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1. Contemporary ethical considerations in clinical otolaryngology

Author

G. Richard Holt

Subjects
clinical otolaryngology, ethics, informed consent, patient‐physician relationship, professionalism, SARS‐CoV‐2, Otorhinolaryngology, RF1-547, Surgery, RD1-811
Abstract

Abstract The practice of otolaryngology has been significantly challenged by the constraints of the novel virus pandemic, but the specialty has continued to provide clinical care for patients in a manner consistent with ethical principles and moral leadership. Continued attention to maintaining the ethical foundations for appropriate informed consent, provision of remote health care through telemedicine, and strengthening the patient‐physician relationship while role modeling the highest level of professionalism will continue to be challenging for the specialty throughout and beyond the pandemic temporal boundaries. These contemporary elements of ethical clinical care, examined in the context of disruption of the traditional practice of otolaryngology, are foundational to the duties and responsibilities inherent to the profession of medicine. Level of Evidence 5

Published
2020
Full Text
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2. Facial Plastic and Reconstructive Surgery

Author

Ira D. Papel, John L. Frodel, G. Richard Holt, Wayne F. Larrabee, Nathan E. Nachlas, Stephen S. Park, Jonathan M. Sykes, Dean Toriumi, Ira D. Papel, John L. Frodel, G. Richard Holt and Ira D. Papel, John L. Frodel, G. Richard Holt, Wayne F. Larrabee, Nathan E. Nachlas, Stephen S. Park, Jonathan M. Sykes, Dean Toriumi, Ira D. Papel, John L. Frodel, G. Richard Holt

Published
2016

3. Editor's Comments

Author

G. Richard Holt

Subjects
Editorial, General Medicine
Published
2022

6. When Should Patients Receive Mask Exemptions During the COVID‐19 Pandemic? Ethics in Practice: Point‐Counterpoint

Author

Soham Roy, Ina Roy-Faderman, Michael Brenner, Nosayaba Osazuwa-Peters, Robert K. Jackler, and G. Richard Holt

Subjects
Coronavirus disease 2019 (COVID-19), SARS-CoV-2, business.industry, Vaccination, COVID-19, Bioethics, Discount points, Masking (Electronic Health Record), Counterpoint, Patient safety, Otorhinolaryngology, Nursing, Pandemic, Humans, Medicine, Surgery, business, Pandemics, Medical ethics
Published
2021

7. Incoming Remarks

Author

G. Richard Holt

Subjects
Editorial, General Medicine
Published
2022

8. Medical Ethics in Extreme and Austere Environments

Author

Christian S. Pingree, G. Richard Holt, Travis R. Newberry, and K. Christopher McMains

Subjects
Warfare, Health (social science), media_common.quotation_subject, education, Poison control, Medical law, 0603 philosophy, ethics and religion, Article, 03 medical and health sciences, Disaster relief, 0302 clinical medicine, Physician training, Social Justice, Political science, Humans, Ethics, Medical, 030212 general & internal medicine, Duty, Developing Countries, media_common, Emergency management, business.industry, Health Policy, Environmental ethics, 06 humanities and the arts, social sciences, Issues, ethics and legal aspects, Instinct, Philosophy of medicine, Extreme environment, Health Resources, Terrorism, 060301 applied ethics, business, Medical ethics, Autonomy, Combat ethics' military medical ethics
Abstract

American society has a history of turning to physicians during times of extreme need, from plagues in the past to recent outbreaks of communicable diseases. This public instinct comes from a deep seated trust in physician duty that has been earned over the centuries through dedicated and selfless care, often in the face of personal risks. As dangers facing our communities include terroristic events physicians must be adequately prepared to respond, both medically and ethically. While the ethical principles that govern physician behavior-beneficence, nonmaleficence, autonomy, and social justice-are unchanging, fundamental doctrines must change with the new risks inherent to terroristic events. Responding to mass casualty disasters caused by terrorists, natural calamities, and combat continue to be challenging frontiers in medicine. Preparing physicians to deal with the consequences of a terroristic disease must include understanding the ethical challenges that can occur.

