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Otorhinolaryngology

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Updated Basal Calcitonin Cutoffs Predict Extent of Lymph Node Metastasis in Medullary Thyroid Cancer — Practical Thresholds for Surgery Planning

A multicenter Chinese cohort of 509 initially treated MTC patients identifies new preoperative basal calcitonin thresholds (241.9, 693.9, 2378.5, 2787.1 pg/mL) that better predict central, ipsilateral lateral, bilateral/contralateral latera

Nov 22, 2025Sign in to read
news

HNC-8D: A Head and Neck Cancer–Specific Utility Measure That Improves Discrimination of Post‑treatment Health States

A multinational team developed and valued the HNC-8D, an 8-dimension, head and neck cancer–specific health utility instrument derived from EORTC QLQ-C30/H&N43. Valuation in 250 participants yielded mean absolute prediction errors of 0.0

Nov 21, 2025Sign in to read
Cardiology

Myocardial Injury Is Common After Major Head and Neck Surgery and Predicts Early Mortality: Insights from the VISION Cohort

A VISION cohort analysis found myocardial injury after major head and neck surgery (MINS) in 11.9% overall and 23.8% of patients ≥75, strongly associated with 30‑day mortality and longer hospital stay; most events were clinically silent wit

Nov 21, 2025
Anesthesiology

Expect-It: A Validated Decision Tool That Improves Planning for Camera-Assisted and Awake Intubation in Head and Neck Surgery

A prospectively developed and validated algorithm (Expect-It) using clinical, exam, and transnasal videoendoscopy data improves sensitivity for selecting camera-assisted and awake tracheal intubation and increases first-attempt success in h

Nov 21, 2025Sign in to read
Diabetes & Endocrinology

Updated Basal Calcitonin Cutoffs Better Predict Extent of Lymph Node Metastasis in Medullary Thyroid Cancer

A multicenter Chinese cohort identifies new preoperative basal calcitonin thresholds (241.9, 693.9, 2378.5, 2787.1 pg/mL) that stratify risk of central, ipsilateral lateral, bilateral/contralateral lateral, and upper mediastinal lymph node

Nov 21, 2025
news

Adjuvant Chemoradiotherapy Helps Patients with Major — Not Minor — Extranodal Extension in Oral Cavity SCC

A multicenter cohort study shows adjuvant chemoradiotherapy improves disease-free and overall survival for oral cavity SCC patients with major extranodal extension (>2 mm) but provides no clear benefit for those with minor ENE (≤2 mm).

Nov 21, 2025
news

HPV-Positive Oropharyngeal Cancer Retains a Strong Survival Advantage After Surgery in Patients Aged ≥70

In a multi-center cohort of 345 surgically treated patients aged 70 or older with tonsil or base‑of‑tongue SCC, p16 positivity was associated with substantially better 5‑year overall and disease‑free survival compared with p16‑negative tumo

Nov 21, 2025Sign in to read
news

Unilateral TORS for HPV-Positive Tonsillar Cancer Appears Safe — Bilateral Contralateral Tonsillectomy May Add Harm Without Clear Benefit

In a retrospective cohort of 158 HPV-positive tonsil SCC patients, omission of prophylactic contralateral tonsillectomy during TORS was not associated with worse survival and showed trends toward fewer hemorrhages, ED visits, and shorter ho

Nov 21, 2025
news

Proton Beam vs IMRT for Olfactory Neuroblastoma: Multicenter Propensity-Matched Cohort Shows No Clear Superiority

A multicenter propensity-matched cohort comparing adjuvant proton beam radiotherapy (PBRT) with intensity-modulated radiotherapy (IMRT) for olfactory neuroblastoma found no definitive differences in local control, recurrence-free survival,

Nov 21, 2025Sign in to read
news

Pathologic Response to Neoadjuvant Nivolumab Predicts Improved Survival in HPV‑Negative Head and Neck Cancer

A pooled analysis of two neoadjuvant nivolumab trials found that pathologic treatment effect >57% is associated with markedly improved 3‑year disease‑free and overall survival in HPV‑negative resectable HNSCC, suggesting pTE may be a use

