I dream of Gini: Quantifying inequality in otolaryngology residency interviews
ConclusionThere is an unequal distribution of interview invitations, which likely reflects the reality of asymmetry in applicant competitiveness. Otolaryngology demonstrates the greatest equality in distribution, which may stem from a greater burden of hoarding. The specialty's perceived competitiveness mitigates factors such as cost and time, essentially encouraging more people to take as many interviews as they can.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Andrew H. Lee, Patrick Young, Ross Liao, Paul H. Yi, Douglas Reh, Simon R. Best Tags: General Otolaryngology Source Type: research

Real steak knives of cincinnati: Repeated foreign body ingestion with novel endoscopic removal
We report a 32 ‐year‐old female patient with history of multiple previous foreign body ingestions requiring several past exploratory laparotomies, who presents with a knife blade in the esophagus. We present a novel method of using a rigid cervical esophagoscope with a salivary bypass tube. The tip of the knif e was isolated into the cervical esophagoscope, and the salivary bypass tube advanced off the cervical esophagoscope over the knife, shielding the serrated edge during removal preventing laceration to the esophagus. (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Erin Harvey, David Lee, John Paul Giliberto Tags: Laryngology Source Type: research

Measurement reliability of phonation threshold pressure in pediatric subjects
ConclusionsDifferences in means are likely related to differences in task and PTP hysteresis effect. Reliability is comparable with all methods; using a mouthpiece may be preferable to a mask for mechanical interruption. Measurement of PTP is noninvasive, reliable, and may be a useful adjunct in pediatric voice assessment.Level of Evidence3bLaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Matthew R. Hoffman, Austin J. Scholp, Calvin D. Hedberg, Jim R. Lamb, Maia N. Braden, J. Scott McMurray, Jack J. Jiang Tags: Pediatrics Source Type: research

Canal wall up surgery with mastoid and epitympanic obliteration in acquired cholesteatoma
ConclusionsObliteration of the epitympanum and mastoid is a reliable and safe technique following CWU surgery for cholesteatoma, resulting in low residual and recurrence rates.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Catharine A. Hellingman, Simon Geerse, Maarten J. F. de Wolf, Fenna A. Ebbens, Erik van Spronsen Tags: Otology/Neurotology Source Type: research

Evaluation of early oral cavity cancer treatment quality at a single institution
ConclusionUsing the process quality measures proposed by the AHNS, adherence to the process quality measures for early ‐stage oral cavity cancer care at a tertiary care center was successfully evaluated. In general, good compliance with the proposed process quality measures was found and several areas for improvement were identified.Level of Evidence2c.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Steven Chang, Ryan Sanii, Hamad Chaudhary, Carol Lewis, Michael Seidman, Kathleen Yaremchuk Tags: Head and Neck Source Type: research

Topical Application of 5 ‐Aminolevulinic Acid Is Sufficient for Photodynamic Therapy on Vocal Folds
ConclusionTopical PDT with laryngeal spraying of 20% 5 ‐ALA solution achieves sufficient therapeutic effects and is potentially applicable for the treatment of vocal fold leukoplakia.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Chi Zhang, Ting Gong, Jiajia Wang, Adriana Chou, Jack J. Jiang Tags: Laryngology Source Type: research

Does anatomic subsite influence oral cavity cancer mortality? A SEER database analysis
ConclusionAmong OCSCC patients, those with oral tongue cancer are more likely to experience CSM than patients with floor of mouth, upper gum, and retromolar trigone cancer. It is important to understand these mortality related differences in the management of OCSCC patients. Understanding subsite ‐specific mortality may benefit prognosis counseling of OCSCC patients and elicit subsite‐directed research as a means to improve outcomes.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Zachary Farhood, Matthew Simpson, Gregory M. Ward, Ronald J. Walker, Nosayaba Osazuwa ‐Peters Tags: Head and Neck Source Type: research

Is a schirmer's test necessary before blepharoplasty?
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Jacqueline A. Wulu, Jeffrey H. Spiegel Tags: Facial Plastics/Reconstructive Surgery Source Type: research

The Prevalence of Cricopharyngeal Webs in Elderly Cadavers
ConclusionThe prevalence of cricopharyngeal webs in elderly cadavers is high (68%). The clinician should maintain a high index of suspicion for CPWs in patients with no other identifiable etiology of solid food dysphagia.Level of Evidence3b.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Omid B. Mehdizadeh, Peter Wickwire, Mena Said, Peter C. Belafsky Tags: Bronchoesophagology Source Type: research

Aspiration in children with unilateral vocal fold paralysis
ConclusionsPatients who present with unilateral vocal fold paralysis and recurrent respiratory and/or feeding issues may be affected by prominent issues such as swallowing dysfunction and silent aspiration. Clinicians should be aware of this risk and evaluate patients for any signs of feeding or swallowing difficulties.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Alexandria L. Irace, Natasha D. Dombrowski, Kosuke Kawai, Pamela Dodrill, Jennifer Perez, Kayla Hernandez, Kathryn Davidson, Anne Hseu, Roger Nuss, Reza Rahbar Tags: Laryngology Source Type: research

Interesting case of late Gore ‐Tex extrusion following medialization laryngoplasty
A 65 ‐year‐old female presented with a foreign body sensation following an asthmatic attack associated with severe coughing. Six years earlier, the patient underwent medialization laryngoplasty (ML), which was complicated by a small tear (2 mm) in the right ventricle. One year following this, the pat ient developed Gore‐Tex extrusion but elected only for partial removal. Healing was complete until 5 years later; on examination, the patient had evidence of Gore‐Tex extrusion through the right ventricle. Implant extrusion is a recognized complication of ML. This case demonstrates several impor tant surgical steps tha...
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Diana N. Kirke, Andrew Blitzer Tags: Laryngology Source Type: research

Subglottic stenosis: An evaluation of an elderly treatment ‐seeking population
ConclusionsWe sought to analyze an older patient population with SGS and found no statistically significant differences compared to a younger population. ITI trended toward older patients requiring surgery more frequently but was not significant.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Alissa M. Collins, Kevin Chorath, C. Blake Simpson Tags: Laryngology Source Type: research

Do preoperative corticosteroids benefit patients with chronic rhinosinusitis with nasal polyposis?
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Daniel A. Carlton, Alexander G. Chiu Tags: Allergy/Rhinology Source Type: research

Decision aid prototype for treatment of pediatric sleep disordered breathing: A randomized pilot study
Conclusion: The DA was feasible but used differently among surgeons. The need to improve SDM techniques was suggested by both surgeons and parents. Future studies training otolaryngologists on effective SDM techniques and how to appropriately utilize decision aids may improve SDM for pediatric OSA.Level of Evidence1B.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Jeremy D. Meier, Jill M. Chorney, Samuel D. Fox, Paul Hong Tags: Pediatrics Source Type: research

Modified endoscopic endonasal approach with a minimally invasive transoral approach —an adjunct to infrapetrous approaches
ConclusionsThis study suggests that the MITA may be indicated to supplement the exposure provided by a transpterygoid EEA. This technique, associated with low potential morbidity, offers an alternative to internal carotid lateralization while managing extradural lesions that are adjacent to the petrous ICA.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Guillermo Maza, Ali M. Moustafa Omar, Somasundram Subramaniam, Bradley A. Otto, Daniel M. Prevedello, Ricardo L. Carrau Tags: Cranial Base Source Type: research