Published
2020

11. The Pandemic Effect: Raising the Bar for Ethics, Empathy, and Professional Collegiality

Author

G. Richard Holt

Subjects
media_common.quotation_subject, Health Personnel, Pneumonia, Viral, Specialty, Empathy, Altruism, Betacoronavirus, Nursing, Health care, Pandemic, Medicine, Humans, Pandemics, media_common, business.industry, SARS-CoV-2, Professional development, COVID-19, Collegiality, Otorhinolaryngology, Surgery, Patient Care, business, Coronavirus Infections, Medical ethics
Abstract

The widespread, tragic loss of life and the dedication of health care professionals have characterized the severe acute respiratory syndrome coronavirus 2 pandemic. While we mourn the loss of so many Americans to this novel virus, we also much acknowledge the positive effects to our profession, which are not insignificant. We have witnessed our larger community of otolaryngologist-head and neck surgeons pulling together in a manner not heretofore observed by this author. From the local level of practitioners to our national societies, there has been an amazing effort of collegial unity to develop the most clinically relevant guidelines for providing patient care with maximal safety, in the face of little scientific knowledge or experience with this virus. In addition, we as a specialty and individual otolaryngologists have, through our shared experiences, raised the bar for empathy, ethics, and professional interaction during these difficult times. We must reflect upon our professional growth and capture this renewal of altruism that lives at the heart of our calling.

Published
2020

12. Physician Duties and Responsibilities in Pandemics

Author

G. Richard Holt

Subjects
business.industry, media_common.quotation_subject, education, Beneficence, MEDLINE, Compassion, General Medicine, Altruism, Professional Role, Nursing, Argument, Physicians, Pandemic, Medicine, Humans, Obligation, business, Pandemics, media_common, Ethical code
Abstract

In early Feb 2020, the World Health Organization declaredthe 2019 novel coronavirus infection (2019-nCoV) to be nearing a global pandemic Because personto-person transmission of the virus hasbeen confirmed, medical offices, urgentcare centers, hospitals, and other medical facilities should be preparing an appropriate and ethically responsible patient care plan The American Medical Association′s Code of Ethics, Opinion 9 067, presents the argument that a physician has an obligation to provide emergency medical care in disasters and during pandemics I believe that physicians recognize the ethical responsibility for beneficence, altruism, compassion, and self-sacrifice, and will step forward to assist when needed We physicians should familiarize ourselves with the measures and be prepared to implementthem for both individual patients and populations of patients In this, we are guided by our duties, responsibilities, and ethical principles

Published
2020

19. Management of High-Velocity Injuries of the Head and Neck

Author

Jacob S. Majors, G. Richard Holt, and Joseph Brennan

Subjects
Male, High velocity, Wounds, Penetrating, Military medicine, 03 medical and health sciences, 0302 clinical medicine, Battlefield, Blast Injuries, Medical Illustration, Photography, Medicine, Humans, 030223 otorhinolaryngology, Head and neck, Military Medicine, business.industry, 030208 emergency & critical care medicine, medicine.disease, Triage, humanities, Mass-casualty incident, Global terrorism, Terrorism, Surgery, Medical emergency, business
Abstract

Trauma centers must prepare to manage high-velocity injuries resulting from a mass casualty incidents as global terrorism becomes a greater concern and an increasing risk. The most recent conflicts in Iraq and Afghanistan have significantly improved understanding of battlefield trauma and how to appropriately address these injures. This article applies combat surgery experience to civilian situations, outlines the physiology and kinetics of high-velocity injuries, and reviews applicable triage and management strategies.

Published
2017

20. On 'Direct to Physician Journal Marketing'

Author

G. Richard Holt

Subjects
Marketing, medicine.medical_specialty, business.industry, General Medicine, United States, Open Access Publishing, Family medicine, Physicians, medicine, Humans, Periodicals as Topic, business, Editorial Policies
Published
2017

23. Clarifying Scar Revision Techniques and Their Proper Use

Author

David B. Hom, J. Regan Thomas, and G. Richard Holt

Subjects
Reoperation, medicine.medical_specialty, Scar revision, business.industry, General surgery, 030230 surgery, 03 medical and health sciences, Cicatrix, 0302 clinical medicine, Medicine, Humans, Surgery, 030223 otorhinolaryngology, business
Published
2016

25. Editor's Response

Author

G. Richard Holt

Subjects
Pediatric Obesity, Critical Illness, Kidney, Morals, Choice Behavior, Pediatrics, Medical Records, Body Mass Index, Physicians, Names, Humans, Spirituality, Obesity, Letters to the Editor, Surrogate Mothers, Publishing, Health Services Needs and Demand, Uterus, General Medicine, Authorship, Checklist, Intensive Care Units, Caregivers, Diabetes Mellitus, Type 2, Female, Periodicals as Topic
Published
2016

