1. Overview
The American Academy of Otolaryngic Allergy Explorers Course: Surgical & Medical Management of Airway Disease in Otolaryngology provides a deep dive into complex airway conditions. This program covers the airway microbiome, environmental and climate impacts on allergies, immunodeficiency, recalcitrant sinusitis, and the intersection of sinus diseases with migraines and autoimmune disorders.
Course Date: 2026
2. Learning Objectives
Evaluate the role of the microbiome in airway health and understand the impact of various therapies on its balance.
Assess how environmental extremes, climate changes, and air quality influence allergic and inflammatory airway diseases.
Differentiate between true sinus disease, migraines, and autoimmune disorders presenting with upper airway symptoms.
Formulate appropriate medical and surgical management strategies for recalcitrant sinusitis and frontal sinus disease.
Integrate nontraditional therapies, natural remedies, and nutraceuticals safely into clinical allergy and asthma management.
3. Target Audience
Best for otolaryngologists and allergists who want updates on the microbiome, environmental impacts, and recalcitrant airway disease management.
4. Topics
Air Quality and Pollen Monitors – Accuracy & Clinical Implications
An Immunodeficiency Primer – Basics of the Mechanisms Contributing to Sinus and Airway Disease
Approaches to Treating Migraine and Non-Sinus -Sinus- Headaches
Autoimmune Disorders Manifesting in the Upper Airway
Beyond Avoidance – Nontraditional Therapies for Food Allergy
Case Wrap-up- Why Does Wine Make Me Feel -Off— Toxicity, Allergy, or Intolerance-
Common Causes of Microbiome Derangement
Endocrine Influences on Allergy – Menopause
Endocrine Influences on Allergy – Puberty
Essential Components of Autoimmune Workup
Essential Components of Immunodeficiency Workup
Frontal Sinus Disease – In-Office Pearls
Frontal Sinus Disease – OR Pearls
Healthy Sinuses – Biomes
Heat, Drought, Fire and Inflammatory Airway Disease
Immunotherapy’s Impact on Airway Microbiome
Impact of Precipitation, Hurricanes, and Flooding on Allergies and Airway
Microbiome Assessment – Cultures and Beyond
Nutraceuticals, Probiotics, and Other Supplements for Inhalant Allergies and Asthma
Ocular Complaints – When is it Allergy-
Overview of Environmental Extremes & their Impact on Allergic and Inflammatory Airway Disease
Panel – Challenging Recalcitrant Cases
Recalcitrant Sinus Cases – Immunodeficiency or Autoimmune Disorder-
Role of Topical Antibiotics in Acute, Chronic, and Recalcitrant Sinusitis
Safety & Surgical Considerations of Natural Remedies
Sinus Manifestations of Migraine
Special Populations of Exposures – Farmers, Veterans, and More!
The Microbiome and Allergies
Welcome and Course Overview
What’s the Deal with PM-
Worst Questions…and Best Answers- Allergy Immunotherapy
Worst Questions…and Best Answers- Pediatric Allergy
Worst Questions…and Best Answers- Recalcitrant Sinusitis
Worst Questions…and Best Answers- Your -Sinus- Issues are Not Coming from Your Sinuses





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