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June 2017 - January 1925

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Issue

July 2017, Vol 143, No. 7, Pages 643-739

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):643. doi:10.1001/jamaoto.2016.1383
Viewpoint

Health Literacy in Patients With Head and Neck CancerAn Understudied Issue

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):645-646. doi:10.1001/jamaoto.2017.0242

This Viewpoint discusses the impact of health literacy on treatment compliance and outcomes in a number of medical conditions, focusing on a general measure and a cancer-specific measure of health literacy.

Cost as a Barrier for Hearing Aid Adoption

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):647-648. doi:10.1001/jamaoto.2017.0245

This Viewpoint explores the broader barriers audiologists face in providing services and technologies to those with reduced hearing ability and why cost is not the main barrier for patients.

Editorial

Posttonsillectomy Hemorrhage in the Ibuprofen EraNot Just How Frequent but How Much

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):649-650. doi:10.1001/jamaoto.2016.4108
Original Investigation

Neurologic Evaluation in Children With Laryngeal Cleft

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):651-655. doi:10.1001/jamaoto.2016.4735

This medical record review proposes guidelines for neurologic evaluation and imaging techniques to identify or rule out neuromuscular dysfunction in children with laryngeal cleft.

Superior Canal Dehiscence Syndrome Affecting 3 Families

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):656-662. doi:10.1001/jamaoto.2016.4743

This case series describes the features of superior canal dehiscence syndrome in the multiple affected members of 3 families and explores the prospect of a genetic origin.

Experience of US Patients Who Self-identify as Having an Overdiagnosed Thyroid CancerA Qualitative Analysis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):663-669. doi:10.1001/jamaoto.2016.4749

This qualitative study describes the experience of US patients who independently self-identify as having an overdiagnosed cancer and elect not to intervene.

Association of Oral Cavity and Oropharyngeal Cancer Biomarkers in Surgical Drain Fluid With Patient Outcomes

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):670-678. doi:10.1001/jamaoto.2016.3595

This cohort study determines whether there is an association between biomarker levels in surgical drain fluid of patients with head and neck cancer and disease-free survival and cancer recurrence.

Association of Preoperative Calcium and Calcitriol Therapy With Postoperative Hypocalcemia After Total Thyroidectomy

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):679-684. doi:10.1001/jamaoto.2016.4796

This cohort study compares the incidence of symptomatic hypocalcemia following administration of calcium and calcitriol supplementation given preoperatively and postoperatively vs postoperative therapy alone in patients undergoing total thyroidectomy.

Estimating Survival After Salvage Surgery for Recurrent Oral Cavity Cancer

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):685-690. doi:10.1001/jamaoto.2017.0001

This cohort study evaluates overall survival in patients who undergo salvage surgery for recurrent oral cavity squamous cell cancer.

Differences in Survival With Surgery and Postoperative Radiotherapy Compared With Definitive Chemoradiotherapy for Oral Cavity CancerA National Cancer Database Analysis

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2017;143(7):691-699. doi:10.1001/jamaoto.2017.0012

This study compares the differences in survival between patients with locally advanced oral cavity squamous cell carcinoma treated with surgery followed by postoperative radiotherapy vs chemoradiotherapy.

Evaluation of Ecological Momentary Assessment for Tinnitus Severity

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):700-706. doi:10.1001/jamaoto.2017.0020

This observational study uses an ecological momentary assessment to measure tinnitus disability and associated constructs.

The Benefits and Limitations of Targeted Training in Flexible Transnasal Laryngoscopy Diagnosis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):707-711. doi:10.1001/jamaoto.2017.0120

This study assesses the value of targeted education of interns in identifying abnormal fiberoptic laryngoscopy findings.

Association Between Ibuprofen Use and Severity of Surgically Managed Posttonsillectomy Hemorrhage

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):712-717. doi:10.1001/jamaoto.2016.3839

This cohort study evaluates the association between ibuprofen use and severity of posttonsillectomy hemorrhage using transfusion events as a marker of severity in pediatric patients undergoing tonsillectomy.

Review

Understanding the Risks and Harms of Management of Incidental Thyroid NodulesA Review

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):718-724. doi:10.1001/jamaoto.2017.0003

This review assesses the clinical dilemma of the incidental thyroid nodule, the risk for missing a significant cancer, and the potential harms of examination and reviews management recommendations for patients with these findings.

Clinical Challenge

Radiology

An Enlarging Neck Mass

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):725-726. doi:10.1001/jamaoto.2016.3810

A man in his 50s presented with sudden onset of neck swelling, pain, respiratory distress, and jaw pain; his neck was diffusely swollen without palpable fluctuance, induration, or a discrete mass, and imaging showed a large hyperdense mass. What is your diagnosis?

Pathology

Unilateral Hearing Loss and Otorrhea

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):727-728. doi:10.1001/jamaoto.2016.3824

A man in his 70s had painless left-sided otorrhea, aural fullness, and hearing loss; temporal bone computed tomography demonstrated near-complete opacification of the left mastoid air cells and middle ear. What is your diagnosis?

Pathology

An Expansile Mass of the Sphenoid Sinus or Petrous Apex

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):729-730. doi:10.1001/jamaoto.2016.0497

A man had worsening blurry vision, gait instability, headache, and nasal congestion; examination revealed bilateral visual acuity of 20/100 with intact visual fields and a well-circumscribed expansile mass occupying the left petrous apex and sphenoid sinus. What is your diagnosis?

Radiology

Frontal Sinus Lesion

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):731-732. doi:10.1001/jamaoto.2016.4136

A woman with allergic rhinitis experienced progressive periorbital edema and proptosis of the left eye, with nasal congestion, altered sense of smell, supraorbital pain, proptosis, and periorbital edema; a CT scan revealed extensive thickening of the left frontal bone. What is your diagnosis?

Research Letter

Addressing Estimated Hearing Loss in Adults in 2060

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):733-734. doi:10.1001/jamaoto.2016.4642

This population epidemiology study uses data from the NHANES to estimate the number of adults expected to have hearing loss in the next 43 years.

Survival Outcomes in Oropharyngeal Small-Cell Carcinoma Compared With Squamous Cell CarcinomaA Population-Based Study

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):734-736. doi:10.1001/jamaoto.2017.0025

This study uses SEER data to evaluate the survival outcomes of oropharyngeal small-cell carcinoma, compared with squamous cell carcinoma.

Observation

Bilateral Hearing and Vestibular Loss in a Patient With Untreated Chronic Myeloid Leukemia

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):736-737. doi:10.1001/jamaoto.2017.0283

This case study describes a man in his 40s with uncontrolled chronic myeloid leukemia who presented with sudden-onset positional vertigo and profound sensorineural hearing loss.

Comment & Response

Exclusion of Eligible Indeterminate Thyroid Nodules in Estimates of Negative Predictive Value for the Gene Expression Classifier

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):737-738. doi:10.1001/jamaoto.2017.0249

Exclusion of Eligible Indeterminate Thyroid Nodules in Estimates of Negative Predictive Value for the Gene Expression Classifier—Reply

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2017;143(7):738-739. doi:10.1001/jamaoto.2017.0230
JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2017;143(7):644. doi:10.1001/jamaoto.2016.1384
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