26. 66 Craniomaxillofacial Deformities

Author

Nathan E. Nachlas, G. Richard Holt, Ira D. Papel, Stephen S. Park, John L. Frodel, Dean M. Toriumi, Wayne F. Larrabee, and Jonathan M. Sykes

Published
2016

27. 70 Orthognathic Surgery

Author

Stephen S. Park, Jonathan M. Sykes, Dean M. Toriumi, Ira D. Papel, John L. Frodel, G. Richard Holt, Nathan E. Nachlas, and Wayne F. Larrabee

Subjects
Orthodontics, business.industry, medicine.medical_treatment, Orthognathic surgery, Medicine, business
Published
2016

28. 56 Eyelid Reconstruction

Author

Stephen S. Park, Ira D. Papel, G. Richard Holt, Nathan E. Nachlas, Dean M. Toriumi, Jonathan M. Sykes, John L. Frodel, and Wayne F. Larrabee

Subjects
medicine.medical_specialty, medicine.anatomical_structure, business.industry, Ophthalmology, medicine, Eyelid, business
Published
2016

29. 34 Open Rhinoplasty

Author

Wayne F. Larrabee, Stephen S. Park, Dean M. Toriumi, John L. Frodel, G. Richard Holt, Nathan E. Nachlas, Ira D. Papel, and Jonathan M. Sykes

Subjects
Orthodontics, business.industry, Medicine, Open rhinoplasty, business
Published
2016

30. 46 Nasal Septal Perforation: Prevention, Management, and Repair

Author

G. Richard Holt, Wayne F. Larrabee, Stephen S. Park, Dean M. Toriumi, Jonathan M. Sykes, Ira D. Papel, John L. Frodel, and Nathan E. Nachlas

Subjects
Nasal Septal Perforation, medicine.medical_specialty, business.industry, medicine, business, Surgery
Published
2016

31. 8 Computer Imaging for Facial Plastic Surgery

Author

Dean M. Toriumi, Nathan E. Nachlas, Jonathan M. Sykes, G. Richard Holt, Ira D. Papel, John L. Frodel, Wayne F. Larrabee, and Stephen S. Park

Subjects
Orthodontics, business.industry, Facial plastic surgery, Medicine, business, Computer imaging
Published
2016

33. 50 Tissue Expansion in Facial Reconstruction

Author

Dean M. Toriumi, John L. Frodel, Nathan E. Nachlas, G. Richard Holt, Stephen S. Park, Wayne F. Larrabee, Ira D. Papel, and Jonathan M. Sykes

Subjects
Facial reconstruction, Computer science, medicine.medical_treatment, medicine, Anatomy, Tissue expansion
Published
2016

34. 24 Complementary Fat Grafting

Author

Stephen S. Park, Wayne F. Larrabee, Jonathan M. Sykes, John L. Frodel, G. Richard Holt, Ira D. Papel, Nathan E. Nachlas, and Dean M. Toriumi

Subjects
Chemistry, Fat grafting, Food science
Published
2016

35. 4 Synthetic and Biologic Implants

Author

Nathan E. Nachlas, Stephen S. Park, Wayne F. Larrabee, Jonathan M. Sykes, G. Richard Holt, Ira D. Papel, John L. Frodel, and Dean M. Toriumi

Published
2016

36. 62 Orbitozygomatic Fractures

Author

John L. Frodel, G. Richard Holt, Dean M. Toriumi, Wayne F. Larrabee, Nathan E. Nachlas, Jonathan M. Sykes, Ira D. Papel, and Stephen S. Park

Published
2016

37. 18 Liposuction of the Face and Neck: The Art of Facial Sculpture

Author

Jonathan M. Sykes, John L. Frodel, Ira D. Papel, G. Richard Holt, Stephen S. Park, Nathan E. Nachlas, Wayne F. Larrabee, and Dean M. Toriumi

Subjects
Sculpture, Liposuction, medicine.medical_treatment, media_common.quotation_subject, medicine, Face (sociological concept), Art, Visual arts, media_common
Published
2016

