Special "hazards" for otolaryngologists to be cognizant of in working with pediatric patients with concomitant disease are noted in this resource. Topics include: Hemangiomas in pediatric otolaryngology; Otolaryngologic manifestations of craniofacial syndromes; Pediatric otolaryngology manifestations of skeletal dysplasia; The otolaryngologist's approach to the down syndrome patient; Management of allergic fungal sinusitis in children; Multi-System disease and pediatric laryngotracheal reconstruction; Evaulation and management of velopalatal insufficiency; Recurrent Respiratory Papilomatosis; Pierre Robin Sequence – evaluation, management, timing of surgery and pitfalls; and Endoscopic skull base techniques for juvenile nasopharyngeal angiofibroma.

The concept of Evidence Based Medicine (EBM) has flourished in recent years and it seems that clinicians, more than ever, crave evidence from the medical literature to inform their clinical care decision making. While it is heartening that great volumes of evidence may exist, it is a daunting task to assimilate, critically review, prioritize, grade, and operationalize this crucial information. This volume of Otolaryngologic Clinics attempts to do just that. This book examines Evidence Based Practices on topics of critical importance to otolaryngologists-head and neck surgeons. The evidence has been gathered and is presented by leaders in their respective fields. Topics cover evidence-based practice of: Management of Vertigo, Management of Adult Sensory Neural Hearing Loss, Cochlear Implantation, Reflux in Sinusitus, Balloon Dilation in Otolaryngology, Postoperative Care in Endoscopic Sinus Surgery, Functional Rhinoplasty, Sublingual Immunotherapy for Allergic Rhinitis, Adult Obstructive Sleep Apnea, Pediatric Obstructive Sleep Apnea, Pediatric Tonsillectomy, Management of Vocal Cord Paralysis, Management of Hoarseness, Endoscopic Skull Base Resection for Malignancy, Management of Glottic Cancer, Management of Thyroid Cancer, and Management of N0 Neck.

Clinical information for Otolaryngologists is provided in topics that include: Imaging and Anatomy; Genetics of Hearing Loss, Testing and Relevance to Cochlear Implantation; Candidacy Evaluation, Medical and Surgical Considerations, expanding criteria in Children; Surgical Technique and Accepted Variations in Children; Bilateral Cochlear Implantation; Implanting Obstructed and Malformed Cochleae; Device Programming NRT, NRI, Streamlined programming; Cochlear Implants and Music; Rehabilitation and Educational Considerations; Outcomes and Variables Affecting Outcomes; Language Development and Cochlear Implantation; New Frontiers in Cochlear Implantation, electroacoustic, hearing preservation, etc; Revision Cochlear Implantation in Children; and Current and Future Device Options.

Clinical information for Otolaryngologists is provided in topics that include: Natural History (including histology, epidemiology, etc.); Clinical and Diagnostic Evaluation (including cost effectiveness of imaging vs audiometry); Neurophysiological Correlates: Preoperative, Intraoperative and Postoperative – Facial nerve; Neurofibromatosis Type 2 and Genetics; The Art of Management Decision Making: From Intuition to Evidence Based Medicine (including analysis of various decision making strategies); Radiation Therapy and Radiosurgery: Indications, Techniques and Results (CK, GK, LINAC,etc...); Management of Radiation/Radiosurgical complications and failures; Retrosigmoid Approach: Indications, Techniques and Results; Translabyrinthine Approach: Indications, Techniques and Results; Middle Fossa Approach: Indications, Techniques and Results; Endoscopic Approach: Indications, Techniques and Results; Management of Surgical Complications and Failures; Chemotherapy: Present and Future (new trials of Avastin and similar drugs); Habilitation of Auditory and Vestibular Dysfunction (Baha, vestibular rehab, etc); Habilitation of Facial Nerve Dysfunction (neural grafts, muscle transfers, etc...); Support Groups and Patient Resources.

HPV is a growing epidemic in head and neck cancer and specialists working with these diseases are provided information on shifting trends in HPV in head and neck cancers along with challenges and controversies in treating this disease. With this virus related cancer, there is a different approach to managing this patient population. Novel therapeutic treatments are actively being developed for this type of head and neck cancer. Topics include: Epidemioloygy of HPV-head and neck cancer; Clinical detection of HPV; Clinical evaluation and disease patterns of HPV-related head and neck cancers; Impact of HPV-related head and neck cancer in clinical trials; Molecular biology of HPV and head and neck cancer and targeted therapies; Transoral robotic surgery: new surgical techniques for oropharyngeal cancers; Economic impact of HPV-related cancers; Rehabilitation needs of oropharyngeal cancer patients; Psychosocial care needs of HPV-head and neck cancer patients; and a Multi-disciplinary approach to head and neck cancers.

Topics include: History of Allergy; Epidemiology of Allergy; Types of Rhinitis; Differential Diagnosis including Allergy Mimics; Immunology; Physical Findings in Allergy; Diagnosis including lab testing and physical examination; Associated Conditions and Comorbidities; Role of Allergy in Serous Otitis Media; Role of Allergy in Meneire's Syndrome; Asthma; Polyposis; Allergic Fungal Sinusitis; Treatment – Environmental Controls; Pharmacotherapy; Traditional Immunotherapy; Sublingual (SLIT) Immunotherapy; The Allergic March; Surgical Treatment of Allergies; Inhalant Allergies in Children; Food Allergies in Adults and Children.

Information on office-based procedures in laryngology provides Otolaryngologists and other surgeons information on Patient selection, Topicals and anesthesia, Surgical approaches and techniques, and Risks and complications. Each procedure discussed provides key points and technique summaries. Topics include: Anesthesia for office procedures including the role of monitoring, Stroboscopy and other diagnostic tools including high speed larygoscopy, Transnasal esophagoscopy including biopsy, dilation, Bravo, TEP, etc, FEES and FEESST, Office-based laryngeal injections, and Office based procedures that includes biopsy and laser therapy.