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Otolaryngologic Clinics of North America

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https://www.readbyqxmd.com/read/29779618/aging-in-the-united-states-opportunities-and-challenges-for-otolaryngology-head-and-neck-surgery
#1
REVIEW
Brandon L Chiu, Jayant M Pinto
The number of Americans over the age of 65 has been growing much faster than the overall population's growth rate. These changes can be largely attributed to the improvement in life expectancy. This demographic shift yields a unique and exciting opportunity to provide both expedient and cost-efficient care to a growing patient population.
May 17, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29779617/dysphagia-in-the-older-patient
#2
REVIEW
Samia Nawaz, Ozlem E Tulunay-Ugur
Dysphagia in older adults is a challenging problem and necessitates a team approach. The key to effective management is recognition. Patients tend to dismiss their symptoms as normal aging; therefore, early diagnosis depends on the diligence of the primary care doctors. No diagnostic technique can replace the benefits of a thorough history, with a detailed understanding of nutritional status and aspiration risk. Although one of the main goals in management is to ensure safe swallowing, the impact of a nonoral diet on the quality of life of patients should not be underestimated...
May 17, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29779616/sleep-apnea-and-sleep-disordered-breathing
#3
REVIEW
Jiahui Lin, Maria Suurna
Older adults undergo gradual changes in their sleep patterns. It is important to differentiate normal age-related sleep changes from sleep disorders. Because sleep disorders can impact an older adult's day-to-day life and contribute to various comorbidities, these patients should be carefully screened by using a detailed medical history, combined with a detailed sleep history. There is a high prevalence of undiagnosed and untreated sleep apnea in the elderly. Early identification and appropriate management of this disorder may not only provide improvement in quality of life but also decrease disease-associated morbidity and mortality...
May 17, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29779615/treating-the-elderly-with-science-and-dignity
#4
EDITORIAL
Sujana S Chandrasekhar
No abstract text is available yet for this article.
May 17, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29779614/the-emerging-field-of-geriatric-otolaryngology
#5
REVIEW
David Eibling, Karen Kost
Sub-specialization within otolaryngology, like other specialties, is driven by accumulation of new knowledge and technology. For a variety of reasons, the establishment of a new subspecialty of geriatric otolaryngology is unlikely. Education of all otolaryngologists in the basic principles of gerontology and geriatric otolaryngology is achievable and represents a preferred strategy.
May 17, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29779613/facial-plastic-surgery-in-the-geriatric-population
#6
REVIEW
Ian Newberry, Eric W Cerrati, J Regan Thomas
Greater life expectancy with advancements in technology and medicine has led to an increasing interest in facial rejuvenation. Facial aging is an inevitable process that largely results from soft tissue descent and volumetric deflation. However, a comprehensive knowledge of the aging process and precise assessment of the exact pathologies yielding the patient's senescent appearance is essential to produce the best cosmetic outcome. The surgeon must evaluate each region independently and the aging face as a whole to ensure a pleasing, natural appearance...
May 17, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29735277/age-related-hearing-loss-innovations-in-hearing-augmentation
#7
REVIEW
Yona Vaisbuch, Peter Luke Santa Maria
Age-related hearing loss is a multifactorial condition that affects more than one-third of the aging population. Left untreated it can increase the risk of cognitive decline, dementia, social isolation, depression, and falls. Hearing augmentation devices exhibit improved digital sound processing and Smartphone connectivity. Stigma remains one of the prominent barriers and todays devices offer in the canal models, miniature sizes, and camouflage with the hair or skin color. Although rigorous scientific efforts are made in the research field of inner ear regeneration and some clinical early phase studies do exist, to date, the clinical availability is still some time away...
May 4, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29699709/endocrine-surgery-in-the-geriatric-population
#8
REVIEW
John Benjamin McIntire, Susan McCammon, Eric R Mong
Age must be a factor when considering endocrine surgery. Age itself is a risk factor for complications after thyroidectomy, specifically pulmonary, infectious, and cardiac complications. For this reason, in patients with nodular thyroid disease or thyroid microcarcinoma, length of observation must be measured against age and surgical risk. Outcomes of thyroid surgery in geriatric patients can be improved with several measures, including careful preoperative risk stratification based on comorbidities and frailty...
April 23, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29699708/the-effects-of-reflux-on-the-elderly-the-problems-with-medications-and-interventions
#9
REVIEW
Abie H Mendelsohn
Reflux-related complaints are a frequent cause for otolaryngology consultation, and with the aging population the concerns specific to the elderly reflux patient are critical. The elderly patient is less likely to present with typical laryngopharyngeal reflux (LPR) or gastroesophageal reflux disease (GERD) symptoms. Importantly, elderly patients typically have objective findings more severe than the level of the symptoms. Therefore, upfront invasive esophageal testing as opposed to an initial medical therapy trial is the recommended management strategy...
April 23, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29680184/rhinitis-and-sinusitis-in-the-geriatric-population
#10
REVIEW
David W Hsu, Jeffrey D Suh
Rhinitis and sinusitis are common medical conditions that affect the geriatric population and have a significant impact on their quality of life. Because few studies examine differences in the clinical management between the geriatric and general adult population, therapies should be based on current guidelines. Special considerations should be made when treating these patients in regards to multiple comorbidities and the potential for drug interactions from polypharmacy. Further research on the pathogenesis of sinusitis in the geriatric population may provide specific differences in the clinical management in this population...
