Welcome

Celebrating Over 75 Years Of Service

The American Academy of Otolaryngic Allergy (AAOA) represents over 2,700 Board-certified otolaryngologists and health care providers. Otolaryngology, frequently referred to as Ear, Nose, and Throat (ENT), uniquely combines medical and surgical expertise to care for patients with a variety of conditions affecting the ears, nose, and throat, as well as commonly related conditions. AAOA members devote part of their practice to the diagnosis and treatment of allergic disease. The AAOA actively supports its membership through education, research, and advocacy in the care of allergic patients.

"Dedicated to enhancing knowledge and skill in the care of the allergic patient."

ADVOCACY UPDATES

USP Update

Final Standards for Allergen Extract Compounding under USP Chapter 797 The long-awaited new USP Chapter…

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Impact OF 2019 Physician Fee Schedule on Allergy and Sinus Services

Specialty Impact The conversion factor for 2019 will be $36.0391 and remains essentially flat.  The changes…

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Your AAOA at the AMA

I want to urge you to consider membership in the AMA because your membership in…

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Changes in MACRA

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Before the close of 2017, all physicians must take action to avoid the 4 percent cut that will be assessed in 2019 for not participating in the new Quality Payment Program (QPP) authorized by the Medicare Access and CHIP Reauthorization Act (MACRA).  Read More

CMS Announces Changes in MACRA Implementation Timeline. The Centers for Medicare and Medicaid Services (CMS) announced major changes to the implementation of the Medicare Access and CHIP Re-authorization (MACRA).
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Upcoming Dates

07/31/19: Membership Application Deadline to be voted in at the 2019 Annual Meeting and to be eligible for AAOA Member Rate (FREE) for the 2019 Annual Meeting
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12/01/19: Research Grant Cycle
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04/01/20: Fellow Exam Application Deadline
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06/01/20: Research Grant Cycle
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06/01/20: Call For Scientific Abstracts Deadline
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06/7/20: Membership Application Deadline to be eligible for AAOA Member rate for the 2020 Basic Course

EDUCATION

New Orleans: Should I Stay or Should I Go?

Much like the Clash song lyrics, many of you will flip through this AAOA Today issue trying to assess whether it is worth the cost to get on a plane to participate in the AAOA’s Annual Meeting. We recognize you have lots of CME options, some are even competing with our meeting in New Orleans. Read More

IFAR

IFAR Impact Factor: 2.454

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Now Available

Changes in Managing Practices

Mission

Working together with AAOA staff, volunteer leadership and members will enable us to have a positive impact on our members’ practices.

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Live and Online CME

2019 AAOA Annual Meeting
September 13-15 | New Orleans, LA
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2019 Advanced Course in Allergy & Immunology
December 12-14 | Austin, TX
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2020 Basic Course in Allergy & Immunology
July 9-11 | Orlando, FL
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AAOA Clinical Insights
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PATIENT CORNER

History of Allergy Treatment

The history of modern allergy treatment dates back to the early decades of the twentieth century with the demonstration of decreased response to grass pollens following conjunctival challenge done by Noon and Freeman.

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News and Updates

New Orleans: Should I Stay or Should I Go?

Much like the Clash song lyrics, many of you will flip through this AAOA Today…

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International Forum of Allergy & Rhinology Top Articles 2018-2019

Read top articles published in the International Forum of Allergy & Rhinology 2018-2019. Most Cited International Consensus…

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CEO Update – Re·im·ag·ine

re·im·ag·ineverb reinterpret (an event, work of art, etc) imaginatively; rethink Reimagined, Reinvented, Reinvigorated….these are all…

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You want me to spray what up my nose? 

Understanding the Different Types of Nasal Sprays

Nasal sprays work well as they are sprayed directly into the nose in order to target nasal allergy symptoms without going to the rest of the body. These can decrease side-effects of the medication and increase results. There are many types of nasal sprays – both prescription and over-the-counter. Here is a quick guide about the different types. Listed are some common generic and brand names, but this is not an inclusive list. Please consult with your physician before starting any medication. All nasal sprays can cause nose bleeds if not used correctly.

Nasal Steroid Sprays

Usually one of the first-line therapies for allergies. Nasal steroids work by decreasing inflammation within the nasal passages. These sprays offer relief from nasal congestion, sneezing, watery eyes and runny nose. Many of these sprays are available over-the-counter. For these medications to work properly, it is important to use them daily or twice daily for a few weeks. Often times people only try them for a week or  do not use them on a regular basis and these medications are unlikely to work. Steroids have many side effects (such as cataracts), but these risks are much lower in the nasal form compared to the oral form, but always discuss with your physician before starting a medication.

Generic- Budesonide, Ciclesonide, Fluticasone, Flunisolide, Mometasone, Triamcinolone

Brand – Rhinocort, Omnaris, Zetonna, Flonase, Nasonex, Nasacort, Xhance, Beconase, Nasarel, Qnasl, Vancenase, Veramyst, Zetonna

Nasal Antihistamine Sprays

Nasal antihistamine sprays are similar to oral antihistamines by blocking histamine. These medications are good at treating the runny nose aspect of allergies. The most common reaction is bitter taste.

Generic – Azelastine, olopatadine

Brand – Astelin, Astepro, Patanase

Combination nasal steroid and antihistamine sprays

This nasal spray contains both a nasal steroid and antihistamine (azelastine and fluticasone). Currently only available by prescription.

Brand – Dymista

Nasal Anticholinergic Sprays

Anticholinergic nasal sprays are good for treating runny nose in patients with both allergic and nonallergic rhinitis. These work by blocking acetylcholine which decreases secretions from the glands in the nasal passage. Common reactions include dry mouth and bad taste.

Generic – Ipratropium Bromide

Brand- Atrovent

Nasal Cromolyn sodium spray

This nasal spray helps with nasal congestion, sneezing and runny nose in patients with allergies. It works by inhibiting mast cells. It is available over-the-counter. The most common side-effect is nasal burning and bad taste. 

Generic – Cromolyn nasal

Brand- Nasalcrom

Nasal Decongestant Sprays

Nasal decongestants provide temporary relief of nasal congestion by constricting the blood vessels in the nose which reduces nasal swelling and congestion. These are available over-the-counter. Nasal decongestants are good for short periods of time such as when you have a cold or during a bad allergy episode. These should not be used for more than three days as they can become addictive by causing a rebound nasal congestion effect. This is called Rhinitis medicamentosa.

Please see the link here for further information on treating chronic nasal decongestant use.

Generic- Oxymetazoline, phenylephrine, xylometazoline, naphazoline, neo-synephrine

Brand- Afrin, Sinex, Dristan, Zicam

Nasal saline spray or gel

These sprays contain saline. The sprays are good to keep the nose moist, but they are unlikely to help with nasal congestion. Often times there are good for patients who have epistaxis.

Generic – nasal saline spray

Brand- Simply Saline, Xlear, A&H, Ayr

Nasal irrigations

Sterile water that is mixed with salt and often baking soda is flushed into the nose. The idea is to rinse out the mucus out of the nose. These are often used before using a nasal spray. Your physician may add steroids or antibiotic ointment to it as well. If used and cleaned proper, these have few side-effects. Water from the tap or well cannot be used as it is not adequately filtered.

Generic – Bulb syringe

Brand- Nettipot, Neimed, Ayr

As always, if you are unsure, please ask your doctor. Also, if you have tried one or more of the above, and you continue to have allergy symptoms, perhaps it’s time to visit your local allergist and discuss other options.