Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Mar 2015
ReviewThe uncertain fate of otolaryngology in sleep medicine.
Since 2011, otolaryngologists have been required to complete a 1-year fellowship in sleep medicine in order to be eligible for the ABOto Sleep Medicine Certification Examination (ASMCE). Resultantly, the number of sleep medicine board-certified otolaryngologists has plunged since that time. This push toward extinction comes at a time when otolaryngologists have been cast into the spotlight for the diagnosis and treatment of obstructive sleep apnea, the prevailing disorder in sleep medicine. To reverse the trajectory of this subspecialty, 2 changes need to occur: increase the exposure to sleep medicine/surgery during residency and improve access to sleep medicine fellowships featuring a strong otolaryngology presence.
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Otolaryngol Head Neck Surg · Mar 2015
Severity of childhood obstructive sleep apnea and hypertension improved after adenotonsillectomy.
To report improvements in childhood obstructive sleep apnea (OSA) and hypertension after adenotonsillectomy. ⋯ The decreased hypertension rate indicates that a reduction of the AHI is not all that matters after adenotonsillectomy in childhood OSA. However, patients with preoperative severe OSA and hypertension need careful management of their elevated BP despite surgical treatment.
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Otolaryngol Head Neck Surg · Mar 2015
Malpractice in treatment of sinonasal disease by otolaryngologists: a review of the past 10 years.
Sinonasal disease is a common condition treated by otolaryngologists. Malpractice in this area is the most common litigation faced by otolaryngologists. This study analyzes malpractice in the treatment of sinonasal disease. ⋯ Otolaryngologists should be aware of the causes of malpractice litigation as it relates to treatment of sinonasal disease. Lack of informed consent continues to be a common allegation, and surgeons should ensure complete informed consent is obtained and well documented. A unified and complete database of medical malpractice cases is needed to allow for further analysis of specialty-related claims.
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Otolaryngol Head Neck Surg · Mar 2015
Randomized Controlled TrialComparison of local and intravenous dexamethasone for postoperative pain and recovery after tonsillectomy.
To compare local infiltration of dexamethasone to intravenous injection for postoperative pain and recovery after tonsillectomy. ⋯ ChiCTR-TRC-13003535.