April 18, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29571560/otolaryngology-around-the-world
#11
EDITORIAL
Sujana S Chandrasekhar
No abstract text is available yet for this article.
March 20, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29571559/otolaryngology-in-low-resource-settings-practical-and-ethical-considerations
#12
REVIEW
Susan Cordes, Kevin Thomas Robbins, Gayle Woodson
Providing otolaryngology care in low-resource settings requires careful preparation to ensure good outcomes. The level of care that can be provided is dictated by available resources and the supplementary equipment, supplies, and personnel brought in. Other challenges include personal health and safety risks as well as cultural and language differences. Studying outcomes will inform future missions. Educating and developing ongoing partnerships with local physicians can lead to sustained improvements in the local health care system...
March 20, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29501327/outcome-of-head-and-neck-squamous-cell-cancers-in-low-resource-settings-challenges-and-opportunities
#13
REVIEW
Pankaj Chaturvedi, Hitesh Singhavi, Akshat Malik, Deepa Nair
Head and neck squamous cell carcinomas (HNSCCs) are amongst the most common cancers in certain parts of the world. Low-income and low middle- income countries make up 65% of newly diagnosed HNSCC cases annually and account for about 75% of HNSCC global mortality. These countries also suffer from a significant shortage of skilled labor, equipment, and health facilities. This article discusses the burden of HNSCCs in developing countries and the differences in outcomes compared with developed countries.
February 28, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29500056/surgical-care-and-otolaryngology-in-global-health
#14
REVIEW
Regan W Bergmark, David A Shaye, Mark G Shrime
Surgical access is inadequate for most people. The Lancet Commission on Global Surgery established 6 indicators to measure surgical access: geographic accessibility, density of surgical providers, number of procedures performed, perioperative mortality, impoverishing expenditure, and catastrophic expenditure. Otolaryngology surgical, training, and research efforts use these 6 indicators to maximize impact and coordination of worldwide efforts in surgery. Research must be rigorous and consider the counterfactual...
February 27, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29496257/workforce-considerations-training-and-diseases-in-africa
#15
REVIEW
Johannes J Fagan
Surgeons in sub-Saharan Africa face different challenges than those in developed countries: extreme shortages of otolaryngologists, speech pathologists, and audiologists; lack of training opportunities; and a paucity of otolaryngology services aggravated by population growth and aging. In addition to common Western diseases, patients have otolaryngology complications related to the human immunodeficiency virus, tuberculosis, malaria, and trauma. Less than 5% of the population has access to timely, safe, affordable surgery; 29 out of 52 African countries have no radiotherapy services...
February 27, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29486926/world-health-organization-and-its-initiative-for-ear-and-hearing-care
#16
REVIEW
Shelly Chadha, Alarcos Cieza
The World Health Organization (WHO) addresses ear diseases and hearing loss through its program on prevention of deafness and hearing loss. Recently, the World Health Assembly called for action at global and national levels to tackle the rising prevalence and adverse impact of unaddressed hearing loss. Following a public health approach toward this issue, WHO is focusing on i) raising awareness among policymakers and civil society; and ii) providing technical support to countries for promoting hearing care...
February 24, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29773126/the-small-world-of-global-otolaryngology
#17
EDITORIAL
James E Saunders, Susan R Cordes, Mark E Zafereo
No abstract text is available yet for this article.
June 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29773125/regional-overview-of-specific-populations-workforce-considerations-training-and-diseases-in-latin-america
#18
REVIEW
Jose Pablo Stolovitzky, Jacqueline Alvarado
Latin America has significant disparities that make the region vulnerable in the delivery of health care. There is a need to plan comprehensive health care strategies that result in a more robust trained health care workforce, while improving the quality and efficiencies of tertiary public hospitals. This article introduces a survey conducted among otorhinolaryngology leaders in the region that identified the need to strengthen postgraduate programs. Although all countries in Latin America have at least one residency program, more otorhinolaryngology-trained specialists are necessary to address the workforce shortages that are present in about 50% of Latin American countries...
June 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29773124/otolaryngology-and-the-global-burden-of-disease
#19
REVIEW
James E Saunders, Zane Rankin, Kathryn Y Noonan
The Global Burden of Disease (GBD) project provides longitudinal analysis of the global burden of otolaryngologic diseases by measuring the all-cause mortality, years of life lost, the years of life lived with disability, and disability-adjusted life years. Hearing loss burden is assessed overall and as sequelae of other diseases, such as otitis media or meningitis. Using these measures, we can appreciate the high prevalence and disability related to hearing loss globally. Other otolaryngologic diseases that contribute to the GBD include otitis media, cleft lip and palate, head and neck cancer, facial trauma, and oral disorders...
June 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29548512/thyroid-disease-around-the-world
#20
REVIEW
Anastasios Maniakas, Louise Davies, Mark E Zafereo
Thyroid disease is one of the most common pathologies in the world, with two of the most clinically important subgroups being iodine deficiency and thyroid goiter, and thyroid cancer. This review looks at the current state of thyroid disease in the world and evaluates the future direction in terms of thyroid disease treatment and prevention. Several of the most impactful epidemiologic studies are presented and analyzed, as well as a brief overview of the current socioeconomic burden of disease.
June 2018: Otolaryngologic Clinics of North America
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