Otolaryngologic Clinics of North America RSS feed: Current Issue. Otolaryngologic Clinics of North America updates you on the latest trends in patient management; keeps you up to date on the newest advances; and provides a sound basis for choosing treatment options. Each issue focuses on a single topic in otolaryngology and is presented under the direction of an experienced guest editor. http://www.oto.theclinics.com/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Otolaryngologic Clinics of North America0030-6665453June 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.oto.theclinics.com/article/PIIS0030666512000436/abstract?rss=yesContributors10.1016/S0030-6665(12)00043-6Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9iiivhttp://www.oto.theclinics.com/article/PIIS0030666512000448/abstract?rss=yesContents10.1016/S0030-6665(12)00044-8Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9viiixhttp://www.oto.theclinics.com/article/PIIS003066651200045X/abstract?rss=yesForthcoming Issues10.1016/S0030-6665(12)00045-XOtolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9xxhttp://www.oto.theclinics.com/article/PIIS0030666512000291/abstract?rss=yesOne of the hallmarks in the current practice of pediatric otolaryngology is the treatment of common disorders in complex children. Whether the topic is airway management, sinusitis, or otologic disease, the skills and expertise of an experienced pediatric otolaryngologist can be of particular importance in the care of infants and children with congenital or genetic disorders, craniofacial syndromes, or other complex multisystem diseases. Yet the following articles are not intended solely for those within our relatively small field. It is my hope that our colleagues in a wide variety of practices, including pediatrics, general otolaryngology, and speech and language pathology, will also find this information helpful and, in some cases, invaluable.Treating Common Disorders in Complex ChildrenAustin S. Rose10.1016/j.otc.2012.03.011Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9xixiihttp://www.oto.theclinics.com/article/PIIS0030666512000199/abstract?rss=yesThis article reviews the most current practice guidelines in the diagnosis and treatment of infantile hemangiomas. Several systemic conditions that can be associated with hemangiomas, such as PHACES syndrome, are also discussed. Propranolol has become an effective first-line treatment, and protocols for its use as well as its potential risks are outlined.Current Management of Infantile Hemangiomas and Their Common Associated ConditionsLarry D. Hartzell, Lisa M. Buckmiller10.1016/j.otc.2012.03.001Otolaryngologic Clinics of North America 45, 3 (2012)2012-04-23Otolaryngologic Clinics of North America2012-04-23453S0030-6665(11)X0009-9545556http://www.oto.theclinics.com/article/PIIS0030666512000278/abstract?rss=yesThis review describes important aspects of the most commonly encountered craniofacial syndromes. The goal is to provide otolaryngologists and other health care providers with critical information necessary to manage these patients appropriately. The algorithm provided in this article should be helpful in guiding the treatment of craniofacial patients based on their unique otolaryngologic characteristics. The principles highlighted in the algorithm can be applied to other craniofacial syndromes not addressed here, including Pierre Robin sequence and Down syndrome.Otolaryngologic Manifestations of Craniofacial SyndromesLaura H. Swibel Rosenthal, Nadieska Caballero, Amelia F. Drake10.1016/j.otc.2012.03.009Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9557577http://www.oto.theclinics.com/article/PIIS0030666512000205/abstract?rss=yesThis article reviews some of the otolaryngologic manifestations of skeletal dysplasias. Achondroplasia is discussed most comprehensively. Skeletal dysplasias are bone and cartilage disorders that disrupt the development of the long bones, craniofacial skeleton, and vertebral column, with the most notable characteristic being short stature. Children with skeletal dysplasias have various medical problems. These children often develop head and neck manifestations of their disorders. Hearing loss, middle ear disease, and respiratory difficulties are seen in these children. Otolaryngologists must be knowledgeable about these disorders to diagnose, treat, and appropriately refer children with skeletal dysplasias.Otolaryngologic Manifestations of Skeletal Dysplasias in ChildrenSofia Lyford-Pike, Julie Hoover-Fong, David E. Tunkel10.1016/j.otc.2012.03.002Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9579598http://www.oto.theclinics.com/article/PIIS003066651200028X/abstract?rss=yesAs more patients with Down syndrome are living into adulthood, attention has focused on health factors that affect the quality of the patient's life and their ability to reach full potential. Patients with Down syndrome have several morphologic abnormalities that predispose them to problems with the ear, nose, and throat, and appropriate treatment can have a significant impact on the quality of life of these patients. Otolaryngologists are likely to see many patients with Down syndrome throughout their careers. This article reviews the literature to provide information and recommendations regarding management of Down syndrome.The Otolaryngologist’s Approach to the Patient with Down SyndromeRegina Rodman, Harold