Nov 21, 2025Sign in to read
news

Radiotherapy for Growing Vestibular Schwannomas: Real‑World Tumor Control and What It Means for Practice

An international multicenter cohort of 1,883 patients with radiologically growing vestibular schwannomas treated first‑line with radiotherapy showed a 10‑year tumor control rate of 76.1% (primary definition). Control estimates varied widely

Nov 20, 2025
news

Adenotonsillectomy vs Watchful Waiting in Young Children with Mild–Moderate OSA: Long-term Findings from the KATE Randomized Trial

The KATE trial (n=60) found no between-group difference in polysomnographic OAHI change after 3 years, though adenotonsillectomy improved disease-specific quality of life. Nearly 42% of watchful-waiting children later underwent surgery, sug

Nov 20, 2025
news

Palliative Care Timing, Tracheostomy, and Gastrostomy in Head and Neck Cancer: Implications for End-of-Life Quality and Costs

Early palliative care may reduce healthcare costs in head and neck cancer patients using tracheostomy or gastrostomy tubes but does not lessen aggressive hospital care or promote home deaths at the end of life.

Nov 19, 2025
Clinical Updates

Palliative Care, Tracheostomy and Gastrostomy Tube Use, and End-of-Life Outcomes in Head and Neck Cancer: A Comprehensive Review

This review synthesizes evidence on the timing of palliative care and the use of tracheostomy/gastrostomy tubes in head and neck cancer patients, highlighting their impact on end-of-life costs, quality, and care settings.

Nov 19, 2025
news

General Practice Follow-up After Pediatric Ventilation Tube Insertion Is Noninferior to ENT Surveillance: Results from the ConVenTu Trial

A multicenter randomized noninferiority trial found that GP observation after pediatric ventilation tube insertion produced audiometric outcomes at 2 years that were noninferior to routine ENT follow-up, with no increase in complications.

Nov 19, 2025Sign in to read
news

Proton Beam vs IMRT for Olfactory Neuroblastoma: Too Little Data for a Definitive Answer — What the New Propensity-Matched Cohort Tells Us

A multi-institutional propensity-matched cohort found no definitive differences in oncologic outcomes or grade ≥2 radiotherapy toxicities between adjuvant proton beam radiotherapy and IMRT for olfactory neuroblastoma, but estimates were imp

Nov 19, 2025
Superintelligence

Deep Learning in Otolaryngology: Promises, Performance, and Pathways to Clinical Use

This critical synthesis of a 2020–2025 narrative review (327 DL studies) evaluates deep learning (DL) applications across diagnosis, prognosis, segmentation, and emerging intraoperative uses in otolaryngology and outlines practical steps fo

Nov 19, 2025Sign in to read
news

Preoperative CT Before Balloon Sinus Dilation: Most Comply — But One-Third of Surgeons Perform Procedures Without Recent Imaging

A Medicare claims analysis found that 15% of balloon sinus dilation (BSD) procedures lacked a CT within one year; 31.8% of otolaryngologists were outliers, with a small subset accounting for the majority of missed imaging—highlighting gaps

Nov 19, 2025Sign in to read
General Surgery

Preoperative CT Was Missing in 15% of Balloon Sinus Dilations — Medicare Claims Reveal a Clinically Significant Practice Gap

A Medicare claims study of 19,692 balloon sinus dilations found 15% lacked a CT within one year; 31.8% of otolaryngologists were outliers, with a small group accounting for most missed imaging, highlighting gaps in adherence to preoperative

Nov 18, 2025
news

Neural Networks Predict Survival for Older Adults With Head and Neck Cancer — Useful, but Not Yet Practice-Changing

An international cohort study developed and externally validated artificial neural networks that stratify older adults with locoregionally advanced head and neck squamous cell carcinoma (HNSCC) treated with definitive chemoradiation. Models

Nov 18, 2025
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    Mapping the Gap: Geographic Disparities in Otolaryngologist Availability Versus Patient Demand in the U.S.

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