OTO Journal

By AAO-HNSFMedicine Health & Fitness Education

OTO Journal episodes

October 25, 2012 OTO: Consensus Statement on Appropriate Use of Computed Tomography for Adult Sinus Disease
Although computed tomography (CT imaging) is an essential diagnostic tool for patients with paranasal sinus disease the test is associated with significant costs, radiation exposure, and overuse concerns. To help define appropriate use of CT imaging an expert panel was convened and areas of clinical consensus were identified using a 3 round modified Delphi method. Statements reaching consensus included (a) CT imaging is not indicated for clinicall diagnosed uncomplicated acute sinusitis or when sinusitis has fully responded to antibiotic therapy, (b) CT imaging is indicated for adults with chronic sinusitis, recurrent acute sinusitis, and those not responding appropriately to medical management, and (c) CT imaging is indicated for tumor surveillance, complicated sinusitis, complicated dental infections, and for facial pain following dental surgery (odontogenic sinusitis). When CT imaging is obtained for routine chronic sinusitis intravenous contrast is not indicated. Further, plain radiographs and ultrasonography are not recommend for evaluating sinusitis.

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14 min
October 24, 2012 OTO: Consensus Statement on Appropriate Use of Computed Tomography for Pediatric Sinus Disease
Although computed tomography (CT imaging) is an essential diagnostic tool for patients with paranasal sinus disease the test is associated with significant costs, radiation exposure, and overuse concerns. To help define appropriate use of CT imaging an expert panel was convened and areas of clinical consensus were identified using a 3 round modified Delphi method. Statements reaching consensus included (a) CT imaging is not indicated for an uncomplicated "cold" lasting less than 10 days or for uncomplicated acute sinusitis in children under age 3 years, (b) CT imaging is indicated for chronic sinusitis in children that persists despite adenoidectomy or medical management, and (c) CT imaging is indicated for at any age for suspected tumor, complications from sinusitis, or prior to sinus surgery. The presenters stress that the diagnosis of uncomplicated, acute bacterial sinusitis in children should be based on clinical signs and symptoms, not on CT imaging.
14 min
October 24, 2012 OTO: Consensus Statement on Appropriate Use of Computed Tomography for Pediatric Sinus Disease
Although computed tomography (CT imaging) is an essential diagnostic tool for patients with paranasal sinus disease the test is associated with significant costs, radiation exposure, and overuse concerns. To help define appropriate use of CT imaging an expert panel was convened and areas of clinical consensus were identified using a 3 round modified Delphi method. Statements reaching consensus included (a) CT imaging is not indicated for an uncomplicated "cold" lasting less than 10 days or for uncomplicated acute sinusitis in children under age 3 years, (b) CT imaging is indicated for chronic sinusitis in children that persists despite adenoidectomy or medical management, and (c) CT imaging is indicated for at any age for suspected tumor, complications from sinusitis, or prior to sinus surgery. The presenters stress that the diagnosis of uncomplicated, acute bacterial sinusitis in children should be based on clinical signs and symptoms, not on CT imaging.
14 min
September 13, 2012 OTO: Consumer Assessment of Surgical Care by Otolaryngologists
The Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) is a 35-item standardized tool that asks consumers and patients to report and evaluate their experiences and satisfaction with their surgical care (completion time of 15-20 minutes). In this prospective study, 354 adult patients completed the S-CAHPS survey through and electronic data capture system 7 to 28 days after otolaryngologic surgery. Most patients rated their surgeons very high (at least 9.5 out of 10.0), but there was more variability in communication practices: the top-box scores for were 79% for surgeon communication prior to surgery, 61% for surgeon attentiveness on day of surgery, 64% on information to guide recovery, 77% for surgeon communication after surgery, and 88% for helpful and courteous office staff. The overall 40% survey response rate confirms the feasibility of the S-CAHPS, which may ultimately become a platform for quality improvement, financial incentives (from insurers and health plans), and assessment of surgeon interpersonal and communication skills on Part IV of the American Board of Otolaryngology Maintenance of Certification examination.
14 min
September 13, 2012 OTO: Consumer Assessment of Surgical Care by Otolaryngologists
The Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) is a 35-item standardized tool that asks consumers and patients to report and evaluate their experiences and satisfaction with their surgical care (completion time of 15-20 minutes). In this prospective study, 354 adult patients completed the S-CAHPS survey through and electronic data capture system 7 to 28 days after otolaryngologic surgery. Most patients rated their surgeons very high (at least 9.5 out of 10.0), but there was more variability in communication practices: the top-box scores for were 79% for surgeon communication prior to surgery, 61% for surgeon attentiveness on day of surgery, 64% on information to guide recovery, 77% for surgeon communication after surgery, and 88% for helpful and courteous office staff. The overall 40% survey response rate confirms the feasibility of the S-CAHPS, which may ultimately become a platform for quality improvement, financial incentives (from insurers and health plans), and assessment of surgeon interpersonal and communication skills on Part IV of the American Board of Otolaryngology Maintenance of Certification examination.
14 min
August 28, 2012 OTO: Quality of Otolaryngology Information on the Internet
This podcast highlights original research appearing in the September 2012 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld is joined by lead author Max Pusz and associate editor Julie Wei in discussing the quality of information about common otolaryngology problems that would be encountered by consumers through Google internet searches.
13 min
August 28, 2012 OTO: Quality of Otolaryngology Information on the Internet
This podcast highlights original research appearing in the September 2012 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld is joined by lead author Max Pusz and associate editor Julie Wei in discussing the quality of information about common otolaryngology problems that would be encountered by consumers through Google internet searches.
13 min
July 24, 2012 OTO: Development and Validation of a Surgical Concern Inventory for Thyroidectomy
This podcast highlights original research appearing in the August 2012 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld is joined by lead author Michael Brandt and associate editor David Stepnick in discussing patient concerns prior to thyroid surgery.
13 min
July 24, 2012 OTO: Development and Validation of a Surgical Concern Inventory for Thyroidectomy
This podcast highlights original research appearing in the August 2012 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld is joined by lead author Michael Brandt and associate editor David Stepnick in discussing patient concerns prior to thyroid surgery.
13 min
June 06, 2012 OTO: Olfactory Dysfunction in Nasal Surgery Patients
This podcast highlights original research appearing in the July 2012 issue of Otolaryngology - Head and Neck Surgery, the official journal of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS) Foundation. Editor in chief Richard M. Rosenfeld is joined by corresponding author Jeffrey Spiegel and associate editor Mark K. Wax in discussing the preoperative incidence of olfactory dysfunction in nasal surgery patients.

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13 min

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The Otolaryngology–Head and Neck Surgery podcast series highlights research published in the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery…