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 Showing 1-20 of 31 Articles
Original Investigation 
K. Kelly Gallagher, MD; Assuntina G. Sacco, MD; Julia Shin-Jung Lee, MS, MPH; Rodney Taylor, MD, MSPH; Eric J. P. Chanowski, MD; Carol R. Bradford, MD, MS; Mark E. Prince, MD; Jeffrey S. Moyer, MD; Gregory T. Wolf, MD; Francis P. Worden, MD; Avraham Eisbruch, MD; Douglas B. Chepeha, MD, MSPH, FRCSC

Importance  This study describes the effect of adjuvant treatment on shoulder-related quality of life, leisure activities, and employment for patients undergoing neck dissection for head and neck cancer.

Objective  To explore the association between treatment outcome and shoulder-related on critical daily life functions such as employment ...

Clinical Challenge 
Sneha Satish Deshpande, MD; Shubhada Kane, MD; Supreeta Arya, MD

A young man presented with a painless gradually increasing swelling in the right side of the neck of 6 years’ duration; a CT scan revealed a solid right carotid space mass with a few cystic areas and coarse specks of calcification. What is the diagnosis?

Suhyla Alam, MD; Peter G. Volsky, MD; J. Trad Wadsworth, MD; Daniel W. Karakla, MD

This case series describes 3 patients with undescended symptomatic parathyroid adenomas that required reoperation or advanced imaging to localize.

Original Investigation 
John R. de Almeida, MD, MSc; Ryan Li, MD; J. Scott Magnuson, MD; Richard V. Smith, MD; Eric Moore, MD; Georges Lawson, MD; Marc Remacle, MD; Ian Ganly, MD; Dennis H. Kraus, MD; Marita S. Teng, MD; Brett A. Miles, MD; Hilliary White, MD; Umamaheswar Duvvuri, MD, PhD; Robert L. Ferris, MD, PhD; Vikas Mehta, MD; Krista Kiyosaki, MD; Edward J. Damrose, MD; Steven J. Wang, MD; Michael E. Kupferman, MD; Yoon Woo Koh, MD; Eric M. Genden, MD; F. Christopher Holsinger, MD
Includes: Supplemental Content

Importance  Large patient cohorts are necessary to validate the efficacy of transoral robotic surgery (TORS) in the management of head and neck cancer.

Objectives  To review oncologic outcomes of TORS from a large multi-institutional collaboration and to identify predictors of disease recurrence and disease-specific mortality.

Design, ...

Original Investigation 
Stephanie R. C. Zacharias, PhD; Barbara Weinrich, PhD; Susan Baker Brehm; Lisa Kelchner, PhD; Dimitar Deliyski, PhD; Meredith Tabangin, MPH; Alessandro de Alarcon, MD, MPH

Importance  Up to half of children have substantial dysphonia after airway reconstruction. Visual assessment of vocal function is valuable. Feasibility of flexible and rigid endoscopy has been reported; however, the clinical utility of stroboscopy has not been examined. Rating of vibratory characteristics, such as mucosal wave and ...

Original Investigation 
Marijke Dieltjens, MBS, PhD; Annelies E. Verbruggen, MD; Marc J. Braem, DDS, PhD; Kristien Wouters, PhD; Johan A. Verbraecken, MD, PhD; Wilfried A. De Backer, MD, PhD; Evert Hamans, MD, PhD; Paul H. Van de Heyning, MD, PhD; Olivier M. Vanderveken, MD, PhD
Includes: Supplemental Content

Importance  The main reported reasons for discontinuation of oral appliance therapy for sleep-related disordered breathing (SDB) are the presence of self-perceived adverse effects and self-appreciated lack of efficacy. However, these conclusions rely only on subjective compliance data.

Objective  To determine which parameters are correlated with objectively ...

Research Letter 
Kevin J. Contrera, MPH; Josh Betz, MS; Dane J. Genther, MD; Frank R. Lin, MD, PhD

This study uses data from the cross-sectional National Health and Nutrition Examination Survey to report that, in adults 70 years or older, moderate or more severe hearing impairment was significantly associated with a 54% increased risk of mortality.

Comment & Response 
Michel J. Belliveau, MD, FRCSC

To the Editor Mallen-St Clair and colleagues1 provided a wealth of data in their recent article on the epidemiology and treatment of lacrimal gland tumors. The authors have unfortunately overlooked a flaw in the methods that significantly limits the utility of the data. In the Surveillance, Epidemiology, ...

Comment & Response 
Jon Mallen St Clair, MD, PhD; Armin Arshi, BS; Maie St John, MD, PhD

In Reply In our recent study,1 we surveyed the Surveillance, Epidemiology, and End Results Program (SEER) database to determine the prevalence and determinants of survival of malignant epithelial tumors of the lacrimal gland. In accordance with previous studies, we found that adenoid cystic carcinoma (ACC) is the ...

