www.entnet.orgCurrent IssueArchivesAnnual MeetingAdvertise with the BulletinENTConnectNovember 2020 – Vol. 39, No. 10Bringing Together the World of Otolaryngology Virtually with the 2020 International Regional RoundtablesDuring the AAO-HNSF Annual Meeting & OTO Experience, the International Advisory Board (IAB) General Assembly includes Regional Roundtable Discussions representing Africa, Asia-Pacific, Europe, the Middle East, and Latin America. Attendees from these geographic regions share ideas, best practices, and insights on issues facing the specialty.Leading EdgeReal-World Impacts on Otolaryngology Practice Models: Pitfalls to ConsiderAs we approach the end of one of the most disruptive and tumultuous years of the last century, hoping to regain some degree of equilibrium, it is important to recognize and analyze not only the major, well-known consequences of COVID-19, social unrest, natural disasters, and divisive politics, but also some of the under-recognized impacts on our medical providers.James C. Denneny III, MD, AAO-HNS/F EVP/CEOWhy Going Global Is More Important Than EverI had the great honor and privilege to serve on the Global Panel Presentation at the International Advisory Board (IAB) General Assembly held during the AAO-HNSF 2020 Virtual Annual Meeting.Carol R. Bradford, MD, MS, AAO-HNS/F PresidentFrom the Education CommitteesChronic rhinosinusitis (CRS) is a chronic inflammatory disease involving the sinonasal mucosa that can be classified into subtypes based on the presence or absence of nasal polyps. CRS with nasal polyps (CRSwNP) is a Type II mediated inflammatory process with elevated eosinophils and inflammatory cytokines, such as Interleukin (IL)-4, IL-5, and IL-13.Out of Committee: Outcomes Research and Evidence-Based MedicineTonsil surgery has been performed for millennia by techniques that have ranged from fingernail dissection in the first century AD to modern electrocautery today. Tonsillectomy refers to the complete removal of the encapsulated tonsil from the pharyngeal muscular wall. Tonsillectomy (with or without adenoidectomy) is the first-line treatment for sleep-disordered breathing (SDB) in children, and over 300,000 pediatric tonsillectomies are performed in the United States annually.Sustainable Surgical Outcomes in the Pediatric Airway: The Operation Airway ExperienceAs a surgeon there is nothing more gratifying than using your own skill set to perform complex airway reconstruction and allowing children to breathe, speak, and ultimately rediscover their livelihood again. At Operation Airway, however, the goal of the teaching surgeon is quite the opposite.Advocacy in Action: Academy’s Latest Anti-Smoking EffortsThe AAO-HNS supports state and federal legislation and regulations that help reduce the use of tobacco products and exposure to secondhand smoke in order to promote healthy environments and lifestyles for the public. Over the course of the past year, the Academy has worked to promote a variety of anti-smoking-related topics that have an overall impact in protecting children, youth, and adults from the consequences of tobacco and e-cigarette use.Vaping’s Harmful Effects on Our PatientsVaping, the use of e-cigarettes or other electronic nicotine delivery systems (ENDS), has increased in recent years as compared with traditional cigarettes. There are multiple harmful effects of vaping, and for adolescents in particular, there are special concerns for harm. Despite recent regulations by the U.S. Food and Drug Administration (FDA), loopholes still exist that allow for sale of flavored ENDS devices to youth.Visions and GoalsFrom 1993 to 2017 I served as head and chair of the Department of Otorhinolaryngology, Head and Neck Surgery (ORLHNS) and Sleep Centre at the Mannheim University Teaching Hospital in Mannheim, Germany. Following this I became head of the International Patient Office at the same hospital.Childhood Impressions Set the Path for Lifelong Experiences and ContributionsMy life has always had an international flavor. Both sets of grandparents came from Europe in the early 20th century, and my father’s parents never learned to speak English. Family affairs, particularly at the holiday season, were very old world. My dad, Dr. David Myers, was chair of the Department of Otorhinology at Temple University School of Medicine.Spotlight on Humanitarian Efforts: Chad A. Zender, MDThe Spotlight on Humanitarian Efforts recognizes AAO-HNS members who are contributing their time and expertise to otolaryngologic patient needs around the globe. These individuals demonstrate integrity and devotion to humanity through a self-giving spirit. They are outstanding models to emulate in fostering a globally otolaryngology community. For this spotlight, the AAO-HNSF International Affairs Program would like to spotlight Chad A. Zender, MD, for his work with Head and Neck Outreach (HNO)Perspective: The Replacement of Medicare Carrier Advisory Committees Is a Replacement of the Physician VoiceI must admit that when Steve T. Kmucha, MD, JD, sent me this comprehensive historical review of the Carrier Advisory Committees (CAC) all the way through their demise, it brought back many good memories of my many years on the Tennessee CAC.What Is Changing for E/M Codes in 2021: Are You Prepared?As reported in the June Bulletin, changes to the Current Procedural Terminology (CPT®) coding structure for office or outpatient evaluation and management (E/M) services will take effect on January 1, 2021.PRACTICE PROFILE: Dedicated to Serving Underserved Patients with ENT CareJames L. Netterville, MD, has been with the Department of Otolaryngology at Vanderbilt University Medical Center since 1986. As the Mark C. Smith professor of otolaryngology and director of the Division of Head and Neck Surgery, he promotes education and research in both voice disorders and head and neck oncologic surgery, his specialty. In addition, he is the associate director of the Bill Wilkerson Center for Otolaryngology and Communication Sciences.COVID-19 and Racial Disparities: An UpdateEarly in the pandemic, the widespread, disproportionate impact of COVID-19 was evident among minorities, particularly Hispanic, Black, and Native American communities in the United States. This has been repeatedly demonstrated through different types of analyses, including evaluations of relative cases, hospitalizations, and deaths.Humanitarian Travel Grant: Medical Mission in KenyaI want to express my gratitude for the AAO-HNSF Humanitarian Travel Grant that allowed me to travel to Kenya and participate in efforts at the AIC Kijabe Hospital. I had the privilege of working with Dr. David Nolen’s practice, an alumnus of my own residency program. This experience was even more valuable than I had expected, and I look forward to applying the skills I gained, and lessons learned.At the forefrontThe 10th anniversary celebration of the establishment of the Section for Women in Otolaryngology (WIO) and the WIO Endowment (WIOE) was held on October 3, during the AAO-HNSF 2020 Virtual Annual Meeting & OTO Experience.AAO-HNS/F Celebrates 125 YearsThis year the AAO-HNS/F is celebrating our 125th anniversary as a specialty organization. We are planning a number of events to commemorate our history that will culminate at our AAO-HNSF 2021 Annual Meeting & OTO Experience in Los Angeles, California, October 3-6, 2021.