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 Showing 1-20 of 38 Articles
Our specialty is fortunate to have a number of quality journals in which to publish valuable clinically oriented manuscripts. Because of this, I wish to define for authors some of the important advantages of publishing in our journal.
Original Investigation 
Edmund A. Milder, MD; Mark D. Rizzi, MD; Knashawn H. Morales, MD; Rachael K. Ross, MPH; Ebbing Lautenbach, MD, MSCE; Jeffrey S. Gerber, PhD, MD, MSCE

Importance  More than 500 000 children undergo tonsillectomy each year in the United States. Although prior studies suggest that most patients received perioperative antibiotics, practice varies across centers. In 2011, the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) published a practice guideline recommending against perioperative antibiotic use ...

Original Investigation 
Randy M. Leung, MD; Timothy L. Smith, MD, MPH; Luke Rudmik, MD, MSc

Importance  For patients with epistaxis in whom initial interventions, such as anterior packing and cauterization, had failed, options including prolonged posterior packing, transnasal endoscopic sphenopalatine artery ligation (TESPAL), and embolization are available. However, it is unclear which interventions should be attempted and in which order. While cost-effectiveness ...

Original Investigation 
Syed F. Ahsan, MD; Robert Standring, MD; Daniel A. Osborn, MD; Ed Peterson, PhD; Michael Seidman, MD; Rajan Jain, MD

Importance  Asymmetric sensorineural hearing loss (ASNHL) is commonly encountered in an otolaryngologic clinical practice. Determining what factors are associated with abnormal magnetic resonance imaging (MRI) findings will help with diagnostic workup.

Objective  To evaluate the association between clinical and audiometric factors and abnormal MRI findings in ...

Thomas J. Hwang, AB; Charlotte Kiang, BA; Marek Paul, MD
Includes: Supplemental Content
In this Viewpoint, the authors examine key issues relating to the clinical use, regulation, and reimbursement of 3-dimensional printing technology.
Original Investigation 
Cristina Cabrera-Muffly, MD; Paul C. Bryson, MD; Kevin J. Sykes, PhD, MPH; Yelizaveta Shnayder, MD

Importance  Otolaryngology residents need concise, easily accessible modules to expand educational opportunities between surgical cases. These modules should be inexpensive to create and improve learning outcomes.

Objective  The purpose of this pilot study was to assess whether otolaryngology residents at multiple institutions used online video modules ...

Case Report/Case Series 
Giriraj K. Sharma, MD, MS; Allen Foulad, MD; Sunil P. Verma, MD

Importance  A challenge in treating subglottic stenosis is assessment of airway caliber before and after management. At present, surgeons lack a simple, efficient, and precise method of measuring subglottic stenosis intraoperatively. We present a novel, easily reproducible tool for measurement of the diameter, location, and length of ...

Clinical Problem Solving 
Zao Yang, MD; Ravindra Uppaluri, MD, PhD; James S. Lewis Jr, MD
A man in his 50s presented with worsening sinus obstruction and congestion, more severe on the left side, with associated hyposmia, facial pressure, and frontal headaches. Computed tomography showed a 3.1-cm mass in the left ethmoid sinus and nasal cavity approaching the cribriform plate. What is the diagnosis?
Continued Learning 
Steven M. Houser, MD; Catherine Weng, MD; Yi-Chun Liu, MD

Anaphylaxis is a severe life-threatening systemic reaction that otolaryngologists may come in contact with through emergency cases, or in their offices when delivering allergy immunotherapy. Rapid recognition of the entity should be followed by epinephrine administration. Anaphylaxis causes, including a hypothetical scenario, are described. Various risk factors for ...

Clinical Problem Solving 
Amy L. Hughes, MD; Edward Yang, MD; Sara O. Vargas, MD
A teen-age girl presented with a 3-month history of a gradually enlarging soft palate mass associated with a change in her voice. The physical examination revealed a 2 × 2-cm firm, nontender, submucosal posterior soft palate mass just left of the uvula. Results from flexible nasopharyngoscopy were normal. What is ...
Original Investigation 
Suman Thapa, MS; Ashok K. Gupta, MS, MNAMS; Amod Gupta, MS; Vivek Gupta, MD; Pinaki Dutta; Ramandeep S. Virk, MS
Includes: Supplemental Content

Importance  Dysthyroid orbitopathy is clinically relevant in 30% to 40% of patients with Graves disease and is sight threatening as related to optic neuropathy, corneal breakdown, or both in 3% to 5%.

