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 Showing 1-20 of 36 Articles
Original Investigation 
Patrick Sheahan, MB, FRCSI (ORL-HNS); Mohamed Mohamed, MB; Carmel Ryan, MB; Linda Feeley, MB, FRCPath; Brendan Fitzgerald, MB, FRCPath; Julie McCarthy, MB, FRCPath; Antoinette Tuthill, MB, MRCPI; Matthew S. Murphy, MB, MRCPI

Importance  The follicular variant (FV) of papillary thyroid carcinoma (PTC) is an important subtype that can be difficult to diagnose using preoperative cytologic analysis.

Objective  To compare conventional and FV PTC with regard to preoperative cytologic diagnosis using a tiered thyroid cytologic reporting system, tumor size ...

Original Investigation 
Nobuhiro Hakuba, MD, PhD; Naohito Hato, MD; Masahiro Okada, MD; Kazuyo Mise, MD; Kiyofumi Gyo, MD

Importance  The use of growth factors to achieve closure of perforated tympanic membranes (TMs) has recently become popular. However, preoperative factors affecting treatment outcomes have seldom been discussed.

Objective  To evaluate preoperative factors contributing to the success or failure of healing of perforated TMs.

Design, Setting, ...

Original Investigation 
Gregory Capra, MD; Bryan Liming, MD; Mark E. Boseley, MD; Matthew T. Brigger, MD, MPH

Importance  Several studies have documented the prevalence and treatment of orbital complications secondary to pediatric rhinosinusitis, but to our knowledge, none have investigated the national health care burden of this disease since the introduction of the heptavalent pneumococcal vaccine (PCV-7).

Objective  To identify the current public ...

Clinical Problem Solving 
Gregg W. Schmedes, MD; Habib G. Rizk, MD; Paul R. Lambert, MD
Original Investigation 
Eelam Adil, MD, MBA; Hasan Al Shemari, MD; Reza Rahbar, DMD, MD

Importance  Type 3 laryngeal clefts (LC type 3) are traditionally repaired through an open approach, which requires tracheal intubation or tracheotomy placement and risks potential wound complications.

Objective  To describe the surgical technique and outcomes of endoscopic carbon dioxide laser–assisted repair in pediatric patients with LC ...

Original Investigation 
Marcos Martinez Del Pero, MD, FRCS (ORL-HNS); David Jayne, MD, FRCP; Afzal Chaudhry, PhD, FRCP; Pasupathy Sivasothy, FRCP; Piyush Jani, FRCS (ORL-HNS)

Importance  Airway stenosis occurs in patients with granulomatosis with polyangiitis (GPA or Wegener granulomatosis). It produces significant morbidity and contributes to mortality.

Objective  To investigate the frequency and distribution of airway stenoses in GPA and evaluate the efficacy of local interventions in maintaining airway patency.

Design, ...

Original Investigation 
Salem I. Noureldine, MD; Dane J. Genther, MD; Michael Lopez, CRNP; Nishant Agrawal, MD; Ralph P. Tufano, MD, MBA

Importance  Postoperative hypocalcemia is common after total thyroidectomy, and perioperative monitoring of serum calcium levels is arguably the primary reason for overnight hospitalization. Confidently predicting which patients will not develop significant hypocalcemia may allow for a safe earlier discharge.

Objective  To examine associations of patient characteristics ...

Original Investigation 
Boris Paskhover, MD; Mikhail Wadie, MD; Clarence T. Sasaki, MD

Importance  There continues to be a paucity of data regarding the pharyngeal plexus (PP) and its interconnectivity with the laryngeal nerves and function.

Objective  To identify the specific neural pathways involved in the glottic closure reflex (GCR)-like pathway of the PP and other pathways to the ...

Original Investigation 
Steven M. Sperry, MD; Mary E. Charlton, PhD; Nitin A. Pagedar, MD, MPH
Includes: Supplemental Content

Importance  Sentinel lymph node biopsy (SLNB) provides prognostic information for melanoma; however, a survival benefit has not been demonstrated.

Objective  To assess the association of SLNB with survival for melanoma arising in head and neck subsites (HNM).

Design, Setting, and Participants  Propensity score–matched retrospective cohort ...

Clinical Problem Solving 
Daniel Eggeman, BS; Vatsal Patel, MD; Neil N. Chheda, MD
Clinical Challenges in Otolaryngology 
David L. Steward, MD

Hypothesis  Outpatient thyroidectomy is better than inpatient thyroidectomy.

