIEW
Luv Javia, Maya G Sardesai
The increasing role of simulation in the medical education of future otolaryngologists has followed suit with other surgical disciplines. Simulators make it possible for the resident to explore and learn in a safe and less stressful environment. The various subspecialties in otolaryngology use physical simulators and virtual-reality simulators. Although physical simulators allow the operator to make direct contact with its components, virtual-reality simulators allow the operator to interact with an environment that is computer generated...
July 14, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28693852/using-simulation-to-improve-systems
#4
REVIEW
James A Kearney, Ellen S Deutsch
Attempts to understand and improve health care delivery often focus on the characteristics of the patient and the characteristics of the health care providers, but larger systems surround and integrate with patients and providers. Components of health care delivery systems can support or interfere with efforts to provide optimal health care. Simulation inĀ situ, involving real teams participating in simulations in real care settings, can be used to identify latent safety threats and improve the work environment while simultaneously supporting participant learning...
July 7, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28669462/advanced-pediatric-airway-simulation
#5
REVIEW
Charles M Myer, Noel Jabbour
Simulation is an emerging and viable means to increase pediatric airway surgical training. A variety of simulators currently exist that may be used or modified for laryngoscopy, bronchoscopy, and endoscopic intervention, although anatomic realism and utility for complex procedures are limited. There is a need for further development of improved endoscopic and anatomic models. Innovative techniques are enabling small-scale manufacturing of generalizable and patient-specific simulators. The high acuity of the pediatric airway patient makes the use of simulation an attractive modality for training, competency maintenance, and patient safety quality-improvement studies...
June 29, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28669461/simulators-for-laryngeal-and-airway-surgery
#6
REVIEW
James A Burns, Lacey K Adkins, Seth Dailey, Adam M Klein
There is growing support from the Accreditation Council for Graduate Medical Education and the Joint Commission of Accreditation of Health Care Organizations for a competency-based evaluation of medical and surgical performance. This is part of the quality movement in health care whereby the Centers for Medicare and Medicaid Services and third-party insurance companies have begun to link reimbursement incentives to positive surgical outcomes. Laryngeal and airway surgery require precise technique and significant mastered skill that can be difficult to obtain during otolaryngology residency training...
June 29, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28669460/boot-camps-preparing-for-residency
#7
REVIEW
David H Yeh, Kevin Fung, Sonya Malekzadeh
Simulation-based boot camps are growing in popularity and are effective in onboarding novice residents with new knowledge, skills, and behaviors. These intensive and immersive courses may be used to train residents and allied health professionals in specific procedures, teamwork, and management of rare clinical scenarios. A needs assessment of learners determines the course curriculum. Boot camps are designed to encourage active and hands-on participation with deliberate practice and immediate feedback. As surgical education shifts toward competency-based medical education, there may be an even greater role for simulation-based boot camps as a training and assessment tool...
June 29, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755710/multidisciplinary-approach-to-head-and-neck-cancer
#8
EDITORIAL
Maie A St John
No abstract text is available yet for this article.
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755709/more-than-just-mitoses-complete-care-of-the-patient-with-head-and-neck-cancer
#9
EDITORIAL
Sujana S Chandrasekhar
No abstract text is available yet for this article.
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755708/immunotherapy-who-is-eligible
#10
REVIEW
Daniel Wang, Jill Gilbert, Young J Kim
Recurrent and/or metastatic head and neck cancer portends a poor prognosis with traditional treatments, but current immunotherapy with immune checkpoint inhibitors has the potential to improve these clinical outcomes. This review focuses on the major breakthroughs that have led to the current understanding of immunotherapy in head and neck cancer as well as the future direction of the field. Ultimately, this understanding will guide clinicians on the selection of patients with head and neck cancer and practical considerations before starting immunotherapy...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755707/survivorship-morbidity-mortality-malignancy
#11
REVIEW
Kelly M Malloy, Anna M Pou
Survivorship encompasses the entire therapeutic, psychosocial, functional, and financial experience of living with and through a cancer diagnosis. The period of survivorship starts on the day of the cancer diagnosis and lasts until the end of the survivor's life, regardless of the cause of death. The National Cancer Institute's Office of Cancer Survivorship expands the term "survivor" to include, importantly, caregivers, family, and friends close to the survivor who also live through this period.
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755706/psychosocial-distress-and-distress-screening-in-multidisciplinary-head-and-neck-cancer-treatment
#12
REVIEW
Charlene Williams
Psychosocial distress screening (DS) for cancer and head and neck cancer (HNC) patients is rapidly becoming the standard of care. DS is of particular importance for patients with HNC, given their heightened incidence of distress, depression, anxiety, suicide, quality of life impacts, and negative medical outcomes. In the absence of DS, distress is frequently missed in oncology settings. However, when identified, distress is highly responsive to treatment, with cognitive behavioral and behavioral medicine interventions demonstrating evidence of efficacy...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755705/systemic-treatment-for-squamous-cell-carcinoma-of-the-head-and-neck
#13
REVIEW
Aditya V Shetty, Deborah J Wong
In patients with locally advanced squamous cell cancer of the head and neck, a multimodality treatment approach is recommended. The addition of platinum-based systemic therapy concurrently with radiation has been shown to be superior to radiation alone and is considered standard therapy for locally advanced disease. No study has shown superiority of induction therapy followed by chemoradiotherapy versus chemoradiotherapy alone. In the adjuvant setting only patients with nodal extracapsular extension or positive margins seem to benefit from chemoradiotherapy versus radiotherapy alone...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755704/it-takes-two-one-resects-one-reconstructs
#14
REVIEW
Shabnam Ghazizadeh, Edward C Kuan, Jon Mallen-St Clair, Elliot Abemayor, Quang Luu, Vishad Nabili, Maie A St John
Care of patients with advanced head and neck cancer is a multidisciplinary effort through all phases of care. Head and neck cancer surgery involves balancing oncologic control, functional preservation, and aesthetics. Given the advances in free tissue reconstruction, the majority of defects can be reconstructed using free tissue transfer flaps. A 2-team approach allows for early, continual communication and meticulous operative planning. Operations can be combined into a single effort. This approach maximizes efficiency and enables multidisciplinary collaboration for comprehensive surgical treatment...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28755703/through-the-glass-brightly-pathology-review-in-the-multidisciplinary-setting
#15
REVIEW
Margaret Brandwein-Weber
Hospital-centered academic surgical pathologists are essential members of multidisciplinary head and neck tumor boards. A working, multidisciplinary head and neck tumor board is composed of many dedicated professionals who contribute their individual pieces of patient data. This weekly congregation of head and neck specialists results in a special, concerted, and dynamic process of data integration into a holistic matrix view of the patients. Despite all the technological advances in communication, the fundamentals of human interactions still apply: there is no better substitute for a regular, working, multidisciplinary head and neck tumor board...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28606602/it-takes-a-village-the-importance-of-multidisciplinary-care
#16
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 of integrated patient care units are reviewed in the context of care for the patient with head and neck cancer.
August 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
#17
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...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28606600/maximizing-functional-outcomes-in-head-and-neck-cancer-survivors-assessment-and-rehabilitation
#18
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...
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28602354/head-and-neck-cancer-pain
#19
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.
August 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28601195/new-frontiers-in-surgical-innovation
#20
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...
August 2017: Otolaryngologic Clinics of North America
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