2018 Section 6 - Laryngology, Voice Disorders, and Bronchoesophalogy

Introduction The Home Study Course is designed to provide relevant and timely clinical information for physicians in training and current practitioners in otolaryngology - head and neck surgery. The course, spanning four sections, allows participants the opportunity to explore current and cutting edge perspectives within each of the core specialty areas of otolaryngology. The Selected Recent Material represents primary fundamentals, evidence-based research, and state of the art technologies in Laryngology, Voice Disorders, and Bronchoesophagology. The scientific literature included in this activity forms the basis of the assessment examination. The number and length of articles selected are limited by editorial production schedules and copyright permission issues, and should not be considered an exhaustive compilation of knowledge on Laryngology, Voice Disorders, and Bronchoesophagology. The Additional Reference Material is provided as an educational supplement to guide individual learning. This material is not included in the course examination and reprints are not provided. Needs Assessment AAO-HNSF’s education activities are designed to improve healthcare provider competence through lifelong learning. The Foundation focuses its education activities on the needs of providers within the specialized scope of practice of otolaryngologists. Emphasis is placed on practice gaps and education needs identified within eight subspecialties. The Home Study Course selects content that addresses these gaps and needs within all subspecialties. Target Audience The primary audience for this activity is physicians and physicians-in-training who specialize in otolaryngology-head and neck surgery. Outcome Objectives 1. Analyze recent findings regarding transoral laser resection of early glottic cancer and compare outcomes to those of patients who undergo radiation. 2. Outline the updated Academy Clinical Practice Guidelines for assessment of hoarseness. 3. Synthesize recent findings regarding the risk factors and etiologies of chronic cough. 4. Discuss the effectiveness of chronic cough treatment with a directed speech language therapy intervention. 5. Evaluate the extent of voice disturbance after thyroid surgery and the efficacy of intraoperative nerve monitoring on improving voice outcomes. 6. Determine the safety profile and potential side effects of long-term proton pump inhibitor therapy for treatment of gastroesophageal reflux disease. 7. Describe the potential use of pepsin as an assay marker for diagnosis of laryngopharyngeal reflux disease. 8. Interpret the finding of Mycobacterium species in the microbiome of patients with idiopathic subglottic stenosis, and the implication on diagnosis and treatment. 9. Evaluate current management strategies for laryngotracheal stenosis, including awake, in- office steroid injections.