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 Showing 1-20 of 27 Articles
Original Investigation 
Regan W. Bergmark, MD; Stacey L. Ishman, MD, MPH; George A. Scangas, MD; Michael J. Cunningham, MD; Ahmad R. Sedaghat, MD, PhD

Importance  Previous work suggests an association between insurance status and location of presentation (emergency department vs outpatient clinic) for evaluation of uncomplicated acute rhinosinusitis (ARS).

Objective  To investigate whether the quality of outpatient care for ARS likewise differs based on insurance status.

Design, Setting, and Participants...

Case Report/Case Series 
Fatemeh Mohammadi, MD; Ali Rashan, MD; Alkis Psaltis, MD, PhD, FRACS; Agnieszka Janisewicz, MD; Peter Li, MD; Tarek El-Sawy, MD, PhD; Jayakar V. Nayak, MD, PhD

Importance  Orbital compartment syndrome is an acute rise in intraorbital volume resulting in increased intraorbital pressure and possible ischemic compromise of the optic nerve. Tonometric pressure measurement of intraocular pressure can aid surgeons in the diagnosis of this condition and in choosing the need to proceed with ...

Clinical Challenge 
Apoorva Tewari, BS; Jeffrey Blumberg, MD; Saral Mehra, MD
A patient presented with a 10-cm right-sided facial mass extending under the auricle from the mastoid to the zygoma and inferiorly to the angle of the mandible. A core biopsy specimen demonstrated a spindle cell proliferation with abundant collagen that stained focally with CD34, smooth muscle actin, and bcl-2. What ...
Original Investigation 
Andre Isaac, MD; Michael Major, DDS, MSc, FRCDC; Manisha Witmans, MD, FRCPC; Yaser Alrajhi, MD, FRCSC; Carlos Flores-Mir, DSc, MSc; Paul Major, DDS, MSc; Noura Alsufyani, BDS, MSc; Mohamed Korayem, DMD, MSc; Hamdy El-Hakim, MD, FRCSC

Importance  Nasal obstruction is common in children and difficult to quantify objectively. Symptom quantification is paramount for surgical and medical decision making. Acoustic rhinometry is a relatively new technique aimed at the objective assessment of nasal obstruction. There is no standardized method for the objective assessment of ...

Original Investigation 
Eric D. Wirtz, MD; Daisuke Hoshino, PhD; Anthony T. Maldonado, BS; Darren R. Tyson, PhD; Alissa M. Weaver, MD, PhD

Importance  The PIK3CA mutation is one of the most common mutations in head and neck squamous cell carcinoma (HNSCC). Through this research we attempt to elicit the role of oncogene dependence and effects of targeted therapy on this PIK3CA mutation.

Objectives  (1) To determine the role ...

Clinical Challenge 
Alok T. Saini, MD; Juan C. Hernandez-Prera, MD; Marita S. Teng, MD
In this case report, a woman presented with dysphagia and frequent throat clearing. A right pyriform sinus mass was seen on fiber-optic laryngoscopy. Both CT and MRI confirmed the finding of a hypopharyngeal mass. Immunohistochemical stains revealed tumor cells that were focally positive for myogenin and diffusely positive for desmin ...
Original Investigation 
Garret W. Choby, MD; Jeehong Kim, BS; Diane C. Ling, BA; Shira Abberbock, MS; Rajarsi Mandal, MD; Seungwon Kim, MD; Robert L. Ferris, MD, PhD; Umamaheswar Duvvuri, MD, PhD

Importance  Few studies have examined quality-of-life (QOL) outcomes in patients who undergo transoral robotic surgery (TORS) alone (ie, without adjuvant radiotherapy or chemoradiotherapy).

Objective  To report QOL outcomes of patients with oropharyngeal squamous cell carcinoma who receive only TORS.

Design, Setting, and Participants  Medical records ...

Original Investigation 
Fang Wang, MS; Yexun Song, MD; Xiaowei Zhang, MD; Guolin Tan, MD

Importance  Sinus balloon catheter dilation (SBCD) has been used for chronic rhinosinusitis (CRS). It is necessary to evaluate its effect on children with CRS.

Objective  To evaluate the efficacy of SBCD on pediatric CRS in China.

Design, Setting, and Participants  A prospective case-control study was ...

Clinical Challenge 
Philip Knollman, MD; Robert Naclerio, MD
A man had an 8-month history of right-sided nasal congestion and rhinorrhea. He had developed progressive right-sided facial swelling, pain, blurred vision, and weight loss. A CT scan showed complete opacification and an invasive process in the right maxillary sinus. An endoscopic maxillary antrostomy and biopsy showed inflammatory changes and ...
Clinical Challenge 
Shiau-Ru Chiou, MD; Ying-Ju Kuo, MD; Pen-Yuan Chu, MD
A man with a history of smoking choked easily and had experienced a foreign body sensation in his throat. A laryngeal mass was removed through transoral laser microsurgery. The tumor was at the submucosa with focally ulcerated overlying epithelium. It was composed of adipocytes of various sizes in a fibromyxoid ...
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 
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

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