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 Showing 1-20 of 30 Articles
Original Investigation 
Ian Smillie, MRCS Ed; Sophie Robertson; Anna Yule; David M. Wynne, FRCS; Craig J. H. Russell, FRCS

Importance  Optimizing hearing in patients with cleft lip and/or palate (CLP) by early recognition and management of otitis media with effusion is essential for speech development. Some evidence has suggested higher complication rates from ventilation tube (VT) insertion in patients with CLP and has led to a ...

Original Investigation 
Taylor S. Pence, BS; Evan R. Reiter, MD; Laurence J. DiNardo, MD; Richard M. Costanzo, PhD

Importance  Normal olfaction provides essential cues to allow early detection and avoidance of potentially hazardous situations. Thus, patients with impaired olfaction may be at increased risk of experiencing certain hazardous events such as cooking or house fires, delayed detection of gas leaks, and exposure to or ingestion ...

Original Investigation 
Darrin V. Bann, PhD; Neerav Goyal, MD, MPH; Fabian Camacho, MA, MS; David Goldenberg, MD

Importance  The incidence of thyroid cancer in the United States has increased rapidly and Pennsylvania is the state with the highest rate of thyroid cancer in the country, although the factors driving this increase are unknown. Moreover, it remains unclear whether the increase in thyroid cancer represents ...

Original Investigation 
Antoine Eskander, MD, ScM; Karen A. Gordon, PhD; Yamilet Tirado, MD, FACS; Talar Hopyan, PhD; Laurie Russell, MHSc, SLP(C), Reg CASLPO; Jennifer Allegro, MSc, SLP(C), Reg CASLPO; Blake C. Papsin, MD, MSc, FRCSC; Paolo Campisi, MSc, MD, FRCSC

Importance  Although voice has been studied extensively in children who use cochlear implants (CIs), speech production has not been studied in this population using the Motor Speech Profile. Whether children who receive CIs gain normal speech production abilities is unknown.

Objective  To assess speech and articulation ...

Original Investigation  FREE
Alison Maresh, MD; Diego A. Preciado, MD, PhD; Ashley P. O’Connell, BA, BS; George H. Zalzal, MD

Importance  Minimally invasive endoscopic techniques are an appealing alternative to open surgical management of pediatric subglottic stenosis (SGS), but more information is needed to understand the comparative risks, benefits, and limitations of such interventions.

Objective  To compare the effectiveness of endoscopic balloon dilation (EBD) and laryngotracheoplasty ...

Case Report/Case Series 
Alice E. Chang, MD; Bryan T. Ambro, MD; Scott E. Strome, MD; John C. Papadimitriou, MD, PhD; Kevin D. Pereira, MD, MS

Importance  Noncongenital immature teratomas in the head and neck are extremely rare, and to our knowledge have not previously been reported in the maxillary sinus of a pediatric patient.

Observations  Teratomas are neoplasms that contain tissue from more than 1 embryonic cell layer that is foreign ...

Original Investigation 
Andrew Thamboo, BSc, MHSc, MD; Rachelle C. Dar Santos, BSc; Lalenthra Naidoo, MBBCh, DCH, MMed(ORL); Ronak Rahmanian, BSc, MD; Mark A. Chilvers, MD, FRCPC; Neil K. Chadha, MBChB(Hons), MPHe, BSc(Hons), FRCS(ORL-HNS)

Importance  Sinonasal disease and, specifically, nasal polyps, occur frequently in children with cystic fibrosis (CF). As survival rates have improved, it has become imperative that otolaryngologists become involved in the care of patients with CF to provide appropriate medical and surgical interventions for sinonasal disease. Despite significant ...

Original Investigation 
Alexander T. Hillel, MD; Daryan Namba, BS; Dacheng Ding, MD, PhD; Vinciya Pandian, PhD; Jennifer H. Elisseeff, PhD; Maureen R. Horton, MD

Importance  Laryngotracheal stenosis (LTS) lacks an ideal animal model to study its unique wound-healing pathophysiology and the effect of interventions.

Objective  To present an in vivo, in situ mouse model of LTS that can be used to investigate its pathophysiology, mechanisms, and interventions for treatment.

Design, ...

Original Investigation 
Uchechukwu C. Megwalu, MD, MPH; Andrew G. Sikora, MD, PhD

Importance  Chemoradiation therapy has become increasingly popular in the treatment of advanced laryngeal cancer as part of an organ preservation protocol. However, several studies have reported a decline in survival, possibly attributable to the increased use of radiation and chemoradiation therapy.

