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 Showing 1-20 of 35 Articles
Original Investigation 
Robbi A. Kupfer, MD; Albert L. Merati, MD; Lucian Sulica, MD

Importance  Medialization laryngoplasty (ML) remains the gold standard for the long-term treatment of hoarseness related to glottal insufficiency. Odynophonia is a less common manifestation of glottal insufficiency related to vocal fold motion impairment (VFMI), and ML is hypothesized to relieve pain associated with this condition.

Objective  ...

Original Investigation 
Robert J. Lee, BS; Armin Arshi, BS; Harry C. Schwartz, DMD, MD; Russell E. Christensen, DDS, MS

Importance  Osteosarcoma of the jaws is rare and clinically distinct from osteosarcoma of the long bones of the body with different treatment and outcomes. The literature on these tumors is limited to case reports and small case series mostly from single institutions. We used data from the ...

Clinical Challenge 
Jeet Patel, MD; Richard K. J. Brown, MD; Carol R. Bradford, MD; Ashok Srinivasan, MD
Original Investigation 
Harrison Cash, MS; Samuel Trosman, MD; Thomas Abelson, MD; Robert Yellon, MD; Samantha Anne, MD, MS
Includes: Supplemental Content

Importance  Chronic cough is a common complaint among pediatric patients, but little information exists on the types of diagnoses in these patients and therapeutic outcomes.

Objective  To characterize pediatric patients with chronic cough presenting to otolaryngology clinics, identify common causes and treatments, and evaluate therapeutic outcomes....

Original Investigation 
Ross O’Shea, MB; Helen Byrne, BSc; Joel Tuckett, MBBS; Gerard O’Leary, MB, FRCSI; Patrick Sheahan, MB, MD, FRCSI (ORL-HNS)

Importance  Prophylactic gastrostomy tube (GT) insertion prior to chemoradiotherapy is a valuable nutritional adjunct in patients with head and neck cancer undergoing nonsurgical treatment. However, concerns have been expressed regarding high rates of GT dependence. There is little information in the literature regarding the impact of modifiable ...

Clinical Challenge 
Ujjawal Khurana, MD, DNB; Lakhan Singh Solanki, MD; Mandeep Dhingra, MD
Clinical Challenge 
William Dougherty, MD; David Shonka, MD; Sugoto Mukerjee, MD
Original Investigation 
Isabelle Mosnier, MD; Jean-Pierre Bebear, MD; Mathieu Marx, MD, PhD; Bernard Fraysse, MD; Eric Truy, MD; Geneviève Lina-Granade, MD; Michel Mondain, MD, PhD; Françoise Sterkers-Artières, MD; Philippe Bordure, MD; Alain Robier, MD; Benoit Godey, MD, PhD; Bernard Meyer, MD; Bruno Frachet, MD; Christine Poncet-Wallet, MD; Didier Bouccara, MD; Olivier Sterkers, MD, PhD
Includes: Supplemental Content

Importance  The association between hearing impairment and cognitive decline has been established; however, the effect of cochlear implantation on cognition in profoundly deaf elderly patients is not known.

Objective  To analyze the relationship between cognitive function and hearing restoration with a cochlear implant in elderly patients....

Original Investigation  FREE
Andrew P. Johnson, MD; Peter F. Svider, MD; Adam J. Folbe, MD; Syed N. Raza, MD; Mahdi Shkoukani, MD; Jean Anderson Eloy, MD; Giancarlo Zuliani, MD

Importance  Securing an otolaryngology residency position has become an increasingly competitive endeavor in recent years. Recent studies have investigated the applicant criteria used by residency programs as part of the ranking process. However, to our knowledge, no studies have comprehensively investigated the role of geographic location in ...

Clinical Challenge 
Kaete Archer, MD; Ryan Winters, MD; Sherard A. Tatum, MD
Original Investigation 
Yung-Chang Yen, MD, PhD; Charlene Lin, BS; Shih-Feng Weng, PhD; Yung-Song Lin, MD

Importance  Several sources have suggested an association between chronic sensory hearing impairment and chronic otitis media (COM). However, to our knowledge, no studies have evaluated the risk of sudden sensorineural hearing loss (SSNHL) in patients with COM (COM-positive).

Objective  To examine the risk of developing SSNHL ...

