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 Showing 1-20 of 35 Articles
Original Investigation 
Kathleen R. Billings, MD; Jeffrey C. Rastatter, MD; Keith Lertsburapa, MD; James W. Schroeder Jr, MD

Importance  There is a perceived increase in the number of microdirect laryngoscopies and bronchoscopies (MLBs) required on premature infants, infants with syndromic conditions, and those with complex congenital heart defects. Determining which neonates with certain underlying conditions require more aggressive interventions like tracheostomy, intubation, or supraglottoplasty might ...

Original Investigation 
Lara Esin, BS; Patrick J. Antonelli, MD; Carolyn Ojano-Dirain, PhD

Importance  Tympanostomy tube (TT) biofilm formation may lead to sequelae.

Objective  To determine whether the acute pathogen Haemophilus influenzae promotes TT attachment and biofilm formation by the chronic pathogen Staphylococcus aureus.

Design and Setting  Controlled, in vitro microbiological study at an academic research laboratory ...

Case Report/Case Series 
Timothy Ortlip, MD; Bryan T. Ambro, MD; Kevin D. Pereira, MD, MS

Importance  To highlight the advantages of the vertical midline incision in providing satisfactory cosmesis with complete excision of pediatric nasofrontal dermoid cysts.

Observations  Retrospective case series of nasofrontal dermoid cysts in 4 patients treated at a single tertiary medical center from June 1, 2010, through July ...

Clinical Problem Solving 
Aparna Singhal, MD; Daniel J. Dauer, MD, MPH; Philip R. Chapman, MD
In this case report a woman in her 50s presented to the emergency department after a fall. She reported being clumsy her entire life, though with worsening difficulty with balance over the past few years. She occasionally had falls, which were sometimes preceded by vertigo and “shaking” episodes. The lateral ...
Original Investigation 
Semirra Bayan, MD; Henry T. Hoffman, MD, MS

Importance  To our knowledge, we report the first series to analyze use of the Montgomery cannula as an airway management tool for indications other than obstructive sleep apnea.

Objectives  To analyze the use and outcomes of Montgomery cannula placement for airway management and to identify indications ...

Original Investigation 
Emily F. Boss, MD, MPH; James R. Benke, BS; David E. Tunkel, MD; Stacey L. Ishman, MD, MPH; John F. P. Bridges, PhD; Julia M. Kim, MD, MPH

Importance  Although children with low socioeconomic status (SES) have increased risk for sleep-disordered breathing (SDB), their access to subspecialty care is often limited. Polysomnography (PSG) is the gold standard diagnostic test used to characterize SDB and diagnose obstructive sleep apnea; however, it is unknown whether SES impacts ...

Clinical Problem Solving 
Isidro Machado, MD; Estanislao Arana, MD; Juan Vendrell, MD
In this case report, a man presents with neck swelling. A diffusely hardened thyroid gland, multiple neck lymphadenopathies, multiple cervical lymph nodes, and diffuse thyroid heterogeneity with a low-density nodule in the right lobe were found. What is the diagnosis?
Clinical Problem Solving 
Kelli A. Quercetti, DO; Amanda Hu, MD, FRCSC
This case report describes a man injured in a motor vehicle accident who presented 1 year later with complaints of hoarseness since intubation. He felt short of breath at the end of sentences and had undergone a neurosurgical procedure after the accident and was notified by the anesthesiologist that he ...
Original Investigation 
Cuneyt M. Alper, MD; Miriam S. Teixeira, MD, PhD; J. Douglas Swarts, PhD; William J. Doyle, PhD

Importance  Eustachian tube (ET) dysfunction predisposes ears to otitis media, tympanic membrane retraction, retraction pocket and perforation, or cholesteatoma.

Objective  To develop a method to quantitatively measure the eustachian tube (ET) component movements and their interactions captured by transnasal videoendoscopy of the ET during swallowing.

Design, ...

Original Investigation 
Brianne Barnett Roby, MD; Jameson Mattingly, MD; Emily L. Jensen, BS; Dexiang Gao, PhD; Kenny H. Chan, MD
Includes: Supplemental Content

Importance  Juvenile recurrent parotitis (JRP) is characterized by recurrent painful swelling of the parotid gland that occurs in the pediatric population. Sialendoscopy with and without ductal corticosteroid infusion (DCI) has been found to be effective in the treatment of JRP and autoimmune parotitis.

Objective  To determine ...