Objective  To evaluate survival outcomes ...

Clinical Problem Solving 
Antonio Greco, MD, PhD; Giannicola Iannella, MD; Mario Tombolini, MD; Andrea Gallo, MD; Massimo Fusconi, MD, PhD; Marco de Vincentiis, MD
Clinical Problem Solving 
Andria M. Caruso, MD; Tanya K. Meyer, MD; Clint T. Allen, MD
Original Investigation 
Evan M. Graboyes, MD; Zao Yang, BS; Dorina Kallogjeri, MD, MPH; Jason A. Diaz, MD; Brian Nussenbaum, MD

Importance  Patients undergoing total laryngectomy are at high risk for hospital readmission. Hospital readmissions are increasingly scrutinized because they are used as a metric of quality care and are subject to financial penalties.

Objective  To determine the rate of, reasons for, and risk factors that predict ...

Case Report/Case Series 
Sam J. Daniel, MD, MSc, FRCSC; Isabel Cardona, MD

Importance  More than half of children with bilateral vocal fold paralysis require a tracheostomy for airway management. We report an innovative, minimally invasive approach consisting of onabotulinum toxin A injection into the cricothyroid muscles.

Observations  Onabotulinum toxin A was injected under direct vision into the cricothyroid ...

Original Investigation 
Megahed M. Hassan, MD; Eiji Yumoto, MD; Tetsuji Sanuki, MD; Yoshihiko Kumai, MD; Narihiro Kodama, BA; M. Ali Baraka, MD; Hassan Wahba, MD; Nervana G. Hafez, MD; Ahlam A. N. El-Adawy, MD

Importance  Optimal glottal closure as well as symmetrical vocal fold masses and tensions are essential prerequisites for normal voice production. Successful phonosurgery depends on restoring these prerequisites to achieve long-term improvement.

Objective  To evaluate the efficacy of the laryngeal framework surgical treatments (arytenoid adduction with and ...

Original Investigation  FREE
Luke Rudmik, MD, MSc; Randy Leung, MD

Importance  Intractable epistaxis is a common otolaryngology emergency. Transnasal endoscopic sphenopalatine artery ligation (TESPAL) and endovascular arterial embolization both provide excellent success rates, and therefore the decision to choose one over the other can be challenging.

Objective  To aid in decision making by evaluating the cost-effectiveness ...

Clinical Problem Solving 
Alexander Lanigan, MD; Andrew J. Tompkins, MD; Arnaldo Rivera, MD
Viewpoint 
Bruce H. Campbell, MD; Paul A. Levine, MD
One of the central tenets of the Affordable Care Act (ACA) is Medicaid expansion, bringing previously uninsured and underinsured Americans under the umbrella of health care coverage based on income. Prior experience with Medicaid expansion programs (eg, in Oregon1) demonstrated increased use of health care services, improved rates of diabetes ...
Original Investigation 
Kevin S. Emerick, MD; Marc W. Herr, MD; Derrick T. Lin, MD; Felipe Santos, MD; Daniel G. Deschler, MD

Importance  There are limited data on the use of the supraclavicular artery island flap (SCAIF) for parotid and lateral skull base (LSB) surgery. This flap can be an important reconstructive tool for these procedures.

Objective  To describe the use of the SCAIF for parotid and LSB ...

Original Investigation 
Vanessa De Guzman, MS; Catherine L. Ballif, MA, CCC-SLP; Rie Maurer, MA; Christopher J. Hartnick, MD, MSEpi; Nikhila Raol, MD

Importance  Paradoxical vocal fold motion (PVFM) affects almost 1 million adolescents in the United States. However, to date, no disease-specific objective measure exists to assess symptom severity and response to treatment in adolescents with exercise-induced PVFM.

Objectives  To validate the Dyspnea Index (DI) quality-of-life instrument (previously ...

Original Investigation 
Michael E. McCormick, MD; Thomas M. Fissenden, MD; Robert H. Chun, MD; Lina Lander, ScD; Rahul K. Shah, MD, MBA

Importance  Pediatric laryngotracheal trauma is rare but can carry considerable morbidity and health care resource expenditure. However, the true cost of these injuries has not been thoroughly investigated.

Objective  To use a national administrative pediatric database to identify normative data on pediatric laryngotracheal trauma, specifically with ...

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