Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Feb 2012
Otolaryngology-head and neck surgery physician work force issues: an analysis for future specialty planning.
To predict future trends in the otolaryngology workforce and propose solutions to correct the identified discrepancies between supply and demand. ⋯ The specialty needs to actively plan for the coming otolaryngologist shortage and train mid-level providers within the specialty. Failure to plan appropriately may result in a reduction in scope of practice of high-intensity services, which will likely remain a physician prerogative. Given the limited likelihood of a significant increase in residency slots, strong consideration should be given to shortening the base otolaryngology training program length.
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Otolaryngol Head Neck Surg · Feb 2012
Novel approach of medialization thyroplasty with arytenoid adduction performed under general anesthesia with a laryngeal mask.
To objectively assess the voice outcomes of patients with unilateral vocal fold paralysis treated with medialization thyroplasty and arytenoid adduction suture. ⋯ Preliminary results indicate that in selected patients with vocal fold paralysis, medialization thyroplasty with arytenoid adduction suture leads to significant improvements in objective voice measures. Longer follow-up data are required to further quantify the voice outcomes after this procedure.