CW David Chang, MD, FACS

Physician, facial plastic and rhinology surgeon. Clinical Professor, Otolaryngology-Head & Neck Surgery, University of Missouri. Opinions my own.

[CW David Chang, MD, FACS @DrCWDavidChang]

🎉 What an incredible morning at the CALEB Project & Science Club: ENT Showcase!
@MizzouENT had the privilege of welcoming elementary and middle school students to @mumedicine for a hands-on look ENT.
A huge thank you to our volunteers & faculty.

https://t.co/hmS2WXD48d

[CW David Chang, MD, FACS @DrCWDavidChang]

Clear trend: more #preference #signals in medical residency application→ less overapplication.

As signals increase, apps/applicant decline—reducing cost, noise, and inefficiency.

Better alignment + less admin burden—is it for everbody?

#OtoMatch #MedEd #GME #Match2026

[CW David Chang, MD, FACS @DrCWDavidChang]

Whew—another competitive year for #Otolaryngology

ERAS applicants remain high, and nearly every position filled again this cycle—just 1 unfilled pre-SOAP.

Interest is strong, but the margin is tight. How do we better support applicants?

#otomatch #Match2026 #GME #MedEd

[CW David Chang, MD, FACS @DrCWDavidChang]

@carsonkgates I think it is important to note that NRMP data represents all those candidates that applied and were ranked. It is missing some candidates that applied, but didn't make it on a rank order list.

[CW David Chang, MD, FACS @DrCWDavidChang]

A memorable miracle case. When someone survives invasive #fungal #sinusitis that has invaded the orbital apex, cavernous sinus, and intracranially, it is a miracle that is wrought not merely by the hands of human physicians. https://t.co/6qtDQglbtL…

[MizzouENT @MizzouENT]

Miracles do happen. Progression and regression of intracranial #invasive #fungal #sinusitis.

Successful Outcome of Rhino-Orbital-Cerebral Mucormycosis With Extensive Intracranial Disease in a Patient With Poorly Controlled Diabetes

https://t.co/SNENji2806 #entsurgery

[ColumbiaFace @columbia_face]

Read more about the intersection between form and function with #rhinoplasty https://t.co/7yPYPycMtb

#nasalsurgery #nosejob

[ColumbiaFace @columbia_face]

✨ 9‑Year Otoplasty Follow‑Up! ✨
It’s always rewarding to see long‑term results, and this 9‑year postoperative update is a great example of how well otoplasty can hold over time.

https://t.co/pDRvA4ugrm
#Otoplasty #EarSurgery #FacialPlasticSurgery #BeforeAndAfter #LongTerm

[CW David Chang, MD, FACS @DrCWDavidChang]

CN V-VII nerve transfer for right-sided #facialparalysis after tumor surgery. Notice there is a lag compared to the left side as patient must remember to “bite down“ to activate the right side of the face. #ENTSurgery

[CW David Chang, MD, FACS @DrCWDavidChang]

#Otomatch2026

[CW David Chang, MD, FACS @DrCWDavidChang]

Early analysis of #OtoMatch2026reveals 3 key trends:

1⃣ENT hits record applicant numbers
2⃣Universal adoption: 100% program participation in #ENTSignaling
3⃣Apps per applicant = 44, down almost 50% from 2023. Have we tamed #ApplicationFever?

#Match2026 @steve_pletcher

[CW David Chang, MD, FACS @DrCWDavidChang]

Early analysis of #OtoMatch2026reveals 3 key trends:

1⃣ENT hits record applicant numbers
2⃣Universal adoption: 100% program participation in #ENTSignaling
3⃣Apps per applicant = 44, down almost 50% from 2023. Have we tamed #ApplicationFever?

#Match2026 @steve_pletcher

[CW David Chang, MD, FACS @DrCWDavidChang]

ERAS statistics are a bit misleading. The increased delta of ENT applicants for #Match2026 is greater than portrayed on ERAS Power BI data display.
Otherwise, interactive PowerBI is a great addition to the ERAS Statistics page.
@AAMCtoday

[CW David Chang, MD, FACS @DrCWDavidChang]

Early analysis of #OtoMatch2026reveals 3 key trends:

1⃣ENT hits record applicant numbers
2⃣Universal adoption: 100% program participation in #ENTSignaling
3⃣Apps per applicant = 44, down almost 50% from 2023. Have we tamed #ApplicationFever?

#Match2026 @steve_pletcher

[CW David Chang, MD, FACS @DrCWDavidChang]

Are you ready to RUMMMMMMMMMBLE? @AAOHNS @DrScottFortune #OTOMTG25

[CW David Chang, MD, FACS @DrCWDavidChang]

ARE YOU READY? I’ll be hosting a Great Debate on Monday. Let’s get ready to RUMMMMMMMMMBLE! @AAOHNS #OTOMTG25

[CW David Chang, MD, FACS @DrCWDavidChang]

Join the Society of University Otolaryngologists (SUO)! This week is SUO member week If you are already part of this great organization, sponsor one of your colleagues to join. https://t.co/rduvqNYNJT

[CW David Chang, MD, FACS @DrCWDavidChang]

Here's a link to our research on the epidemiology of this issue. https://t.co/Dfv5mUAj6Y

[CW David Chang, MD, FACS @DrCWDavidChang]

Can your summer #BBQ be a risky proposition? It might be time to ditch your old #wire-bristle #grill brush. If you suspect wire-bristle ingestion, careful evaluation of a radiograph (CT scan or X-ray) should be able to catch the suspect.
https://t.co/fN4VhKPHtB

[CW David Chang, MD, FACS @DrCWDavidChang]

Canada has created a voluntary standard for brush design (https://t.co/v0ohMIqrht). There are no standards I'm aware of in the US. Should we eliminate these brushes in favor of alternatives?

[CW David Chang, MD, FACS @DrCWDavidChang]

simulator features the unmistakable visage of Sim Center's own Kyle Bauche, whose face was faithfully replicated for this project. Uncanny!
#IAMOTO #ENTSurgery #ENTx

[CW David Chang, MD, FACS @DrCWDavidChang]

Teaming up with MU Sheldon Simulation Center's Damon Coyle—whose 3D design and sculpting expertise is truly unmatched—we’ve developed the latest version of our facial skin #simulation model. Skin thickness varied from one location to another on the model to match published...

[CW David Chang, MD, FACS @DrCWDavidChang]

anatomical measurements. This model allows learners to practice planning, incising, and suturing a range of cutaneous flaps for simulated facial defects. The simulator was tested at Midwest Otolaryngology Simulation Training (#MOST2025) held at Wash U. this past month! Each...