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Otolaryngology-Head and Neck Surgery 163(1S)
Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
Facetem group showed similar voice improvement to the
Radiesse group.
Conclusions: Our study shows there are no significant differences in efficacy and short-term vocal improvement between
patients treated with Radiesse and Facetem. Therefore, the use
of Facetem as a CaHA injection material could be considered
as an alternative treatment option for patients with UVFP.
Comparison of Voice Outcomes Between
Antibiotics and Non-antibiotics Groups After
Laryngomicrosurgery in Vocal Fold Polyp
Euisuk Sung; Da-Hee Park, MD (Presenter);
Seong-Wook Choi, MD; Jin-Choon Lee, MD

Laryngology

Objectives: The larynx is a clean contaminated wound. The
aim of this study was to determine whether there was a difference in postoperative complications and voice outcome
between the antibiotics and nonantibiotics groups after laryngomicrosurgery (LMS) for vocal fold polyps.
Methods: Of the 88 patients who underwent LMS for vocal
fold polyps from June 2018 to May 2019, 48 were treated with
oral antibiotics and 40 were not. Postoperative complications
such as infection and bleeding were compared. We also compared the preoperative and postoperative acoustic analysis
results and maximal phonation time (MPT) as well as postoperative voice analysis results between the 2 groups.
Results: There was no significant difference in postoperative complications between the antibiotics and nonantibiotics
groups. The difference in preoperative and postoperative
results included jitter (t = 24.608, P < .001), shimmer (t =
17.547, P < .001), noise to harmonic ratio (NHR; t = 30.249,
P < .001), MPT (t = −14.013, P < .001), which showed a significant improvement. However, there were no significant difference between the antibiotics and nonantibiotics groups and
the postoperative jitter (F = 0.596, P = .442), shimmer (F =
2.526, P = .116), NHR (F = 2.969, P = .088), and MPT (F =
0.780, P = .380).
Conclusions: Simple larynx surgery (eg, LMS) of vocal fold
polyps does not require postoperative antibiotics because their
use after surgery does not affect complications and voice
outcomes.
Decoding the Dysphagia Mystery: Symptoms,
Diagnoses, and Outcomes From a
Multidisciplinary Swallowing Disorders Clinic
Karuna Dewan, MD (Presenter); Heather Starmer, MA;
John Clarke, MD
Objectives: Dysphagia involves a complex constellation of
symptoms. The purpose of this study is to examine the relationship between symptoms and objective diagnostic outcomes in patients with dysphagia.
Methods: This is a retrospective cohort analysis of all patients
treated in a multidisciplinary swallowing disorders clinic
over 2 years. The clinic is composed of a laryngologist, gastroenterologist, and speech-language pathologist. All patients

underwent modified barium swallow (MBS), fiber-optic endoscopic evaluation of swallowing (FEES), and transnasal esophagoscopy (TNE). At the time of evaluation, patients completed
the Voice Handicap Index (VHI-10), Reflux Symptom Index
(RSI), and Eating Assessment Tool (EAT-10).
Results: The 80 patients with complete data sets were
included in the analysis. The most common presenting complaint was sensation of food sticking, endorsed by 75% of the
cohort; 49.2% of the cohort was consuming a regular diet at
the time of evaluation. The cohort's average EAT-10 score
was 17.7, indicating that most patients have severe subjective
symptoms of dysphagia: 76% of the cohort had an abnormal
MBS, 45% abnormal FEES, and 41% abnormal TNE. Patients
with abnormal TNE were significantly more likely to have
higher EAT-10 scores (P = .03), altered taste (P = .01), nonacid reflux (P = .02), abnormal MBS (P = .00), and abnormal
FEES (P = .02). Interventions were recommended for 93% of
the cohort, and 66% of the cohort required care by 1 of the
MDC specialties: 27% from 2 and 7% from all 3. More than half
continued to follow up with gastroenterology (55%), 45% with
speech pathology, and 33% with otolaryngology.
Conclusions: This study demonstrates that patients with
complex dysphagia benefit from a multidisciplinary approach
to assessment and management.
Dosage and Tapering of Oral
Glucocorticoids Used for Acute Laryngeal
Pathologies: A Systematic Review
Sophia Chen (Presenter); Aaron Johnson, PhD;
Milan R. Amin, MD; Ryan C. Branski, PhD; Paul E. Kwak, MD
Objectives: Corticosteroids are commonly used to treat
acute laryngeal pathologies, but dosing and tapering practice
patterns are rooted in experience and training rather than data.
This study examines the literature regarding dosing and tapering of corticosteroids for acute laryngeal pathology and
reviews cellular mechanisms of corticosteroid physiology to
guide treatment regimens.
Methods: A systematic review was performed according to
Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) guidelines. We searched PubMed, Embase,
Biological Abstracts, Biosis Citation Index, CINAHL, Cochrane
Library, and Web of Science for data on steroid type, indication,
dosage, and taper schedule. Outcome measures were vocal function measures, patient-reported outcomes, endoscopic findings,
and any other end points reported. Reviews from the rheumatology literature on glucocorticoid physiology were included.
Results: Of 881 articles identified, 13 were assessed fulllength; 3 were included for qualitative analysis. All 3 were
double-blinded, randomized, controlled trials. No systematic
data-driven regimen consistently guided dosing. However,
rheumatologic investigations reveal that nongenomic effects
of corticosteroids, which underlie effects within hours from
treatment, require dosing at or above 30 mg/d prednisone. No
studies examined indications for tapering short courses of steroid nor adverse effects from not tapering after a short course.



Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts

Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P9
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P11
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P12
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P271
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P273
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P274
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P275
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P276
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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