This his has been a period of rapid advance in the specialty of otolaryngology—head and neck surgery, with clinically significant new information in the areas of conservative sinus surgery, procedures for baldness, endoscopic laser surgical procedures, management of laryngeal papillomatosis, and medical treatment of sinusitis in immunosuppressed patients. There are important new modifications in neck dissection for metastatic cancer control and in the use of polytef paste injection for vocal cord paralysis.
Kennedy1 and colleagues have popularized a new endoscopic surgical approach for dealing with nasal and paranasal pathology. Building on the earlier work of European surgeons,2 they have employed remarkable, improved telescopes and suction-irrigation instrumentation to accomplish excision of tissue that is irreversibly changed by allergic and infectious processes in patients not responding to medical therapy. Whereas traditional methods require hospitalization and general anesthesia, these equally effective operations can be accomplished using local anesthesia and same-day surgical