Even as John McCain and Barack Obama face the wear and tear of the campaign trail, the men who preceded them in the White House might warn of the various ear, nose, and throat ailments that plagued their terms in office. Presidential otolaryngologic health was the topic of discussion during a roundtable mini-seminar during the 2008 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO, in Chicago, IL.