www.entnet.orgCurrent IssueArchivesAnnual MeetingAdvertise with the BulletinENTConnectMay 2020 – Vol. 39, No. 4Bringing Together the World of Otolaryngology in Boston This FallThe AAO-HNSF 2020 Annual Meeting & OTO Experience will unite the specialty as one this September to once again bring together thought leaders, offer unparalleled education, and provide access to the latest products and services to optimize ENT patient care.Leading EdgeOur Otolaryngology Community: Collaborating and Sharing Experiences for Everyone’s Mutual BenefitOur May issue typically has been used to promote our Annual Meeting & OTO Experience as well as other upcoming events. Clearly, this is the most atypical May I have experienced during my four decades of treating otolaryngology patients. Most of the world is beginning to see some needed light at the end of the tunnel, and physicians are either incrementally returning to practice or planning for that eventuality in the near future.James C. Denneny III, MD, AAO-HNS/F EVP/CEOA Time for Our Equanimity under DuressMy hope is that you and your families are healthy and safe as you continue to manage, communicate with, and care for your patients in some way. I realize that difficult times like these can bring us closer as a specialty and make us more poised and better positioned to understand, research, educate, empathize, interact, and work through the challenges caused by this global pandemic.Duane J. Taylor, MD AAO-HNS/F Past PresidentInternational Guest of Honor: German Association of Ear-Nose and Throat SurgeonsIn 1950, the German ENT surgeons felt the need to organize themselves because a new medical fee schedule was to be implemented on the federal level. Due to its statute, the scientific society of ORL was not allowed to deal with this matter, and in 1951, the German Association of ENT Surgeons (Deutscher Berufsverband der Hals-Nasen-Ohrenaerzte e.V.) was founded.International Guest of Honor: German Society of Otorhinolaryngology Head and Neck SurgeryThe German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC) has its roots going back to 1894. Two German otolaryngology societies existed with the German Otologic Society (Deutsche Otologische Gesellschaft) and the Society of German Laryngologists (Verein Deutscher Laryngologen).The OTO ExperienceEngage with the OTO Experience this year in Boston and gain valuable insights from our new education theaters, more hands-on training and learning, and greater opportunities for facilitated networking with your peers.Humanitarian Travel Grant: Janet Lee, MDSince 2014, Jeremy D. Meier, MD, from the University of Utah and Peter Appiah-Thompson, MD, of Cape Coast Teaching Hospital at the School of Medical Sciences in the University of Cape Coast, Ghana, have worked together to provide the people of Western Ghana with otolarnygologic care. This year marked the fifth anniversary of their partnership.Emerging Data Support a Personalized Approach for Elderly Patients with Head and Neck CancerHead and neck surgeons are increasingly concerned about following best practices when caring for elderly individuals with head and neck cancer. At the AAO-HNSF 2019 Annual Meeting & OTO Experience, this topic organically arose during three separate oncologic committee meetings.Transition to In-office Treatments: SleepOtolaryngologists are fast recognized by the public, government, and industry as leaders in the management of obstructive sleep apnea (OSA). With a prevalence that is estimated to approach 14 percent of the population, OSA is not simple to treat, and patients benefit from a personalized approach.Upper Airway Stimulation: A New Frontier in the Treatment of OSAObstructive sleep apnea (OSA) affects a significant portion of the adult population. Many patients do not tolerate continuous positive airway pressure (CPAP), which is the gold-standard treatment. Over the past 30 years, numerous surgeries have been developed to enlarge the upper airway but fail to address the underlying loss of muscle tone associated with sleep onset, which is pivotal to the pathogenesis of obstructive sleep apnea.Health Disparities in Geriatric Cochlear ImplantationHearing loss is no longer considered a part of normal aging. The negative impact of hearing loss on mental, physical, and cognitive functioning has been well-documented in geriatric populations. Most notably, a recent study suggested hearing loss as a potentially modifiable risk factor responsible for 9 percent of dementia cases.Incorporating Advanced Practice Providers into Your PracticeHopefully you have been following this series, learning more about the physician-advanced practice provider (APP) team approach to healthcare, and are ready to get started with recruiting and contracting. Your practice profile and management will benefit from a variety of approaches, and to help parse out these ideas, I have asked my colleague Scott P. Stringer, MD, MS, to share his experience.Disequilibrium of AgingDisequilibrium and associated balance disorders are common in older patients, with a prevalence of about 30 percent in those over the age of 60 years, increasing to 50 percent in those over the age of 85 years.Changing the Dialogue about Aging VoiceRaspy. High-pitched. Low volume. Weak. Tired. Patients have described the progressive changes over time in their voices in myriad ways. Although some may simply assume that these changes are part of the “normal aging” process, about 10 million elderly people do report a voice problem each year. The reported prevalence of dysphonia in the elderly ranges between 6 and 29 percent.Bringing Together the World of Otolaryngology in Boston This FallThe AAO-HNSF 2020 Annual Meeting & OTO Experience will unite the specialty as one this September to once again bring together thought leaders, offer unparalleled education, and provide access to the latest products and services to optimize ENT patient care.Future Faces of OtolaryngologyMatch Day 2020 was decidedly different from years past. The COVID-19 pandemic meant social distancing and cancelled receptions at medical schools across the country.Revolutionizing the Scope of Practice of Otolaryngology in Military MedicineDr. Joan T. Zajtchuk, COL (ret.) MC, U.S. Army, joined the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) when she returned from the Vietnam War in 1972. “My career trajectory in academic medicine after my residency was uncertain,” she explained. “A military career was unusual for a woman.Uncertainty and Its Impact on the Young OtolaryngologistBeing a young otolaryngologist is simultaneously incredibly exciting and utterly terrifying even on a routine day-to-day basis. Keeping patients alive with precarious medical conditions, mastering your craft, building your practice, and discovering your preferences all while traversing the complex landscape of medicine in America is difficult in and of itself.Geriatric-Specific Otolaryngology ApproachesFor decades, pediatric otolaryngologists have taught that children are not just small adults and that their care requires adopting unique approaches. It has become clear that geriatric patients are not just old adults but individuals who require diagnostic and therapeutic strategies different from those used for younger adults.At the ForefrontIn addition to serving multiple functions as the clinical data registry for otolaryngology-head and neck surgery, Reg-ent is also utilized by members to submit data to the Centers for Medicare & Medicaid Services (CMS) per the requirements of the Merit-based Incentive Payment System (MIPS).Peer Support: Taking Care of Ourselves and Each OtherMuch of our identity is wrapped up in the culture of our profession as otolaryngologists, surgeons, healers. This is a good thing. It doesn’t negate our other core identities: mom, wife, daughter, sister, friend, activist, etc. We are all a synthesis of these various parts of our whole being.Global Otolaryngology Community Comes Together in the Face of COVID-19 PandemicThe healthcare community has been thrust into an unprecedented situation during the COVID-19 pandemic that has tested us mightily as we deal with supply shortages, the lack of adequate reliable testing, incomplete knowledge of COVID-19 transmission, and significant risks to those providing care.