S. Pine10.1016/j.otc.2012.03.010Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9599629http://www.oto.theclinics.com/article/PIIS0030666512000217/abstract?rss=yesAllergic fungal sinusitis (AFS) is a subtype of eosinophilic chronic rhinosinusitis (CRS) characterized by type I hypersensitivity, nasal polyposis, characteristic computed tomography scan findings, eosinophilic mucus, and the presence of fungus on surgical specimens without evidence of tissue invasion. This refractory subtype of CRS is of the great interest in the pediatric population, given the relatively early age of onset and the difficulty in managing AFS through commercially available medical regimens. Almost universally, a diagnosis of AFS requires operative intervention. Postoperative adjuvant medical therapy is a mainstay in the treatment paradigm of pediatric AFS.Allergic Fungal Sinusitis in ChildrenBrian D. Thorp, Kibwei A. McKinney, Austin S. Rose, Charles S. Ebert10.1016/j.otc.2012.03.003Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9631642http://www.oto.theclinics.com/article/PIIS0030666512000229/abstract?rss=yesLaryngotracheal reconstruction can be technically challenging. Successfully managing the patient's medical comorbidities is essential. Children undergoing laryngotracheal reconstruction rarely present with isolated subglottic stenosis; many have associated multisystem disorders. Effectively managing the patient enables successful outcomes after airway reconstruction.Multisystem Disease and Pediatric Laryngotracheal ReconstructionJeremy D. Meier, David R. White10.1016/j.otc.2012.03.004Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9643651http://www.oto.theclinics.com/article/PIIS0030666512000230/abstract?rss=yesThis article highlights the most common causes of velopharyngeal insufficiency (VPI), and discusses routine evaluation and treatment algorithms for the managment of VPI in children. VPI is a multifactorial condition that occurs commonly in syndromic and non-syndromic children. The most common features of VPI are audible hypernasal speech, facial grimacing, decreased speech intelligibility, nasal regurgitation, and nasal emission from failure to produce oronasal separation. Work-up of VPI typically involves radiologic and endoscopic testing performed with the assistance of a speech-language pathologist. Management of VPI involves initial speech therapy followed by operative repair with sphincter or pharyngeal flap pharyngoplasty, if needed.A Review of the Evaluation and Management of Velopharyngeal Insufficiency in ChildrenJames M. Ruda, Paul Krakovitz, Austin S. Rose10.1016/j.otc.2012.03.005Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9653669http://www.oto.theclinics.com/article/PIIS0030666512000242/abstract?rss=yesRecurrent respiratory papillomatosis (RRP) is a rare, benign disease with no known cure. RRP is caused by infection of the upper aerodigestive tract with the human papillomavirus (HPV). Passage through the birth canal is thought to be the initial transmission event, but infection may occur in utero. HPV vaccines have helped to provide protection from cervical cancer; however, their role in the prevention of RRP is undetermined. Clinical presentation of initial symptoms of RRP may be subtle. RRP course varies, and current management focuses on surgical debulking of papillomatous lesions with or without concurrent adjuvant therapy.Recurrent Respiratory PapillomatosisNaren N. Venkatesan, Harold S. Pine, Michael P. Underbrink10.1016/j.otc.2012.03.006Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9671694http://www.oto.theclinics.com/article/PIIS0030666512000254/abstract?rss=yesThis article reviews the various treatment methods for airway obstruction and feeding difficulty in infants with Pierre Robin Sequence (PRS), and highlights the benefits and limitations of early mandibular distraction osteogenesis in particular as a way of managing both airway obstruction and feeding difficulty in these children.Pierre Robin Sequence: Evaluation, Management, Indications for Surgery, and PitfallsAndrew R. Scott, Robert J. Tibesar, James D. Sidman10.1016/j.otc.2012.03.007Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9695710http://www.oto.theclinics.com/article/PIIS0030666512000266/abstract?rss=yesThis review focuses on the anatomy and techniques for endoscopic resection of juvenile nasopharyngeal angiofibroma (JNA), as well as adjunctive and potential alternative treatments. JNA is a benign but locally aggressive vascular tumor that primarily affects adolescent boys. Traditionally, these tumors have been removed via open surgical approaches. Recent advances in endoscopic equipment and techniques have enabled the endoscopic surgical excision of these tumors with favorable outcomes and decreased morbidity. At our institution as at others, we have achieved successful outcomes with transnasal endoscopic resection of JNA, including tumors with significant extension into adjacent compartments.Endoscopic Skull Base Techniques for Juvenile Nasopharyngeal AngiofibromaAdam M. Zanation, Candace A. Mitchell, Austin S. Rose10.1016/j.otc.2012.03.008Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9711730http://www.oto.theclinics.com/article/PIIS0030666512000461/abstract?rss=yesIndex10.1016/S0030-6665(12)00046-1Otolaryngologic Clinics of North America 45, 3 (2012)2012-06-01Otolaryngologic Clinics of North America2012-06-01453S0030-6665(11)X0009-9731738