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 Showing 1-20 of 78 Articles
Editorial  FREE
Jay F. Piccirillo, MD

In JAMA Otolaryngology–Head & Neck Surgery, we strive to present the highest quality clinical, translational, and population health research from an array of disciplines aligned with the clinical practice of otolaryngology–head and neck surgery. Many problems exist in the conduct and analysis of clinical research—such as faulty ...

Original Investigation  FREE
Luke Rudmik, MD, MSc; Yuan Xu, MD, MSc; Mingfu Liu, PhD; Ceris Bird, BSc; Edward Kukec, MBA; Hude Quan, MD, PhD

Importance  Practice guidelines have provided a strong recommendation for the daily use of topical intranasal steroid therapy for patients with chronic rhinosinusitis (CRS). Deficiencies in utilization of intranasal steroid therapy may represent a gap in quality of care.

Objective  To evaluate the utilization patterns of topical ...

Original Investigation 
Kelly Yi Ping Liu, MSc; J. Scott Durham, MD; Jonn Wu, MD; Donald W. Anderson, MD; Eitan Prisman, MD; Catherine F. Poh, DDS, PhD
Includes: Supplemental Content

Importance  Nodal disease has a significant effect on survival of patients with oral squamous cell carcinoma (OSCC). The decision for elective neck dissection for clinically node-negative (cN0) disease remains elusive.

Objectives  To determine the efficacy of prophylactic neck treatment and to assess the value of commonly ...

Original Investigation  FREE
Emily F. Boss, MD, MPH; Anne R. Links, MS, MHS; Ron Saxton, MS; Tina L. Cheng, MD, MPH; Mary Catherine Beach, MD, MPH

Importance  Sleep-disordered breathing (SDB) is prevalent and has an impact on the physical and behavioral health of children. Adenotonsillectomy (AT), the primary treatment, is subject to unexplained variation in utilization, which may be reduced by improving physician-patient communication and decision quality for this elective procedure.

Objective  ...

Clinical Challenge 
Sherise Epstein, BA; James Attra, MD; Matthew Brigger, MD, MPH

A neonate had respiratory distress requiring endotracheal intubation; videofluoroscopic swallow study demonstrated aspiration with all consistencies, and she had Klebsiella pneumoniae sepsis and persistent lung collapse. What is your diagnosis?

Observation 
Aria Jafari, MD; Brian Nuyen, BS; Suraj Kedarisetty, BS; Christine A. Fordham, MD; Javan Nation, MD

This case report describes mucosal extrusion of an endovascular coil following extracranial internal carotid artery pseudoaneurysm treatment in a child with dysphagia and pharyngeal foreign body sensation.

Comment & Response 
Brian Nussenbaum, MD; Joseph Zenga, MD

In Reply We thank Dr Garden1 for his interest and commentary. He brings up 2 general study limitations: the surgical and nonsurgical treatment groups have certain inherent differences, and the nonsurgical treatment paradigms were heterogeneous. These are standard limitations of nonrandomized retrospective research studies. We performed multivariable ...

Comment & Response 
Adam S. Garden, MD

To the Editor The article by Zenga et al1 on the role of surgery for T4 oropharyngeal cancer was interesting, but I believe it had several omissions that add to the limitations. The most problematic issue with the analysis was the inherent bias in a comparison between ...

Original Investigation 
Chih-Chieh Tseng, MD, MPH; Ming-Tang Lai, MD, PhD; Chia-Che Wu, MD, PhD; Sheng-Po Yuan, MD; Yi-Fang Ding, MD

Importance  Repairing anterior perforations of the tympanic membrane has been challenging for otolaryngologists. Therefore, devising a simple and effective technique for performing the repair is crucial.

Objective  To assess the results of endoscopic transcanal myringoplasty for repairing anterior perforations of the tympanic membrane.

Design, Setting, and ...

Original Investigation 
Antoniu-Oreste Gostian, MD; Jean-Marc Kouamé, DDS; Martin Bremke, MD; Magdalene Ortmann, PhD; Karl-Bernd Hüttenbrink, MD; Dirk Beutner, MD
Includes: Supplemental Content

Importance  Multiple techniques for a more secure and stable anchoring of the foot of a total ossicular replacement prosthesis (TORP) on the footplate have been proposed. To address this issue, a technique was developed that fits a cartilage shoe into the oval niche to guide the base ...

