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Practice Guidelines in Otolaryngology

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15 papers 100 to 500 followers
By Jonathan Simmonds Otolaryngology Resident in Boston
https://www.readbyqxmd.com/read/16638473/clinical-practice-guideline-acute-otitis-externa
#1
Richard M Rosenfeld, Lance Brown, C Ron Cannon, Rowena J Dolor, Theodore G Ganiats, Maureen Hannley, Phillip Kokemueller, S Michael Marcy, Peter S Roland, Richard N Shiffman, Sandra S Stinnett, David L Witsell
OBJECTIVE: This guideline provides evidence-based recommendations to manage diffuse acute otitis externa (AOE), defined as generalized inflammation of the external ear canal, which may also involve the pinna or tympanic membrane. The primary purpose is to promote appropriate use of oral and topical antimicrobials and to highlight the need for adequate pain relief. STUDY DESIGN: In creating this guideline, the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) selected a development group representing the fields of otolaryngology-head and neck surgery, pediatrics, family medicine, infectious disease, internal medicine, emergency medicine, and medical informatics...
April 2006: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/21493257/clinical-practice-guideline-tonsillectomy-in-children
#2
Reginald F Baugh, Sanford M Archer, Ron B Mitchell, Richard M Rosenfeld, Raouf Amin, James J Burns, David H Darrow, Terri Giordano, Ronald S Litman, Kasey K Li, Mary Ellen Mannix, Richard H Schwartz, Gavin Setzen, Ellen R Wald, Eric Wall, Gemma Sandberg, Milesh M Patel
OBJECTIVE: Tonsillectomy is one of the most common surgical procedures in the United States, with more than 530,000 procedures performed annually in children younger than 15 years. Tonsillectomy is defined as a surgical procedure performed with or without adenoidectomy that completely removes the tonsil including its capsule by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. Depending on the context in which it is used, it may indicate tonsillectomy with adenoidectomy, especially in relation to sleep-disordered breathing...
January 2011: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/21676944/clinical-practice-guideline-polysomnography-for-sleep-disordered-breathing-prior-to-tonsillectomy-in-children
#3
Peter S Roland, Richard M Rosenfeld, Lee J Brooks, Norman R Friedman, Jacqueline Jones, Tae W Kim, Siobhan Kuhar, Ron B Mitchell, Michael D Seidman, Stephen H Sheldon, Stephanie Jones, Peter Robertson
OBJECTIVE: This guideline provides otolaryngologists with evidence-based recommendations for using polysomnography in assessing children, aged 2 to 18 years, with sleep-disordered breathing and are candidates for tonsillectomy, with or without adenoidectomy. Polysomnography is the electrographic recording of simultaneous physiologic variables during sleep and is currently considered the gold standard for objectively assessing sleep disorders. PURPOSE: There is no current consensus or guideline on when children 2 to 18 years of age, who are candidates for tonsillectomy, are recommended to have polysomnography...
July 2011: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/22383545/clinical-practice-guideline-sudden-hearing-loss
#4
Robert J Stachler, Sujana S Chandrasekhar, Sanford M Archer, Richard M Rosenfeld, Seth R Schwartz, David M Barrs, Steven R Brown, Terry D Fife, Peg Ford, Theodore G Ganiats, Deena B Hollingsworth, Christopher A Lewandowski, Joseph J Montano, James E Saunders, Debara L Tucci, Michael Valente, Barbara E Warren, Kathleen L Yaremchuk, Peter J Robertson
OBJECTIVE: Sudden hearing loss (SHL) is a frightening symptom that often prompts an urgent or emergent visit to a physician. This guideline provides evidence-based recommendations for the diagnosis, management, and follow-up of patients who present with SHL. The guideline primarily focuses on sudden sensorineural hearing loss (SSNHL) in adult patients (aged 18 and older). Prompt recognition and management of SSNHL may improve hearing recovery and patient quality of life (QOL). Sudden sensorineural hearing loss affects 5 to 20 per 100,000 population, with about 4000 new cases per year in the United States...
March 2012: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/23733893/clinical-practice-guideline-improving-voice-outcomes-after-thyroid-surgery
#5
Sujana S Chandrasekhar, Gregory W Randolph, Michael D Seidman, Richard M Rosenfeld, Peter Angelos, Julie Barkmeier-Kraemer, Michael S Benninger, Joel H Blumin, Gregory Dennis, John Hanks, Megan R Haymart, Richard T Kloos, Brenda Seals, Jerry M Schreibstein, Mack A Thomas, Carolyn Waddington, Barbara Warren, Peter J Robertson
OBJECTIVE: Thyroidectomy may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. About 1 in 10 patients experience temporary laryngeal nerve injury after surgery, with longer lasting voice problems in up to 1 in 25. Reduced quality of life after thyroid surgery is multifactorial and may include the need for lifelong medication, thyroid suppression, radioactive scanning/treatment, temporary and permanent hypoparathyroidism, temporary or permanent dysphonia postoperatively, and dysphagia...