38. 11 Ambulatory Surgical Facility

Author

Wayne F. Larrabee, Stephen S. Park, John L. Frodel, Jonathan M. Sykes, G. Richard Holt, Ira D. Papel, Nathan E. Nachlas, and Dean M. Toriumi

Subjects
business.industry, AMBULATORY SURGICAL FACILITY, medicine, Medical emergency, medicine.disease, business
Published
2016

39. 1 Structure and Function of the Skin

Author

Wayne F. Larrabee, G. Richard Holt, Ira D. Papel, Jonathan M. Sykes, John L. Frodel, Dean M. Toriumi, Nathan E. Nachlas, and Stephen S. Park

Subjects
Materials science, Biophysics, Structure and function
Published
2016

40. 2 Wound Healing

Author

John L. Frodel, Wayne F. Larrabee, Dean M. Toriumi, Jonathan M. Sykes, Ira D. Papel, G. Richard Holt, Stephen S. Park, and Nathan E. Nachlas

Subjects
medicine.medical_specialty, business.industry, medicine, Wound healing, business, Surgery
Published
2016

41. 58 Facial Transplantation

Author

Ira D. Papel, G. Richard Holt, John L. Frodel, Jonathan M. Sykes, Stephen S. Park, Nathan E. Nachlas, Dean M. Toriumi, and Wayne F. Larrabee

Subjects
Facial Transplantation, medicine.medical_specialty, business.industry, medicine, business, Surgery
Published
2016

42. 26 Aesthetic Facial Implants

Author

Ira D. Papel, Wayne F. Larrabee, Jonathan M. Sykes, Stephen S. Park, John L. Frodel, G. Richard Holt, Nathan E. Nachlas, and Dean M. Toriumi

Published
2016

43. 64 Craniofacial Approaches to the Anterior Skull Base

Author

John L. Frodel, Nathan E. Nachlas, Ira D. Papel, Stephen S. Park, Dean M. Toriumi, Jonathan M. Sykes, G. Richard Holt, and Wayne F. Larrabee

Subjects
business.industry, Medicine, Anatomy, Craniofacial, business, Anterior skull base
Published
2016

44. 38 Surgery of the Nasal Tip: Vertical Dome Division

Author

John L. Frodel, Wayne F. Larrabee, Jonathan M. Sykes, Dean M. Toriumi, G. Richard Holt, Nathan E. Nachlas, Ira D. Papel, and Stephen S. Park

Subjects
Dome (geology), Anatomy, Division (mathematics), Nasal tip, Geology
Published
2016

45. 43 Costal Cartilage Harvest and Preparation for Rhinoplasty

Author

Ira D. Papel, John L. Frodel, G. Richard Holt, Dean M. Toriumi, Nathan E. Nachlas, Wayne F. Larrabee, Jonathan M. Sykes, and Stephen S. Park

Subjects
medicine.anatomical_structure, business.industry, medicine.medical_treatment, Medicine, Anatomy, business, Costal cartilage, Rhinoplasty
Published
2016

46. 7 Aesthetic Facial Proportions

Author

G. Richard Holt, Wayne F. Larrabee, Jonathan M. Sykes, Stephen S. Park, Nathan E. Nachlas, John L. Frodel, Ira D. Papel, and Dean M. Toriumi

Published
2016

48. 55 Lip Reconstruction

Author

John L. Frodel, Dean M. Toriumi, Jonathan M. Sykes, Stephen S. Park, Nathan E. Nachlas, G. Richard Holt, Wayne F. Larrabee, and Ira D. Papel

Subjects
Orthodontics, Lip reconstruction, Geology
Published
2016

49. 22 Neuromodulators in Facial Aesthetics

Author

Wayne F. Larrabee, Dean M. Toriumi, Ira D. Papel, John L. Frodel, Jonathan M. Sykes, Stephen S. Park, Nathan E. Nachlas, and G. Richard Holt

Subjects
Aesthetics, media_common.quotation_subject, Art, media_common
Published
2016

50. 63 Frontal Sinus and Naso-Orbito-Ethmoid Fractures

Author

Stephen S. Park, Dean M. Toriumi, Wayne F. Larrabee, Ira D. Papel, Jonathan M. Sykes, John L. Frodel, Nathan E. Nachlas, and G. Richard Holt

Subjects
Frontal sinus, medicine.anatomical_structure, business.industry, Medicine, Anatomy, business
Published
2016

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