Case Report/Case Series 
Eric A. Gantwerker, MD, MS; Amy Lawrason Hughes, MD; V. Michelle Silvera, MD; Sara O. Vargas, MD; Reza Rahbar, MD, DMD

Importance  Foregut duplication cysts are benign developmental anomalies occurring along the foregut-derived portion of the alimentary tract. Several cases of foregut duplications in the head and neck region have been reported, most without airway symptoms. This case is an antenatally recognized anterior tongue lesion leading to respiratory ...

Invited Commentary 
Ralph P. Tufano, MD, MBA
Outpatient thyroidectomy, defined as a discharge from medical care the same day of surgery, is gaining favor by physicians and other clinicians and third-party payers as an option for many surgical patients with thyroid disease because it enables significant cost savings in health care expenditures. However, quality and patient safety ...
Original Investigation 
Divjot S. Kumar, BSc; Dianne Valenzuela, BSc, BA; Frederick K. Kozak, MD, FRCSC; Jeffrey P. Ludemann, MD, FRCSC; J. Paul Moxham, MD, FRCSC; Jane Lea, MD, FRCSC; Neil K. Chadha, MBChB (Hons), MPHe, FRCS

Importance  Because tonsillar enlargement can have substantial ill health effects in children, reliable monitoring and documentation of tonsil size is necessary in clinical settings. Tonsil grading scales potentially allow clinicians to precisely record and communicate changes in tonsil size, but their reliability in a clinical setting has ...

Original Investigation 
Ashley C. Mays, MD; Farah Moustafa, BS; Mitch Worley, BS; Joshua D. Waltonen, MD; Ralph D’Agostino Jr, PhD

Importance  Identifying high-risk patients in the preoperative period can allow physicians to optimize nutritional status early for better outcomes after head and neck cancer resections.

Objective  To develop a model to predict preoperatively the need for gastrostomy tube (G-tube) placement in patients undergoing surgery of the ...

Review 
Saurabh Sharma, MD; Gary D. Josephson, MD, MBA

Importance  Orbital infections from acute sinusitis are rare in neonates and infants and can lead to devastating complications. To our knowledge, no prior dedicated review exists for evaluation, treatment, and outcomes of orbital complications in this age group.

Objective  To perform a systematic review over the ...

Original Investigation 
Mathew Geltzeiler, MD; Marcus Monroe, MD; Babak Givi, MD; John Vetto, MD; Peter Andersen, MD; Neil Gross, MD

Importance  Historically, patients with cervical metastases from melanoma of the head and neck were treated with a radical neck dissection. This study evaluates the efficacy of limiting the extent of lymphadenectomy in this high-risk population.

Objectives  To determine whether limiting the extent of lymphadenectomy for patients ...

Original Investigation  FREE
Vinita Bahl, DMD, MPP; Andrew G. Shuman, MD; Hsou Mei Hu, PhD, MBA, MHS; Christopher R. Jackson, MD; Christopher J. Pannucci, MD, MS; Cesar Alaniz, PharmD; Douglas B. Chepeha, MD, MSPH; Carol R. Bradford, MD, MS

Importance  Venous thromboembolism (VTE) causes significant morbidity and mortality in surgical patients. Despite strong evidence that thromboprophylaxis reduces the incidence VTE, guidelines for prophylaxis in otolaryngology are not well established. Key to the development of VTE prophylaxis recommendations are effective VTE risk stratification and evaluation of the ...

Original Investigation 
Jenica S. Yong, MBBS; Jared J. Christophel, MD, MPH; Stephen S. Park, MD

Importance  “Large” nasal defects are typically classified as larger than 1.5 cm. Within that group, however, there is a subset of patients with smaller nasal defects (1.5-2.5 cm) who are treated differently. This study examines the different methods that we have used in the reconstruction of such ...

Original Investigation 
Tiffany A. Glazer, MD; Paul T. Hoff, MS, MD; Matthew E. Spector, MD

Importance  Patients who undergo surgery for obstructive sleep apnea (OSA) have acceptable perioperative morbidity that is similar to that seen in other sleep-related surgical procedures.

Objective  To perform the first large-scale evaluation of perioperative management and postoperative complications in patients who undergo transoral robotic surgery (TORS) ...

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