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December 2020/January 2021 – Vol. 39, No. 11
AAO-HNS/F 2020 Annual Report
View the AAO-HNS/F 2020 Annual Report
Your AAO-HNS Community of Support: You Will Never Walk Alone
This year’s Annual Report provides us the opportunity to ruminate in amazement one of the most unpredictable and impactful years most of us will encounter. While experiences varied regionally, nationally, and internationally, we were all tied together by the disruptive healthcare issues, economic hardships, underlying social issues, and lack of consensus on how to deal with the pandemic itself.
James C. Denneny III, MD, AAO-HNS/F EVP/CEO
Put Your Oxygen Mask on before Helping Others: The Importance of Wellness
Before taking off in an airplane, we have all heard this all-too-familiar safety message: a reminder to put your own oxygen mask on before helping others. As caregivers, we give much of ourselves to ensure the well-being of our patients. Our profession can bring stress. We bear witness to human suffering. The hours are long.
Carol R. Bradford, MD, MS, AAO-HNS/F President
Tech Talk: Business Processes – Precursor to EMR Selection
Selecting the right electronic medical record (EMR) software solution is critical. The wrong choice can be devastating. These implementations are not just IT projects but require participation and effort from everyone—users, clinicians, and technologists alike. Without a full team effort and proper project oversight, these endeavors can easily spiral out of control on many fronts. So, where do you start?
2019-2020 AAO-HNS/F Committee Highlights
Committees are the lifeblood of the AAO-HNS/F and a great way for members to contribute meaningfully to the organization and the specialty. Prior to the AAO-HNSF 2020 Virtual Annual Meeting & OTO Experience, committees met virtually and discussed achievements during the past year and planned for 2021.
Differences in Parathyroid Surgery around the World
At the AAO-HNSF 2020 Virtual Annual Meeting & OTO Experience, head and neck endocrine surgeons from around the world met virtually to discuss techniques and differences in the management of primary hyperparathyroidism. Differences in resources and access to care highlighted various opinions across the topic.
From the Education Committees
Obstructive sleep apnea (OSA) is a common condition in children and one that most otolaryngologists are familiar with. Pediatric OSA has an estimated prevalence of 1%-4% in the United States.1 In most cases adenotonsillectomy (T&A) is the first-line therapy. About 500,000 of these procedures are performed annually in the U.S.
Patient Safety and Quality Improvement
We had just finished the composite resection, and it was late in the evening as the case had gotten off to a later start. We were done with the case, the drapes were off, and I had just removed the anode tube to insert the cuffed tracheostomy tube. I pulled on the upper stay suture to pull the trachea into view and it immediately came loose—obviously the tracheal ring had been broken during its placement.
Advocacy Issue Brief: Audiology and Speech-Language Pathology Interstate Compact
Several years ago the Council of State Governments (CSG) was asked to develop a model compact for allied health professionals, in this case, audiologists and speech-language pathologists. CSG is an organization committed to working with state officials to shape public policy and includes a program dedicated to developing interstate compacts.
New Category I CPT Codes for Sleep Surgery in 2022
At the October 2020 American Medical Association (AMA) Current Procedural Terminology (CPT) Editorial Panel meeting, the AMA accepted new Category I CPT codes for both hypoglossal nerve stimulation (HGN) and drug-induced sleep endoscopy (DISE). These new codes will become part of the CPT code set in 2022. For CPT, ‘Category’ refers to the division of the code set. CPT codes are divided into three categories.
Section Spotlight: Young Physicians Section (YPS)
The YPS kicked off an exciting new year of activities with an engaged and well-attended General Assembly at the AAO-HNSF 2020 Virtual Annual Meeting & OTO Experience, hosted by David S. Cohen, MD, our Immediate Past Chair. Dr. Cohen highlighted some of the YPS accomplishments from the last year, including extending the Academy’s reduced membership rate for early career otolaryngologists from one to two years and the introduction of travel grants for YPS members, which has been provided for the Section for Residents and Fellows-In-Training in years past.
Spotlight: Humanitarian Efforts – Tamer A. Ghanem, MD, PhD
The 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 global otolaryngology community.
Humanitarian Travel Grant: Cleft Care in Kijabe, Kenya
For the past 20 years, teams of otolaryngologists have provided continuous cleft care for patients in Kijabe, Kenya, through Samaritan’s Purse World Medical Mission and partnering with IAC-CURE Children’s Hospital and Smile Train.
Section Spotlight: Women in Otolaryngology (WIO)
Nalini Nadkarni, PhD, a forest ecologist and tree canopy specialist and guest speaker at the WIO General Assembly, held during the AAO-HNSF 2020 Virtual Annual Meeting & OTO Experience, described the process of “disturbance and recovery,” which to me is a good summary of 2020—unexpected disturbances, feelings of loss and isolation, maybe a crisis of identity. However, these disturbances, while uncomfortable in the present, can lead to new consequences and a new state.
Out of Committee: Endocrine Surgery Committee
Thyroid nodules are quite common and typically benign. Nonetheless they can be troubling in many ways to patients who then seek treatment, which often results in thyroid surgery. Thyroid surgery comes with some generally accepted risks, and quality of life may become significantly altered in several ways. The possible need for thyroid hormone supplementation or replacement is one of the major concerns for these patients undergoing surgery.