Comment & Response 
Michael Friedman, MD; Michelle S. Hwang, BS

To the Editor We read the article by Kumar et al1 titled “The Reliability of Clinical Tonsil Size Grading in Children.” We congratulate the authors on strong scientific work. We agree that it is both necessary and important that tonsillar grading scales are reproducible and consistent. Nonetheless, ...

Comment & Response 
Neil K. Chadha, MBChB, MPHe, BSc, FRCS

In Reply Thank you for providing us the opportunity to respond to the letter from Drs Friedman and Hwang, in reference to our recent publication.1 We appreciate their interest in this work. We recognize their concern that this study was performed in a pediatric population and therefore ...

Original Investigation 
Robert J. Lee, BS; Andrew P. Tan, MS; Elizabeth L. Tong, BS; Nihal Satyadev; Russell E. Christensen, DDS, MS
Includes: Supplemental Content

Importance  Malignant tumors of the submandibular gland are uncommon, leading to limited information regarding prognostic factors and difficulty in evaluating treatment modalities.

Objective  To investigate the correlates of survival in patients with primary malignant tumors of the submandibular gland.

Design, Setting, and Participants  Data from ...

Original Investigation 
Satyan B. Sreenath, MD; Pablo F. Recinos, MD; Stanley W. McClurg, MD; Brian D. Thorp, MD; Kibwei A. McKinney, MD; Cristine Klatt-Cromwell, MD; Adam M. Zanation, MD

Importance  Improvements in endoscopic technology and reconstructive techniques have made the endoscopic endonasal approach (EEA) a viable option to approach ventromedial lesions in the region of the hypoglossal canal. Prior to contemplating this surgical corridor, a thorough understanding of anatomic relationships and landmarks is essential to safely ...

Clinical Challenge 
Marcus J. Magister, BS; Henry Crist, MD; Benjamin S. Oberman, MD

A woman with a history of essential thrombocythemia was diagnosed as having acute myelogenous leukemia and during the course of the second chemotherapy treatment developed left-sided mandibular pain and ecchymoses along the mandibular buccal-gingival borders. What is the diagnosis?

Original Investigation 
Ali Espinel, MD; Marian Poley, BS; George H. Zalzal, MD; Kenny Chan, MD; Diego Preciado, MD, PhD

Importance  Interest in pediatric otolaryngology fellowship training is growing. The workforce implications of this growing interest are unclear and understudied.

Objectives  To analyze trends in pediatric otolaryngology training, determine where fellows who graduated over the past 10 years are currently practicing, and test the hypothesis that ...

Original Investigation 
Misha Amoils, MD; Mary Crisham Janik, MD; Lawrence R. Lustig, MD

Importance  Although congenital diaphragmatic hernia (CDH) may be associated with sensorineural hearing loss (SNHL), to our knowledge, no studies have yet identified the pattern of this hearing loss or definitive independent risk factors that may place this population at higher risk.

Objective  To characterize the type ...

Original Investigation 
Jeremiah A. Alt, MD, PhD; Adam S. DeConde, MD; Jess C. Mace, MPH; Toby O. Steele, MD; Richard R. Orlandi, MD; Timothy L. Smith, MD, MPH
Includes: Supplemental Content

Importance  Patients with chronic rhinosinusitis (CRS) have reduced sleep quality linked to their overall well-being and disease-specific quality of life (QOL). Other primary sleep disorders also affect QOL.

Objective  To determine the impact of comorbid obstructive sleep apnea (OSA) on CRS disease-specific QOL and sleep dysfunction ...

Clinical Challenge 
Craig Bollig, BS; Laura C. Huang, BA; Ralph Abi-Hachem, MD; Oleksandr N. Kryvenko, MD; Jason M. Leibowitz, MD

A woman with intermittent left-sided throat and ear pain underwent surgery for left base of tongue resection via suprahyoid approach along with a left-sided neck dissection of levels I to IV. What is the diagnosis?

Correction  FREE

In the Original Investigation titled “Factors Associated With Hospital Length of Stay Following Fibular Free-Tissue Reconstruction of Head and Neck Defects: Assessment Using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Criteria,”1 published online April 23, 2015, there was an omission in the ...

Original Investigation 
Jill M. Arganbright, MD; Emily L. Jensen, BS; Jameson Mattingly, MD; Dexiang Gao, PhD; Kenny H. Chan, MD

Importance  Inferior turbinoplasty (IT) in pediatric patients is a common procedure used to treat childhood nasal obstruction. Most of the published IT studies in this population did not control for concurrent airway procedures.

Objective  To assess postoperative outcomes in pediatric patients undergoing isolated IT.

Design, Setting, ...

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