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 Showing 1-20 of 28 Articles
Original Investigation 
Aviram Mizrachi, MD; Ohad Hilly, MD; Eyal Raveh, MD; Joseph Attias, PhD; Ben I. Nageris, MD

Importance  Bilateral vestibular failure is a debilitating condition that may lead to oscillopia and adversely affect quality of life. Researchers have suggested that vestibular function might be restored with implantation of an external mechanical stimulation device. However, it is essential that such a device must not interfere ...

Original Investigation 
Jessica H. Maxwell, MD, MPH; Lester D. R. Thompson, MD; Margaret S. Brandwein-Gensler, MD; Bernhard G. Weiss, MD; Martin Canis, MD; Bibianna Purgina, MD; Arpan V. Prabhu, BS; Chi Lai, MD; Yongli Shuai, MS; William R. Carroll, MD; Anthony Morlandt, MD, DDS; Umamaheswar Duvvuri, MD, PhD; Seungwon Kim, MD; Jonas T. Johnson, MD; Robert L. Ferris, MD, PhD; Raja Seethala, MD; Simion I. Chiosea, MD

Importance  Positive margins are associated with poor prognosis among patients with oral tongue squamous cell carcinoma (SCC). However, wide variation exists in the margin sampling technique.

Objective  To determine the effect of the margin sampling technique on local recurrence (LR) in patients with stage I or ...

Original Investigation 
Christopher W. Noel, BSc; Daniel J. Lee, BHSc; Qin Kong, MMath; Wei Xu, PhD; Colleen Simpson, BA; Dale Brown, MD; Ralph W. Gilbert, MD; Patrick J. Gullane, MB; Jonathan C. Irish, MD, MSc; Shao Hui Huang, MSc; Brian O’Sullivan, MB, BCh, BAO; David P. Goldstein, MD, MSc; John R. de Almeida, MD, MSc

Importance  Accurate measurement of health state utilities (HU) is the cornerstone for cost-utility analyses and the valuation of quality of life for given health states. Current indirect methods of HU derivation lack face validity for patients with head and neck cancer. The appropriateness of these measures compared ...

Original Investigation  FREE
Anaeze C. Offodile II, MD; Abraham Pathak, MD; Julia Wenger, MPH; Dennis P. Orgill, MD, PhD; Lifei Guo, MD, PhD

Importance  Hospital readmissions are a marker of surgical care delivery and quality that are progressively more scrutinized.

Objective  To provide a comprehensive analysis of 30-day readmissions for patients with head and neck cancer who underwent free flap reconstruction to highlight the rate, causes, and associated patient ...

Original Investigation 
Robert L. Folmer, PhD; Sarah M. Theodoroff, PhD; Linda Casiana, MS, CCRP; Yongbing Shi, MD, PhD; Susan Griest, MPH; Jay Vachhani, AuD
Includes: Supplemental Content

Importance  Chronic tinnitus negatively affects the quality of life for millions of people. This clinical trial assesses a potential treatment for tinnitus.

Objectives  To determine if repetitive transcranial magnetic stimulation (rTMS) can reduce the perception or severity of tinnitus and to test the hypothesis that rTMS ...

Original Investigation 
Abie H. Mendelsohn, MD; Zhaoyan Zhang, PhD; Georg Luegmair, PhD; Michael Orestes, MD; Gerald S. Berke, MD

Importance  Scientific understanding of human voice production to date is a product of indirect investigations including animal models, cadaveric tissue study, or computational modeling. To our knowledge, direct experimentation of human voice production has previously not been possible owing to its invasive nature. The feasibility of an ...

Clinical Challenge 
Florence A. Othieno, MD; Joseph R. Williams, MD; Larry L. Myers, MD

A man in his 60s presented with intermittent left otalgia, facial pain, swelling, and dysphagia that was exacerbated by eating and prolonged talking. Computed tomography of the neck demonstrated a ossified mass in the left parapharyngeal space. What is your diagnosis?

Gerald S. Berke, MD

Even before the passing of Dr Ward, I frequently thought about what personal characteristics of this great man led to the development of so many great academicians and leaders in the field of otolaryngology. Paul would occasionally proudly state that he had produced 25 Chairs in our specialty.

Topics: otolaryngology
Robert W. Cantrell, MD

Paul H. Ward, MD, died on April 9, 2015. When someone of his stature dies, the significance of this event and the influences he had on the specialty of otolaryngology–head and neck surgery and medicine in general are difficult to put into words. Words such as “giant in ...