June 2013: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/24492208/clinical-practice-guideline-acute-otitis-externa-executive-summary
#6
Richard M Rosenfeld, Seth R Schwartz, C Ron Cannon, Peter S Roland, Geoffrey R Simon, Kaparaboyna Ashok Kumar, William W Huang, Helen W Haskell, Peter J Robertson
The American Academy of Otolaryngology--Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the updated Clinical Practice Guideline: Acute Otitis Externa, as a supplement to Otolaryngology-Head and Neck Surgery. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 8 recommendations developed address appropriate diagnosis of acute otitis externa (AOE) and the use of oral and topical antimicrobials and highlight the need for adequate pain relief...
February 2014: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/25644617/clinical-practice-guideline-allergic-rhinitis
#7
Michael D Seidman, Richard K Gurgel, Sandra Y Lin, Seth R Schwartz, Fuad M Baroody, James R Bonner, Douglas E Dawson, Mark S Dykewicz, Jesse M Hackell, Joseph K Han, Stacey L Ishman, Helene J Krouse, Sonya Malekzadeh, James Whit W Mims, Folashade S Omole, William D Reddy, Dana V Wallace, Sandra A Walsh, Barbara E Warren, Meghan N Wilson, Lorraine C Nnacheta
OBJECTIVE: Allergic rhinitis (AR) is one of the most common diseases affecting adults. It is the most common chronic disease in children in the United States today and the fifth most common chronic disease in the United States overall. AR is estimated to affect nearly 1 in every 6 Americans and generates $2 to $5 billion in direct health expenditures annually. It can impair quality of life and, through loss of work and school attendance, is responsible for as much as $2 to $4 billion in lost productivity annually...
February 2015: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27132195/international-pediatric-otolaryngology-group-ipog-consensus-recommendations-routine-peri-operative-pediatric-tracheotomy-care
#8
Julie E Strychowsky, David Albert, Kenny Chan, Alan Cheng, Sam J Daniel, Alessandro De Alarcon, Noel Garabedian, Catherine Hart, Christopher Hartnick, Andy Inglis, Ian Jacobs, Monica E Kleinman, Nilesh M Mehta, Richard Nicollas, Roger Nuss, Seth Pransky, John Russell, Mike Rutter, Anne Schilder, Dana Thompson, Jean-Michel Triglia, Mark Volk, Bob Ward, Karen Watters, Michelle Wyatt, George Zalzal, Karen Zur, Reza Rahbar
OBJECTIVES: To develop consensus recommendations for peri-operative tracheotomy care in pediatric patients. METHODS: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). The mission of the IPOG is to develop expertise-based consensus recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care. The consensus recommendations herein represent the first publication by the group...
July 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27107728/international-pediatric-orl-group-ipog-laryngomalacia-consensus-recommendations
#9
REVIEW
John Carter, Reza Rahbar, Matthew Brigger, Kenny Chan, Alan Cheng, Sam J Daniel, Alessandro De Alarcon, Noel Garabedian, Catherine Hart, Christopher Hartnick, Ian Jacobs, Bryan Liming, Richard Nicollas, Seth Pransky, Gresham Richter, John Russell, Michael J Rutter, Anne Schilder, Richard J H Smith, Julie Strychowsky, Robert Ward, Karen Watters, Michelle Wyatt, George Zalzal, Karen Zur, Dana Thompson
OBJECTIVE: To provide recommendations for the comprehensive management of young infants who present with signs or symptoms concerning for laryngomalacia. METHODS: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). RESULTS: Consensus recommendations include initial care and triage recommendations for health care providers who commonly evaluate young infants with noisy breathing. The consensus statement also provides comprehensive care recommendations for otolaryngologists who manage young infants with laryngomalacia including: evaluation and treatment considerations for commonly debated issues in laryngomalacia, initial work-up of infants presenting with inspiratory stridor, treatment recommendations based on disease severity, management of the infant with feeding difficulties, post-surgical treatment management recommendations, and suggestions for acid suppression therapy...
July 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/15138413/clinical-practice-guideline-otitis-media-with-effusion
#10
Richard M Rosenfeld, Larry Culpepper, Karen J Doyle, Kenneth M Grundfast, Alejandro Hoberman, Margaret A Kenna, Allan S Lieberthal, Martin Mahoney, Richard A Wahl, Charles R Woods, Barbara Yawn
The clinical practice guideline on otitis media with effusion (OME) provides evidence-based recommendations on diagnosing and managing OME in children. This is an update of the 1994 clinical practice guideline "Otitis Media With Effusion in Young Children," which was developed by the Agency for Healthcare Policy and Research (now the Agency for Healthcare Research and Quality). In contrast to the earlier guideline, which was limited to children aged 1 to 3 years with no craniofacial or neurologic abnormalities or sensory deficits, the updated guideline applies to children aged 2 months through 12 years with or without developmental disabilities or underlying conditions that predispose to OME and its sequelae...