Original Investigation 
Jean Valentin F. Fokouo, MD; Jean Espoir E. Vokwely, MD; Jean Jacques N. Noubiap, MD; Brice Enid Nouthe, MDCM, MSc; Joseline Zafack, MD, MPH; Esthelle Stéphanie Minka Ngom, MD; Asmaou Bouba Dalil, MD; Adèle-Rose Ngo Nyeki, MD; Géneviève Bengono, MD; Richard Njock, MD
Includes: Supplemental Content

Importance  Human immunodeficiency virus (HIV) infection remains a major cause of morbidity and mortality worldwide. Many studies have found a higher prevalence of hearing impairment among HIV-positive individuals.

Objective  To investigate the effect of HIV and highly active antiretroviral treatment (HAART) on the hearing function in ...

Original Investigation 
Samuel J. Trosman, MD; Shlomo A. Koyfman, MD; Matthew C. Ward, MD; Samer Al-Khudari, MD; Tobenna Nwizu, MD; John F. Greskovich, MD; Eric D. Lamarre, MD; Joseph Scharpf, MD; Mumtaz J. Khan, MD; Robert R. Lorenz, MD; David J. Adelstein, MD; Brian B. Burkey, MD

Importance  Important differences exist in the pattern and timing of distant metastases between human papillomavirus–initiated (HPV+) and HPV− oropharyngeal squamous cell carcinoma (OPSCC). However, our understanding of the natural history of distant metastases in HPV+ OPSCC and its implications for surveillance is limited.

Objective  To investigate ...

Clinical Challenge 
Kaete A. Archer, MD; Parul Goyal, MD; Anthony J. Mortelliti, MD
Original Investigation 
Edmund A. Milder, MD; Mark D. Rizzi, MD; Knashawn H. Morales, MD; Rachael K. Ross, MPH; Ebbing Lautenbach, MD, MSCE; Jeffrey S. Gerber, PhD, MD, MSCE

Importance  More than 500 000 children undergo tonsillectomy each year in the United States. Although prior studies suggest that most patients received perioperative antibiotics, practice varies across centers. In 2011, the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) published a practice guideline recommending against perioperative antibiotic use ...

Original Investigation 
Randy M. Leung, MD; Timothy L. Smith, MD, MPH; Luke Rudmik, MD, MSc

Importance  For patients with epistaxis in whom initial interventions, such as anterior packing and cauterization, had failed, options including prolonged posterior packing, transnasal endoscopic sphenopalatine artery ligation (TESPAL), and embolization are available. However, it is unclear which interventions should be attempted and in which order. While cost-effectiveness ...

Original Investigation 
Syed F. Ahsan, MD; Robert Standring, MD; Daniel A. Osborn, MD; Ed Peterson, PhD; Michael Seidman, MD; Rajan Jain, MD

Importance  Asymmetric sensorineural hearing loss (ASNHL) is commonly encountered in an otolaryngologic clinical practice. Determining what factors are associated with abnormal magnetic resonance imaging (MRI) findings will help with diagnostic workup.

Objective  To evaluate the association between clinical and audiometric factors and abnormal MRI findings in ...

Thomas J. Hwang, AB; Charlotte Kiang, BA; Marek Paul, MD
Includes: Supplemental Content
In this Viewpoint, the authors examine key issues relating to the clinical use, regulation, and reimbursement of 3-dimensional printing technology.
Original Investigation 
Cristina Cabrera-Muffly, MD; Paul C. Bryson, MD; Kevin J. Sykes, PhD, MPH; Yelizaveta Shnayder, MD

Importance  Otolaryngology residents need concise, easily accessible modules to expand educational opportunities between surgical cases. These modules should be inexpensive to create and improve learning outcomes.

Objective  The purpose of this pilot study was to assess whether otolaryngology residents at multiple institutions used online video modules ...

Case Report/Case Series 
Giriraj K. Sharma, MD, MS; Allen Foulad, MD; Sunil P. Verma, MD

Importance  A challenge in treating subglottic stenosis is assessment of airway caliber before and after management. At present, surgeons lack a simple, efficient, and precise method of measuring subglottic stenosis intraoperatively. We present a novel, easily reproducible tool for measurement of the diameter, location, and length of ...

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