Topics: otolaryngology
Original Investigation  FREE
Rania Mehanna, MB; Anthony Hennessy, MRCPI; Stephen Mannion, MRCPI; Gerard O’Leary, MB, FRCSI; Patrick Sheahan, MB, MD, FRCSI (ORL-HNS)

Importance  The optimum size of endotracheal tube (ETT) for general anesthesia remains unresolved. Choice of ETT size may be of particular relevance to thyroid surgery because of the increased risk of laryngeal trauma and concerns regarding postoperative vocal outcomes.

Objective  To test our hypothesis that intubation ...

Original Investigation  FREE
Ryan K. Orosco, MD; Harrison W. Lin, MD; Neil Bhattacharyya, MD

Importance  Direct laryngoscopy, once an inpatient procedure, is now commonly performed in the outpatient setting. To ensure that safety follows the adoption of novel techniques and practice patterns, it is important to analyze the complication and revisit rates of these ambulatory surgery practices.

Objective  To determine ...

Original Investigation 
Mark S. Swanson, MD; Rachael L. Hudson, MD; Nipun Bhandari, MPH; Uttam K. Sinha, MD; Dennis R. Maceri, MD; Niels Kokot, MD

Importance  Chyle fistula is an uncommon complication of neck surgery. A variety of management strategies have been described, including diet restriction, parenteral nutrition, use of pressure dressings, and revision surgery. Octreotide has been used with success in patients with neck and thoracic chyle fistulas, but data regarding ...

Original Investigation 
Scott Shadfar, MD; Alexandar Farag, MD; Andrea M. Jarchow, MD; William W. Shockley, MD

Importance  The ideal alloplastic implant for correction of traumatic nasal deformity has not been adequately examined.

Objective  To evaluate the safety profile and postoperative results of expanded polytetrafluoroethylene (ePTFE) implants used in functional nasal surgery (FNS) in the setting of traumatic nasal deformity.

Design, Setting, and ...

Original Investigation 
Joshua Bakhsheshian, MD; Michelle S. Hwang, BS; Michael Friedman, MD

Importance  Spontaneous cerebrospinal fluid (CSF) leaks are a morbid condition associated with operative intervention for treatment. Understanding associations are key to diagnosis, treatment, and possible early detection.

Objective  To determine the clinical association and odds of having obstructive sleep apnea (OSA) and spontaneous CSF leaks.

Data ...

Original Investigation 
Alexander T. Hillel, MD; Laureano Giraldez, MD; Idris Samad, MB, BCh; Jennifer Gross, MD; Adam M. Klein, MD; Michael M. Johns III, MD

Importance  Voice quality-of-life (VQOL) and perceptual voice outcomes are presumed to worsen following posterior cordotomy with medial arytenoidectomy for bilateral vocal fold immobility (BVFI); however, subjective and objective voice outcomes are not well studied in this postsurgical patient population.

Objective  To evaluate VQOL and perceptual voice ...

Original Investigation 
Julia Kristin, MD; Jörg H. Schipper, MD; Muhammad Jalkhi, MD; Thomas Zahnert, MD; Martin Wagenmann, MD

Importance  Nonchordomatous clival lesions are rare and represent a wide range of different benign and malignant pathologies. For an accurate and specific final diagnosis, biopsy procedures and/or resections followed by histologic examination are mandatory.

Objective  To illustrate the challenges in obtaining a final histologic diagnosis in ...

Arya W. Namin, BA; Mary S. Czerny, MD; Jastin L. Antisdel, MD

When approaching a patient with cranial nerve 7 (CN7) palsy, a careful workup must be undertaken in order to rule out the many treatable etiologies, including the malignant and infectious. To guide the need for imaging, a careful medical history must elicit if the CN7 weakness had an ...

Original Investigation 
William G. Albergotti, MD; Joshua J. Sturm, AB; Amanda S. Stapleton, MD; Jeffrey P. Simons, MD; Deepak K. Mehta, MD; David H. Chi, MD

Importance  Supraglottoplasty is a common procedure performed without evidence-based postoperative management plans. Patients are routinely admitted to the intensive care unit (ICU) postoperatively, but this may not be necessary in all cases.

Objective  To determine (1) whether routine admission to the ICU after supraglottoplasty is warranted ...

Clinical Challenge 
Emily Tignor, MD; Suimin Qiu, MD; Shraddha Mukerji, MD

A 5-year-old boy with a 1-year history of a mass gradually growing over the helix of his left auricle underwent surgical resection. The lesion was superficially located in the dermis and filled with a soft white material that appeared as purple-blue crystals. What is the diagnosis?

Clinical Challenge 
Kenny F. Lin, MD; Marc A. Cohen, MD; Vikash K. Modi, MD

An MRI of an infant with a 2-month history of an enlarging left preauricular swelling showed a mass with a well-defined capsule arising within the superficial left parotid gland. The mass was largely of fat signal intensity on both T1- and T2-weighted sequences. What is the diagnosis?

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