Original Investigation 
Arya Amini, MD; Timothy V. Waxweiler, MD; Jeffrey V. Brower, MD, PhD; Bernard L. Jones, PhD; Jessica D. McDermott, MD; David Raben, MD; Debashis Ghosh, PhD; Daniel W. Bowles, MD; Sana D. Karam, MD, PhD
Includes: Supplemental Content

Importance  Data on adjuvant concurrent chemoradiotherapy (CRT) after resection of salivary gland carcinomas (SGCs) are limited.

Objective  To examine overall survival (OS) outcomes of patients who receive CRT vs radiotherapy (RT) alone after resection of SGCs.

Design, Setting, and Participants  The National Cancer Data Base ...

Clinical Challenge 
Matthew R. Naunheim, MD, MBA; Waihay J. Wong, MD; Thomas L. Carroll, MD

A man with a hoarse voice had a chalky-white laryngeal lesion that showed needle-shaped birefringent crystals under the microscope. What is your diagnosis?

Observation 
Peter J. Ciolek, MD; Robert R. Lorenz, MD

This case report describes a woman in her 40s with a partially obstructive lesion in the subglottis and tracheal ring found to be attributed to a retained tracheal foreign body from early childhood.

Original Investigation 
Faiz Y. Bhora, MD; Adil Ayub, MD; Craig M. Forleiter, MD; Chyun-Yin Huang, MD; Khalid Alshehri, MD; Sadiq Rehmani, MD; Adnan M. Al-Ayoubi, MD, PhD; Wissam Raad, MD; Robert S. Lebovics, MD

Importance  Tracheal stenosis is a debilitating disorder with heterogeneity in terms of disease characteristics and management. Repeated recurrences substantially alter patients’ quality of life. There is limited evidence for the use of spray cryotherapy (SCT) in the management of benign airway disease.

Objective  To report our ...

Original Investigation 
Idris Samad, MB, BCh; Lee Akst, MD; Selmin Karataylı-Özgürsoy, MD; Kristine Teets, MA, CCC-SLP; Marissa Simpson, MS, CCC-SLP; Ashwyn Sharma, BS; Simon R. A. Best, MD; Alexander T. Hillel, MD

Importance  Endoscopic airway surgery is a frequently used procedure in the management of laryngotracheal stenosis (LTS); however, no established outcome measures are available to assess treatment response.

Objective  To assess acoustics and aerodynamic measures and voice- and dyspnea-related quality of life (QOL) in adult patients with ...

Original Investigation 
Maria C. Grant, MD; J. Lindhe Guarisco, MD

Importance  There is not a consensus on the best diagnostic algorithm for children with a potential peritonsillar abscess. The association of computed tomographic (CT) scanning in children with a pertonsillar abscess and intervention chosen by the treating physician, or the potential delay of treatment associated with such ...

Original Investigation 
Ozlem Unsal, MD; Gulpembe Bozkurt, MD; Meltem Akpinar; Pınar Akova, MD; Bilge Turk, MD; Berna Uslu Coskun

Importance  Performing an open-approach extracorporeal septoplasty (OAES) without simultaneous rhinoplasty could have adverse effects. We sought to understand the effects of OAES without simultaneous rhinoplasty on nasal tip projection and rotation in patients with severe septal deviation.

Objectives  To evaluate the outcomes of OAES without simultaneous ...

Original Investigation 
Ioannis Vasileiadis, MD; Theodore Karatzas, MD, PhD; Georgios Charitoudis, MD, PhD; Efthimios Karakostas, MD; Sofia Tseleni-Balafouta, MD, PhD; Gregory Kouraklis, MD, PhD

Importance  Injury of the recurrent laryngeal nerve (RLN) is one of the most serious complications of thyroid surgery. Intraoperative neuromonitoring (IONM) has been introduced to verify RLN function integrity and may be a helpful adjunct in nerve dissection.

Objective  To determine whether the use of IONM ...

Original Investigation 
Kenneth R. Whittemore Jr, MD, MSc; Briana K. Dornan, AuD, CCC-A; Jenna M. Dargie, BS; Guangwei Zhou, ScD

Importance  Obtaining hearing thresholds is an important step in the evaluation of a child with otitis media because decreased hearing in the presence of a chronic middle ear effusion factors into the decision to place tympanostomy tubes (TTs).

Objective  To provide evidence regarding appropriate use of ...

Clinical Challenge 
Dionyssia Papadopoulou, MRCS, MSc; Konstantinos Valsamidis, MSc; Nikolaos Kamargiannis, PhD

A woman had progressive sore throat, dysphagia, and fever that developed into dyspnea, dysphonia, and neck pain; laryngoscopy showed erythema and edema of the epiglottitis with patchy necrosis partially obstructing the glottis and saliva pooling in the supraglottis. What is your diagnosis?

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