Objectives  To evaluate proptosis reduction using clinical (Hertel exophthalmometry) vs radiological (computed tomography) modalities ...

Original Investigation  FREE
Selmin Karatayli-Ozgursoy, MD; Paulette Pacheco-Lopez, MD; Alexander T. Hillel, MD; Simon R. Best, MD; Justin A. Bishop, MD; Lee M. Akst, MD

Importance  Laryngeal dysplasia is a common disease entity that remains clinically frustrating because functional outcomes are balanced against oncologic results. Understanding evolution in dysplasia demographics, treatment, and progression rates may inform better therapy in the future.

Objectives  To review laryngeal dysplasia cases at a single institution ...

Original Investigation 
Angelina Magreni, BA; Darrin V. Bann, PhD; Jane R. Schubart, PhD; David Goldenberg, MD

Importance  The incidence of thyroid cancer has increased over the past 30 years. Thyroid cancer is less common in blacks than in persons of white descent, and it has been most common in Asians/Pacific Islanders until recently.

Objective  To determine whether the incidence of thyroid cancer ...

Clinical Problem Solving 
Jeong Hong Kim, MD; Ju Wan Kang, MD
A woman in her 60s presented with a history of oropharyngeal discomfort and snoring and obstructive sleep disturbance. Physical examination revealed a mass measuring approximately 4 × 3 cm and covered with normal mucosa on the posterior oropharyngeal wall. Computed tomography showed a segmented bony lesion located at the odontoid ...
Original Investigation 
Robert C. O’Reilly, MD; Sam Soundar, PhD; Dalal Tonb, ScD; Laura Bolling, BS; Estelle Yoo, MD; Tracey Nadal, BS; Christopher Grindle, MD; Erin Field, PA; Zhaoping He, PhD

Importance  Otitis media is characterized as an ongoing inflammation with accumulation of an effusion in the middle ear cleft. The molecular mechanisms underlying the pathogenesis, particularly the inflammatory response, remain largely unknown. We hypothesize that aspiration of gastric contents into the nasopharynx may be responsible for the ...

Original Investigation 
Samir H. Patel, MD; Richard E. Hayden, MD; Michael L. Hinni, MD; William W. Wong, MD; Robert L. Foote, MD; Shadi Milani, BS; Qing Wu, ScD; Stephen J. Ko, MD; Michele Y. Halyard, MD

Importance  The etiology and optimal treatment are unknown for angiosarcoma, an aggressive malignant tumor that affects vascular endothelial cells and can be mistaken for benign lesions such as hemangioma.

Objective  To determine the treatment outcomes of patients with angiosarcoma of the face or scalp treated with ...

Original Investigation 
Neil Bhattacharyya, MD; Elliot Abemayor, MD, PhD

Importance  The care of patients with head and neck cancer (HNCA) is becoming increasingly regionalized to high-volume, more effective centers. However, it remains uncertain whether such care is equally distributed. Increasing our understanding of how HNCA treatment is utilized among different sectors should improve strategy designs aimed ...

Case Report/Case Series 
Christopher R. Kieliszak, DO; Amarbir Gill, BS; Mohammed Faiz, MD; Arjun S. Joshi, MD

Importance  Submandibular fistula is a rare condition that presents diagnostic and treatment challenges. Accurate diagnosis may be achieved by means of thorough physical examination, proper imaging, and usually surgical exploration. We describe the clinical significance of aberrant submandibular ductal fistula or ostium and discuss our dilemmas during ...

Original Investigation  FREE
Margaret T. Dillon, AuD; Oliver F. Adunka, MD; Meredith L. Anderson, AuD; Marcia C. Adunka, AuD; English R. King, AuD; Craig A. Buchman, MD; Harold C. Pillsbury, MD

Importance  This study reviewed whether advanced age should be a consideration when revision cochlear implantation is warranted.

Objective  To examine whether age at revision cochlear implantation is related to postrevision speech perception performance.

Design, Setting, and Participants  A retrospective analysis was performed in an academic ...

Original Investigation 
Adrian J. Priesol, MD; Mengfei Cao, BA; Carla E. Brodley, PhD; Richard F. Lewis, MD
Includes: Supplemental Content

Importance  Dizziness and imbalance are common clinical problems, and accurate diagnosis depends on determining whether damage is localized to the peripheral vestibular system. Vestibular testing guides this determination, but the accuracy of the different tests is not known.

Objective  To determine how well each element of ...

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