skip to Main Content


Celebrating Over 80 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.

"Advance the comprehensive management of allergy and inflammatory disease in Otolaryngology-Head and Neck Surgery through training, education, and advocacy."


Changes in MACRA

Macra 101 Image

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).
Read More

Upcoming Dates

12/01/23: Research Grant Cycle
Learn more

04/01/24: Fellow Exam Application Deadline
Learn more

06/01/24: Research Grant Cycle
Learn more

06/25/24: Membership Application Deadline to be eligible for AAOA Member rate for the 2024 Basic Course

07/01/24: Scientific Abstract Submission Deadline
Learn more


2023 AAOA Annual Meeting

Register Now to access over 19 hrs of CME | Continuing Certification through our 2023 Hybrid Annual Meeting. The meeting will take place in Nashville and virtually from September 29 - October 1, 2023. On-Demand post course access will be open until November 14, 2023. Learn More


For information about Resident opportunities, DosedDaily, research grants, and other resources. Learn More


Available Now


IFAR Impact Factor: 2.454

IFAR Featured Content: COVID-19 - Free Access
Endonasal instrumentation and aerosolization risk in the era of COVID‐19: simulation, literature review, and proposed mitigation strategies . Read More

Changes in Managing Practices

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

Read More

Live and Online CME

2023 AAOA Annual Meeting - Hybrid
September 29 – October 1, 2023
Embassy Suites by Hilton Nashville Downtown
Learn More and Register

2024 AAOA Advanced Course in Allergy & Immunology - Hybrid
February 8 - 10, 2024
Hyatt Regency Tamaya
Santa Ana Pueblo, New Mexico
(outside Albuquerque)
Learn More and Register

2024 AAOA Basic Course in Allergy & Immunology - Hybrid
July 25-27, 2024
The Diplomat, Hollywood, Florida
Learn More and Get Hotel Room

2024 AAOA Annual Meeting - Hybrid
November 8-10, 2024
Four Seasons Hotel Las Vegas

USP 797 Online Module
Learn More and Register

AAOA Educational Stacks
Next Availability - November 1, 2023

News and Updates

ReCAP — Review Of Core Allergy Principles

The AAOA Education Committee is pleased to announce that, in addition to updating the format and educational venue…

Read more

NEW! Windy City Tours: Content Meets Culture – Conversations with Experts 

In an effort to maximize educational value, content, and time, the AAOA Education Committee has…

Read more
College Allergy Symptoms Treatment Back to Shcool


AAOA Practice Resource Tool Kit

The American Academy of Otolaryngic Allergy (AAOA) Practice Resource Tool Kit is intended as a guide to help AAOA members integrate allergy into their otolaryngology practice and to continually improve on this integration as new information, regulations, and resources become available.

Read More


AAOA has launched a Partner Resource Center to bring you partner resources that can assist your practice and patient care.

Visit the New Center>



By Anna Butrymowicz, MD

Allergy Immunotherapy (AIT) is an option for patients with allergic rhinitis (AR), allergic asthma and atopic dermatitis.  In the United States, AIT is offered in two forms, subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT) via tablet or drop.  The choice to pursue AIT is one that should be made after thorough discussion with your Otolaryngologist and is normally considered in patients with the above diagnoses who have failed to improve with medical management or cannot tolerate medical management, and avoidance of known allergens is not possible.  When deciding between form of AIT (SLIT vs SCIT), a number of things should be considered, including efficacy, cost, compliance, and safety.  

Efficacy: the jury is still out.  While large Cochrane reviews suggest superiority of SCIT, there are only a few randomized control trials, and these head to head analyses show equivalent benefit in regard to symptom control and medication use (with exception of 1 RTC which shows superiority of SCIT).  

Cost: This question is addressed directly in the article Hidden Costs of AIT. Overall, aqueous SLIT is considered off label by the FDA and incurs out of pocket costs.  The direct cost of SLIT tablets or co-pays for SCIT depend on insurance coverage.  There is also indirect cost to parking, travel time, missed work/school when pursuing SCIT.  

Compliance: It seems reasonable to assume that patients would be more compliant with medication they could administer at home, like SLIT, but studies show conflicting evidence, some with higher compliance with SCIT, other with higher compliance with SLIT.  Like with every other broad characterization, we have to keep individual patient characteristics/goals in mind, and tailor each treatment plan to the patient.  

Safety: SLIT has a superior safety profile, with no history of reported fatalities and a rare incidence of anaphylaxis.  In general, SCIT is well tolerated, but there have been reported fatalities and the incidence of anaphylaxis is higher.  

Generally, these are the main factors we should consider when discussing AIT with our patients, but this is not a comprehensive list.  And while SCIT and SLIT are the forms of AIT offered in the United States, the field of Otolaryngic Allergy continues to innovate, and we may see new options in the future.  Stay tuned! 

Back To Top