Intraoperative Frozen Section in "Suspicious for Papillary Thyroid Carcinoma" after Adoption of the Bethesda System
Conclusions With no significant preoperative clinical or sonographic predictors for thyroid malignancy and given the high specificity of iFSE, our results support the use of iFSE for patients with preoperative FNA cytology of SFM–Bethesda V who are undergoing thyroid surgery, to determine the extent of required surgery. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Abu-Ghanem, S., Cohen, O., Raz Yarkoni, T., Fliss, D. M., Yehuda, M. Tags: Endocrine Surgery Source Type: research

Head and Neck Manifestations of Eosinophilic Granulomatosis with Polyangiitis: A Systematic Review
Conclusion Otolaryngologists are in a unique position for the early diagnosis and prevention of late complications of eosinophilic granulomatosis with polyangiitis. The American College of Rheumatology criteria should be relied on in the diagnostic workup. Close surveillance of these patients in a multidisciplinary fashion and with baseline complete blood counts, chest radiographs, and autoimmune laboratory tests is often necessary. Such patients with head and neck manifestations of the disease are nearly always responsive to steroids and often require additional immunosuppressive therapy or surgical intervention in cases ...
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Goldfarb, J. M., Rabinowitz, M. R., Basnyat, S., Nyquist, G. G., Rosen, M. R. Tags: Review Articles Source Type: research

Stapedotomy vs Cochlear Implantation for Advanced Otosclerosis: Systematic Review and Meta-analysis
Conclusions Cochlear implantation leads to a statistically greater and consistent improvement in speech recognition scores. Stapedotomy is not universally effective; however, it yields good results comparable to cochlear implantations in at least half of patients. For cases of unsuccessful stapedotomy, the option of cochlear implantation is still open, and the results obtained through salvage cochlear implantation are as good as those of primary cochlear implantation. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Abdurehim, Y., Lehmann, A., Zeitouni, A. G. Tags: Review Articles Source Type: research

Are Online Zenkers Diverticulum Materials Readable and Understandable?
Conclusion Online PEMs pertaining to ZD are written well above the recommended reading level. Materials written at a lower reading level are more understandable. A wide range of understandability exists among materials with identical reading grade levels. Implications for Practice Health care providers need to create new PEMs for ZD that are available online that are both readable and understandable. The PEMAT and readability formulas can provide a framework for authors to create these materials. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Balakrishnan, V., Chandy, Z., Verma, S. P. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Medical Information Exchange: Pattern of Global Mobile Messenger Usage among Otolaryngologists
We examined the experience and practices governing the usage of a global mobile messenger application (WhatsApp) for mobile health purposes in a national cohort of practicing otolaryngologists in Israel, a known early adaptor information technology society. Methods Cross-sectional data were collected from practicing otolaryngologists and otolaryngology residents via self-administered questionnaire. The questionnaire was composed of a demographic section, a section surveying the practices of mobile application use, mobile health application use, and knowledge regarding institutional policies governing the transmission of m...
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Siegal, G., Dagan, E., Wolf, M., Duvdevani, S., Alon, E. E. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Developing Quality Measures for Adult Cochlear Implant Centers: Preliminary Findings
This study provides a preliminary set of measures for evaluating the quality of adult cochlear implant centers, based on input from implant surgeons and audiologists. The next step will be to gather feedback from implant patients. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Vila, P. M., Lieu, J. E. C., Hullar, T. E., Buchman, C. A. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Use of Lean and CAHPS Surgical Care Survey to Improve Patients Experiences with Surgical Care
Conclusion Lean thinking helps to eliminate defects by breaking down complex problem solving into a scientific process. When combined with the CAHPS Surgical Care Survey, it can be successfully used to improve patients’ surgical experiences. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Jiang, N., Malkin, B. D. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

ACS NSQIP Risk Calculator: An Accurate Predictor of Complications in Major Head and Neck Surgery?
In conclusion, in our small cohort of patients, the ACS NSQIP calculator was a poor predictor of perioperative complications following major head and neck operations. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Prasad, K. G., Nelson, B. G., Deig, C. R., Schneider, A. L., Moore, M. G. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Quality Indicators for Head and Neck Oncologic Surgery: Academic versus Nonacademic Outcomes
Conclusion Despite caring for substantially more complex HNCA surgery patients with greater comorbidities, teaching hospitals demonstrate only a marginally increased LOS and wound complication rate versus nonteaching hospitals, while other established quality metrics are similar. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Puram, S. V., Bhattacharyya, N. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Programmatic Assessment of a Comprehensive Quality Improvement Curriculum in an Otolaryngology Residency
To date, there is minimal literature discussing quality improvement curricula in otolaryngology. Herein, we present our program, including didactic, web-based, and experiential learning, developed in the setting of a preexisting institutional quality and safety policy. Nine otolaryngology residents were evaluated with assessments focused on learner satisfaction, learner attitudes, and knowledge acquisition according to the Kirkpatrick framework. Wilcoxon signed-rank test was used to compare results. While the total score increased across all assessments, it was significant for only the Quality Improvement Knowledge Applica...
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Bowe, S. N., Laury, A. M., Kepchar, J. J., Lospinoso, J. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Improving Access to Head and Neck Cancer Surgical Services through the Incorporation of Associate Providers
Discussion Incorporation of APs into the HNTC increases the number of new patients seen by the surgeon, decreases wait times for all appointments, and decreases overbooking while maintaining patient satisfaction and surgeon productivity. Implications for Practice AP incorporation significantly improves access to head and neck surgical services. With improved access, new cancer patients could start treatment sooner, potentially affecting outcome. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Paydarfar, J. A., Gosselin, B. J., Tietz, A. M. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Highlights from the Current Issue: November 2016
(Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Krouse, J. H. Tags: Highlights Source Type: research

About Diode Laser Stapedotomy
(Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 27, 2016 Category: ENT & OMF Authors: Poletti, A. M. Tags: Letter to the Editor Source Type: research

Corrigendum
Massey CJ, Suh JD, Tessema B, Gray ST, Singh A. Biomaterials in rhinology. Otolaryngol Head Neck Surg. 2016;154:606-617. (Original DOI: 10.1177/0194599815627782) (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 27, 2016 Category: ENT & OMF Tags: Corrigendum Source Type: research

Endoscopic Endonasal Repair of Septal Perforation with Interpositional Auricular Cartilage Grafting via a Mucosal Regeneration Technique
This study showed that an endoscopic endonasal approach via a mucosal regeneration technique without direct mucosa-to-mucosa repair can be applied successfully without disrupting the neighboring nasal structures for septal perforations up to 20 mm and as effectively as other, more complex surgical interventions. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - September 27, 2016 Category: ENT & OMF Authors: Ozturan, O., Yenigun, A., Senturk, E., Eren, S. B., Aksoy, F. Tags: Clinical Techniques and Technology Source Type: research