Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P37

Counseling, Shared Decision Making, and
Palliative Surgery
Larissa Sweeny, MD (Moderator); Susan D. McCammon, MD;
Norman D. Hogikyan, MD; Andrew M. Coughlin, MD
Session Description: As physicians, our goals are to practice
beneficence and nonmaleficence. When it comes to patients
facing terminal or unrecoverable illnesses or those at high risk
for morbid outcomes following treatment, the best path to
these goals becomes less clear. There is a lack of professional
practice standards for physicians to follow in these difficult
clinical and ethical scenarios. Through collective experience
and expertise, this program hopes to provide ethical guidance
for surgical decision making. The panel will include case
examples, direction on how to balance surgical outcomes and
patient quality of life, and provide tools and resources for
informed and shared decision making by all parties.
Outcome Objectives: (1) Analyze evidence-based best practice in the context of patient values and prognosis. (2) Describe
the clinical and ethical considerations to maintain balance
between surgery and quality of life. (3) Review resources
available to facilitate informed discussions with patients and
families.
Cultural Competency Training to Achieve
Health Equity in Otolaryngology
David J. Brown, MD (Moderator); Carol R. Bradford, MD;
Emily F. Boss, MD, MPH; Andrew Prince
Session Description: Otolaryngologists treat diverse patients,
and the imperative for cultural competency is nowhere more
evident than in disparities of patient access, treatment, and
outcomes. Causes of these disparities include sociocultural
factors and variations in patients' health beliefs, values, preferences, and behaviors. Cultural competence is integral to
our professional identity and to our ability to deliver safe,
high-quality care to our diverse patients. The urgency around
cultivating cultural competence is especially acute in otolaryngology, in which disease often affects the anatomy that
most defines individual personhood-appearance, voice,
and hearing. Some otolaryngologists also perform genderaffirmation surgery or ethnically/culturally nuanced procedures. Otolaryngologists thus need to lead in embracing a
lifelong commitment of learning, reflection, and improvement
to promote culturally competent care. In this session, we discuss and present data from diverse perspectives on how health
disparities define a patient's health experience within the field
of otolaryngology. Looking through the lens of safety and
quality of care, we examine the current state in otolaryngology with empirical data from general otolaryngology, pediatric otolaryngology, head and neck surgery, and other
subspecialties. We also define key terms and share strategies
that have worked for us to promote cultural humility and foster cultural competency, including institutional initiatives. We
explore these themes across the career continuum, describing

P37
innovations for all learners, from medical students to seasoned
practitioners. Using graphics, videos, and patient scenarios,
we will provide participants with tools to implement cultural
humility and competence within education and clinical
practice.
Outcome Objectives: (1) Define concepts of cultural humility
and competency and explain the importance for the specialty
of otolaryngology. (2) Explain how cultural humility and competency decreases health care disparities and increases quality
care. (3) Identify and act on opportunities to improve cultural
competency within medical education and clinical practice.
Do You Juul? Vaping and Related Emerging
Public Health Threats in Otolaryngology
Karthik Balakrishnan, MD, MPH (Moderator); Robert K.
Jackler, MD; Michael J. Brenner, MD; Ryan M. Collar, MD
Session Description: Every otolaryngologist should know
about vaping. Vaping-related harm is not limited to highly
publicized, life-threatening lung injury; accidental ingestion is
fatal for toddlers, and vaping has accelerated nicotine addiction in youth. The potential lethality of an accelerating nicotine arms race is underrecognized. An e-cigarette bottle with
30 mL of 5% nicotine liquid equals 40 cigarette packs, enough
to kill a preschool class of 25. This panel emphasizes aspects
of vaping most relevant to practicing otolaryngologists, covering clinical effects, patient slang, misconceptions, and new
forms of nicotine delivery soon to be released in the US market. We explain vaping epidemiology and economics, sociological undercurrents, pathophysiology of vaping-related
disease, and what to do about it. We describe how Juul's meteoric rise to dominance in the e-cigarette space-growth rivaling that of Facebook-was catalyzed by social media, alluring
flavors, positioning as new technology, and stealthy design
targeting adolescents. We probe the science of vaping from
surgical wound healing and rhinosinusitis to effects of inhaling formaldehyde, propylene glycol, and heavy metals, risks
magnified in unregulated cannabinoids. The talk culminates
with a first-hand account delivered by a patient and parent
who survived vaping-related injury, involving ventilator
dependence, coma, and extracorporeal membrane oxygenation. Their perspectives afford penetrating insights on
vaping-related disease, persistent misconceptions, and social
determinants of health. e-Cigarettes, a potential "off ramp" for
adult smokers, have evolved into a heavily trafficked "on
ramp" for the next generation. We close with counseling
pearls, advice for patients grappling with misinformation, and
opportunities for our specialty to lead.
Outcome Objectives: (1) Review the current trends in electronic nicotine inhalation device use, current slang, and forthcoming technology. (2) Describe how sociological factors and
biology interact in vaping-related respiratory injury and
wound-healing effects. (3) Discuss specific patient counseling
points and empathic strategies to dispel misconceptions
around vaping-related disease.

PSQI

Panel Presentations	



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
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P13
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P45
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P47
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P48
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P49
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Poster Presentations
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P152
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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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