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 Showing 1-20 of 23 Articles
Original Investigation 
Jason F. Ohlstein, MS; Sabrina Brody-Camp, MD; Starr Friedman, MD; Joshua M. Levy, MD, MPH; Joseph F. Buell, MD; Paul Friedlander, MD

Importance  Specific temporal goals for treatment of head and neck cancer (HNC) are common in Europe but not in the United States. We implemented a patient-centric navigation model with an aspirational goal that all patients will receive treatment recommendations within 2 weeks of presentation as a means ...

Original Investigation 
Andrew R. Tomlinson, MD; Mark J. Jameson, MD, PhD; Nitin A. Pagedar, MD, MPH; Stephen S. Schoeff, MD; A. Eliot Shearer, MD, PhD; Nathan H. Boyd, MD

Importance  We present what we believe to be the first case series in which the teres major muscle is used as a free flap in head and neck reconstruction.

Objectives  To describe our experience with the teres major muscle in free flap reconstruction of head and ...

Original Investigation 
Meera Shah, MBChB; Irina Bancos, MD; Geoffrey B. Thompson, MD; Melanie L. Richards, MD; Jan L. Kasperbauer, MD; Bart L. Clarke, MD; Matthew T. Drake, MD, PhD; Marius N. Stan, MD

Importance  Up to 20% of patients undergoing thyroidectomy develop hypocalcemia after surgery. Although usually transient, severe symptomatic hypocalcemia may occur. Teriparatide acetate (recombinant human parathyroid hormone 1-34) therapy can rapidly raise calcium levels.

Objective  To test the hypothesis that teriparatide therapy in patients with postthyroidectomy hypoparathyroidism ...

Clinical Challenge 
Deepa Danan, MD, MBA; Sugoto Mukherjee, MD; David C. Shonka Jr, MD

An adolescent girl with a 1-year history of submental swelling underwent ultrasonography, which revealed a well-circumscribed, avascular, homogeneous, isoechoic lesion. What is the diagnosis?

Original Investigation 
Marcus J. Magister, MD; Irina Chaikhoutdinov, MD; Eric Schaefer, MS; Nicole Williams, MD; Brian Saunders, MD; David Goldenberg, MD

Importance  The ability to accurately stratify patients with thyroid nodules (TNs) preoperatively is imperative because most TNs are benign. The reliability of fine-needle aspiration biopsy (FNAB) in large TNs has been questioned in recent literature.

Objective  To determine whether TN size affects the reliability of FNAB ...

Original Investigation 
Derrick T. Lin, MD; Bharat B. Yarlagadda, MD; Rosh K. V. Sethi, MD; Allen L. Feng, BS; Yelizaveta Shnayder, MD; Levi G. Ledgerwood, MD; Jason A. Diaz, MD; Parul Sinha, MBBS, MS; Matthew M. Hanasono, MD; Peirong Yu, MD; Roman J. Skoracki, MD; Timothy S. Lian, MD; Urjeet A. Patel, MD; Jason Leibowitz, MD; Nicholas Purdy, MD; Heather Starmer, CCP-SLP; Jeremy D. Richmon, MD
Includes: Supplemental Content

Importance  The optimal reconstruction of total glossectomy defects with or without total laryngectomy is controversial. Various pedicled and free tissue flaps have been advocated, but long-term data on functional outcomes are not available to date.

Objectives  To compare various total glossectomy defect reconstructive techniques used by ...

Original Investigation 
Eleonoor A. R. Theunissen, MD; Charlotte L. Zuur, MD, PhD; Katarzyna Jóźwiak, PhD; Marta Lopez-Yurda, PhD; Michael Hauptmann, PhD; Coen R. N. Rasch, MD, PhD; Sieberen van der Baan, MD, PhD; Jan Paul de Boer, MD, PhD; Wouter A. Dreschler, MSc, PhD; Alfons J. M. Balm, MD, PhD

Importance  Patients with head and neck cancer may experience chemoradiotherapy-induced hearing loss, but the weighing of involved variables has been subjective. Identification of patient and treatment characteristics to predict the absolute posttreatment hearing level is important for effective counseling of patients undergoing chemoradiotherapy.

Objective  To predict ...

Clinical Challenge 
Yu-Hsuan Lin, MD; Huai-Pao Lee, MD; Ming-Yee Lin, MD, PhD

A woman in her 60s presented with a history of persistent globus pharyngis. Laryngoscopy revealed yellowish, floppy granular proliferation affecting the bilateral arytenoids and posterior aspects of the aryepiglottic folds, with symmetrical vocal cord motion. What is the diagnosis?

Original Investigation 
Sophie Grace Shay, MD; Elena Chang, MD; Michael S. Lewis, MD; Marilene B. Wang, MD

Importance  The US veteran population represents a unique cohort of patients in whom human papillomavirus (HPV)–related head and neck squamous cell carcinoma (HNSCC) has yet to be investigated.

Objective  To investigate the incidence and characteristics of HPV-positive HNSCC within the veteran population.

Design, Setting, and Participants...

