Clinical Indicators: Thyroidectomy
History (one or more required) Thyroid mass Family history of thyroid disease History and/or symptoms of hyper or hypothyroidism History of radiation to the neck History of accidental exposure to radiation History of medullary carcinoma in the family with positive RET oncogene or…
Clinical Indicators: Palatopharyngoplasty for Obstructive Sleep Apnea
History (One or more required) Chronic snoring Restless or interrupted sleep Excessive daytime sleepiness Witnessed apneas or gasping during sleep Presence of cardiovascular disease, pulmonary hypertension, or diabetes Physical Examination (Required) Height, weight, BMI Head and neck examination and fiberoptic endoscopy of nasal, nasopharyngeal…
Clinical Indicators: Tonsillectomy, Adenoidectomy, Adenotonsillectomy in Childhood
History (one or more required) The guideline includes the following statements*: Watchful waiting for recurrent throat infection: Clinicians should recommend watchful waiting for recurrent throat infection if there have been fewer than 7 episodes in the past year or fewer than 5 episodes per…
Clinical Indicators: Parotidectomy
History (one or more required) Parotid mass. Chronic parotitis. A neck mass with histologic findings of metastatic parotid tumor. Parotid duct stone. Malignancy of overlying skin extending into parotid. Malignancy metastatic to parotid. Evidence of acute infection and/or abscess (to cover the need…
Clinical Indicators: Adenoidectomy
History (One or more required) Four or greater episodes of recurrent purulent rhinorrhea in prior 12 months in a child <12 years of age. One episode should be documented by intranasal examination or diagnostic imaging. Persisting symptoms of adenoiditis after two courses of antibiotic…
Clinical Indicators: Tympanoplasty
Rarely if ever performed. History (one required) Conductive hearing loss due to TM perforation. Conductive hearing loss due to ossicular continuity or necrosis. Conductive hearing loss due to ossicular ankylosis. Chronic or recurrent otitis media. Recurrent middle ear infections due to contamination through perforation…
Clinical Indicators: Stapedectomy/Stapedotomy
History (in addition to hearing loss, list all appropriate) Hearing loss - age of onset, duration, progression, and disability. Also see tests. Otosclerosis in opposite ear - not suspected, suspected or confirmed. Family history of otosclerosis - none, suspected, confirmed. Tinnitus - present or absent. Describe severity and…
Clinical Indicators: Myringotomy and Tympanostomy Tubes
History (One required) Severe acute otitis media (myringotomy). Hearing loss > 30 dB in patient with otitis media with effusion (myringotomy or tube). Poor response (describe) to antibiotic for otitis media (myringotomy or tube). Impending mastoiditis or intra-cranial complication due to otitis media (myringotomy…
Clinical Indicators: Auditory Brainstem Response
History (One or more required) Asymmetric hearing loss Unilateral tinnitus Sudden hearing loss Suspected cerebellopontine angle tumor Suspected demyelinating disorder Suspected functional hearing loss Newborn or infant hearing screening Inability to obtain behavioral hearing level Chemotherapy Suspected auditory neuropathy Preoperative baseline: Posterior fossa surgery…
Notable Oral Abstracts and Late-Breaking Science to Be Presented at Otolaryngology’s Annual Meeting
For Immediate Release: Contact [email protected] Los Angeles, California—The latest research on ear health, head and neck cancer, sleep-disordered breathing, rhinology and allergy, facial plastics, laryngology and swallowing disorders, endocrine surgery, and other topics related to otolaryngology-head and neck surgery will…
Position Statement: Laryngoscopy and Bronchoscopy
Complete assessment of the airway for potential pathology requires both direct laryngoscopy and bronchoscopy. In most cases, these procedures require separate and distinct instrumentation and/or anesthetic management. It is the position of the American Academy of Otolaryngology - Head and Neck Surgery that, in…
Position Statement: Laryngopharyngeal Reflux
Laryngopharyngeal reflux (LPR) occurs when gastric contents (acid and enzymes such as pepsin) flow in a retrograde fashion and contact the tissues of the upper aerodigestive tract. LPR may be associated with chronic sore throat, hoarseness, frequent throat clearing, cough, globus sensation, refractory asthma, laryngeal…
Position Statement: In-Office Photoangiolytic Laser Treatment of Laryngeal Pathology
Photoangiolytic laser treatment, which is typically performed in an office or ambulatory setting under local or topical anesthesia with a flexible fiberoptic laryngoscope, is an established surgical treatment that is indicated for management of laryngeal pathologies including, but not limited to, vascular ectasias, polyps…
Position Statement: Flexible Endoscopic Examinations of Swallowing (FEES)
Flexible endoscopic evaluation of swallowing (FEES) is a diagnostic procedure used to evaluate velopharyngeal, phonatory, and swallowing functions in adults and children. This study allows for assessment of the anatomy as well as direct observation of swallowing function and control of the movement of secretions…
Position Statement: Uvulopalatopharyngoplasty
Obstructive sleep apnea syndrome (OSAS) is a medical disorder with major personal and public health consequences that may fail treatment using non-invasive modalities such as positional therapy, weight loss, positive airway pressure (PAP) and mandibular advancement devices. Uvulopalatopharyngoplasty (UPPP) is a valid and…
Position Statement: Midline Glossectomy for OSA
Midline partial glossectomy is an effective surgical modality for the treatment of select pediatric and adult patients with mild to severe obstructive sleep apnea with significant macroglossia. Midline partial glossectomy can either be performed as a stand-alone procedure or as part of multi-level…
Position Statement: Tongue Suspension
When behavioral, dietary, and non-invasive techniques fail, surgery plays a vital role in the treatment of obstructive sleep apnea, despite the fact that it may not completely eliminate or cure the syndrome. Ultimately the treating physician has the responsibility to council patients on the…
International Surgical Sleep Society COVID-19 Adult and Pediatric Practice Guidelines
As of March 2020, Coronavirus Disease 2019 (COVID-19) has caused unprecedented, worldwide disruption in patient care, including the management of obstructive sleep apnea (OSA). Members of the International Surgical Sleep Society (ISSS) represent a unique group of OSA specialists providing surgical treatment of adult…