As an academic, clinical and/or investigative surgical specialist, one must embrace the ethical imperative for health care professionals to promulgate refinements in perioperative care that would improve patient outcomes. This editorial comment has been provided to the American Journal of Otolaryngology because clinical and research interactions with the U.S. Department of Defense have demonstrated an interface between nutritional science and hearing disorders [1–3] at a time when there are important changes occurring in the perioperative environment.
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