Clinical Challenge 
Erin R. S. Hamersley, DO, LT MC USN; Cristina M. Baldassari, MD

An infant with a postauricular mass underwent ultrasonography that revealed a nonvascular, well-circumscribed lesion in the soft tissue with a heterogenous echotexture that was hypoechoic without internal vascularity or distinct calcifications. What is the diagnosis?

Clinical Challenge 
Galal Omami, BDS, MSc, MDentSc

A man with painless progressive swelling of the anterior mandible underwent computed tomography, which demonstrated severe erosion of the facial and lingual cortices with a remarkable scalloping pattern and wispy, ill-defined intralesional septa, and indicated a cystic and solid mass. What is the diagnosis?

Original Investigation 
Alessandro de Alarcón, MD, MPH; Alexander J. Osborn, MD, PhD; Meredith E. Tabangin, MPH; Aliza P. Cohen, MA; Catherine K. Hart, MD; Robin T. Cotton, MD; Michael J. Rutter, MBChB, FRACS

Importance  This study provides clinicians with relevant information regarding the surgical outcomes of patients with laryngotracheal cleft in the context of additional airway anomalies.

Objectives  To determine the rates of surgical success in patients who underwent laryngotracheal cleft repair in the context of additional airway anomalies, ...

Original Investigation 
Andrew T. Tkaczuk, MD; Meena Bhatti, DMD; John F. Caccamese Jr, DMD, MD; Robert A. Ord, DDS, MD; Kevin D. Pereira, MD, MS

Importance  Pediatric jaw cysts represent a rarely symptomatic clinical entity and are not well addressed in the otolaryngology literature. It is important that otolaryngologists should be familiar with these lesions, which can manifest as jaw swelling or as paranasal sinus abnormalities.

Objective  To review the clinical ...

Clinical Challenge 
Christopher A. Burgess, FRCS; Neil M. Foden, MRCS; Stuart C. Winter, FRCS

A woman with a history of localized invasive ductal carcinoma of the right breast treated with wide local excision 13 years previously presented with right-sided lower motor neuron facila nerve palsy and discomfort around her right ear. What is the diagnosis?

Original Investigation 
Aviram Mizrachi, MD; Ohad Hilly, MD; Eyal Raveh, MD; Joseph Attias, PhD; Ben I. Nageris, MD

Importance  Bilateral vestibular failure is a debilitating condition that may lead to oscillopia and adversely affect quality of life. Researchers have suggested that vestibular function might be restored with implantation of an external mechanical stimulation device. However, it is essential that such a device must not interfere ...

Original Investigation 
Jessica H. Maxwell, MD, MPH; Lester D. R. Thompson, MD; Margaret S. Brandwein-Gensler, MD; Bernhard G. Weiss, MD; Martin Canis, MD; Bibianna Purgina, MD; Arpan V. Prabhu, BS; Chi Lai, MD; Yongli Shuai, MS; William R. Carroll, MD; Anthony Morlandt, MD, DDS; Umamaheswar Duvvuri, MD, PhD; Seungwon Kim, MD; Jonas T. Johnson, MD; Robert L. Ferris, MD, PhD; Raja Seethala, MD; Simion I. Chiosea, MD

Importance  Positive margins are associated with poor prognosis among patients with oral tongue squamous cell carcinoma (SCC). However, wide variation exists in the margin sampling technique.

Objective  To determine the effect of the margin sampling technique on local recurrence (LR) in patients with stage I or ...

Original Investigation  FREE
Anaeze C. Offodile II, MD; Abraham Pathak, MD; Julia Wenger, MPH; Dennis P. Orgill, MD, PhD; Lifei Guo, MD, PhD

Importance  Hospital readmissions are a marker of surgical care delivery and quality that are progressively more scrutinized.

Objective  To provide a comprehensive analysis of 30-day readmissions for patients with head and neck cancer who underwent free flap reconstruction to highlight the rate, causes, and associated patient ...

Observation 
Arya W. Namin, BA; Mary S. Czerny, MD; Jastin L. Antisdel, MD

When approaching a patient with cranial nerve 7 (CN7) palsy, a careful workup must be undertaken in order to rule out the many treatable etiologies, including the malignant and infectious. To guide the need for imaging, a careful medical history must elicit if the CN7 weakness had an ...

Original Investigation 
Adekunle I. Elegbede, PhD; Lisa A. Rybicki, MS; David J. Adelstein, MD; James A. Kaltenbach, PhD; Robert R. Lorenz, MD; Joseph Scharpf, MD; Brian B. Burkey, MD
Includes: Supplemental Content

Importance  Nonsurgical treatment of advanced supraglottic laryngeal cancer is widely used as part of a larynx preservation protocol. However, recent studies have suggested that nonsurgical treatment may be associated with inferior survival. Furthermore, it is not clear whether preservation of the larynx provides superior voice or swallowing ...

Original Investigation 
Ryan M. Mitchell, MD, PhD; Eduardo Mendez, MD, MS; Nicole C. Schmitt, MD; Amit D. Bhrany, MD; Neal D. Futran, DMD, MD

Importance  Evidence supports short courses of perioperative antibiotics for patients receiving minor head and neck procedures. Few studies have addressed antibiotic prophylaxis for patients undergoing free flap reconstruction of head and neck defects.

Objective  To determine ideal antibiotic prophylaxis in patients undergoing head and neck free ...

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