May 2004: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26833645/clinical-practice-guideline-otitis-media-with-effusion-executive-summary-update
#11
Richard M Rosenfeld, Jennifer J Shin, Seth R Schwartz, Robyn Coggins, Lisa Gagnon, Jesse M Hackell, David Hoelting, Lisa L Hunter, Ann W Kummer, Spencer C Payne, Dennis S Poe, Maria Veling, Peter M Vila, Sandra A Walsh, Maureen D Corrigan
The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the updated "Clinical Practice Guideline: Otitis Media with Effusion." To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 18 recommendations developed emphasize diagnostic accuracy, identification of children who are most susceptible to developmental sequelae from otitis media with effusion, and education of clinicians and patients regarding the favorable natural history of most otitis media with effusion and the lack of efficacy for medical therapy (eg, steroids, antihistamines, decongestants)...
February 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26716756/merkel-cell-carcinoma-do-you-know-your-guidelines
#12
REVIEW
Brett A Miles, David Goldenberg
BACKGROUND: Merkel cell carcinoma (MCC) is a cutaneous neuroendocrine malignancy that exhibits clinically aggressive features and is associated with a poor prognosis. The incidence of MCC seems to be increasing for reasons unknown, and is estimated to be 0.32/100,000 in the United States. METHODS: This article will review the current literature and National Comprehensive Cancer Network practice guidelines in the treatment of MCC. RESULTS: Resection of MCC with negative margins remains the mainstay of therapy...
May 2016: Head & Neck
https://www.readbyqxmd.com/read/26462967/2015-american-thyroid-association-management-guidelines-for-adult-patients-with-thyroid-nodules-and-differentiated-thyroid-cancer-the-american-thyroid-association-guidelines-task-force-on-thyroid-nodules-and-differentiated-thyroid-cancer
#13
REVIEW
Bryan R Haugen, Erik K Alexander, Keith C Bible, Gerard M Doherty, Susan J Mandel, Yuri E Nikiforov, Furio Pacini, Gregory W Randolph, Anna M Sawka, Martin Schlumberger, Kathryn G Schuff, Steven I Sherman, Julie Ann Sosa, David L Steward, R Michael Tuttle, Leonard Wartofsky
BACKGROUND: Thyroid nodules are a common clinical problem, and differentiated thyroid cancer is becoming increasingly prevalent. Since the American Thyroid Association's (ATA's) guidelines for the management of these disorders were revised in 2009, significant scientific advances have occurred in the field. The aim of these guidelines is to inform clinicians, patients, researchers, and health policy makers on published evidence relating to the diagnosis and management of thyroid nodules and differentiated thyroid cancer...
January 2016: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/26606715/understanding-quality-measures-in-otolaryngology-head-and-neck-surgery
#14
REVIEW
Peter M Vila, John S Schneider, Jay F Piccirillo, Judith E C Lieu
As health care reimbursements based on pay-for-performance models become more common, there is an unprecedented demand for ways to measure health care quality and demonstrate value. Performance measures, a type of quality measure, are unique tools in a health care delivery system that allow objective monitoring of adherence to specific goals and tracking of outcomes. We sought to provide information on the development of quality measures in otolaryngology-head and neck surgery, as well as the goals of performance measurement at a national level and for our specialty...
January 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/25832968/clinical-practice-guideline-update-adult-sinusitis
#15
Richard M Rosenfeld, Jay F Piccirillo, Sujana S Chandrasekhar, Itzhak Brook, Kaparaboyna Ashok Kumar, Maggie Kramper, Richard R Orlandi, James N Palmer, Zara M Patel, Anju Peters, Sandra A Walsh, Maureen D Corrigan
OBJECTIVE: This update of a 2007 guideline from the American Academy of Otolaryngology--Head and Neck Surgery Foundation provides evidence-based recommendations to manage adult rhinosinusitis, defined as symptomatic inflammation of the paranasal sinuses and nasal cavity. Changes from the prior guideline include a consumer added to the update group, evidence from 42 new systematic reviews, enhanced information on patient education and counseling, a new algorithm to clarify action statement relationships, expanded opportunities for watchful waiting (without antibiotic therapy) as initial therapy of acute bacterial rhinosinusitis (ABRS), and 3 new recommendations for managing chronic rhinosinusitis (CRS)...
April 2015: Otolaryngology—Head and Neck Surgery
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