Original Investigation 
Peter Freiherr von Sass; Kathrin Scheckenbach, MD; Martin Wagenmann, MD; Thomas Klenzner, MD; Joerg Schipper, MD; Adam Chaker, MD

Importance  The increasing amount of medical knowledge and necessity for time-effective teaching and learning have given rise to emerging online, or e-learning, applications. The base of the skull is a challenging anatomic area in the otorhinolaryngology (ORL) department—for both students and lecturers. Technology-enhanced learning might be an ...

Original Investigation 
Ron B. Mitchell, MD; Suzan Garetz, MD; Reneé H. Moore, PhD; Carol L. Rosen, MD; Carole L. Marcus, MBBCh; Eliot S. Katz, MD; Raanan Arens, MD; Ronald D. Chervin, MD, MS; Shalini Paruthi, MD; Raouf Amin, MD; Lisa Elden, MD; Susan S. Ellenberg, PhD; Susan Redline, MD

Importance  It is important to distinguish children with different levels of severity of obstructive sleep apnea syndrome (OSAS) preoperatively using clinical parameters. This can identify children who most need polysomnography (PSG) prior to adenotonsillectomy (AT).

Objective  To assess whether a combination of factors, including demographics, physical ...

Original Investigation  FREE
Michelle M. Chen, MD; Sanziana A. Roman, MD; Julie A. Sosa, MD; Benjamin L. Judson, MD

Importance  Merkel cell carcinoma (MCC) is a rare neuroendocrine malignant neoplasm that most commonly occurs in the head and neck and is rapidly increasing in incidence. The role of adjuvant chemoradiotherapy (CRT) in the management of head and neck MCC remains controversial.

Objective  To evaluate the ...

Original Investigation 
Joseph M. Collaco, MD, MPH; Angela D. Aherrera, BA; Karla J. Au Yeung, MD; Maureen A. Lefton-Greif, PhD; Jeannine Hoch, MA, CCC-SLP; Margaret L. Skinner, MD

Importance  Children with complex respiratory and gastrointestinal disorders frequently require care from multiple pediatric subspecialists. Interdisciplinary pediatric aerodigestive clinic centers have been established at several pediatric tertiary care centers in the United States. Their effectiveness is unknown.

Objective  To determine whether an interdisciplinary approach to pediatric ...

Original Investigation 
Blake Joseph LeBlanc, MD; Runhua Shi, MD, PhD; Vikas Mehta, MD; Glenn Mills, MD; Federico Ampil, MD; Cherie-Ann O. Nathan, MD

Importance  Laryngeal cancer survival rates have declined over the past 2 decades. Primary surgical therapy may increase survival rates in advanced-stage tumors.

Objective  To compare survival outcomes for initial surgical treatment of advanced-stage primary tumors in the Louisiana health system with outcomes in the National Cancer ...

Original Investigation 
Kara K. Prickett, MD; Steven E. Sobol, MD, MSc, FRCSC

Importance  The incidence and timing patterns of decannulation failure in children are unknown. There is substantial variability in the duration of inpatient hospitalization for patients undergoing decannulation, which represents an opportunity for improved resource use.

Objective  To determine the incidence and timing patterns of elective decannulation ...

Clinical Problem Solving 
Narin Nard Carmel, MD; Eli Brazowski, MD; Yael Oestreicher-Kedem, MD
This case report describes a woman with exacerbation of shortness of breath, cough, sore throat, bloody sputum, and dysphagia and a left epiglottic expansile homogenic mass abutting the left pyriform sinus on magnetic resonance imaging. What is your diagnosis?
Original Investigation 
Bo Gyung Kim, MD, PhD; Jin Won Kim, MD; Jeong Jin Park, MD; Sung Huhn Kim, MD, PhD; Hee Nam Kim, MD, PhD; Jae Young Choi, MD, PhD

Importance  Patients with cochlear implants (CIs) should be fully informed before undergoing magnetic resonance imaging (MRI) about the possibility of discomfort or pain. Prior to an MRI scan, patients need to fully understand not only the potential complications but also the potential discomfort that they may experience ...

Invited Commentary 
Emanuel Kanal, MD
The article by Kim et al1 brings to light a larger topic—namely, how does one “prove” safety, either in general or specifically within the magnetic resonance imaging (MRI) environment? For example, in the case of cochlear implants, several studies have documented the “safety” of MRI exposure by numerous patients with ...
Research Letter 
Gregory T. Whitman, MD; Robert W. Baloh, MD
Benign paroxysmal positional vertigo (BPPV) occurs when otoconia of the utricular macula become dislodged and freely floating otolithic debris moves into 1 or more of the semicircular canals (usually the posterior canal). This release of otoconia from the macula is most often idiopathic.1 However, it was recently found that in ...

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