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    Swallowing and Dysphagia

    Explore the latest in swallowing and dysphagia, including evaluation and treatment of swallowing disorders after cancer treatment.

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    • Progressive Camptocormia With Head Drop and Dysphagia
      JAMA Neurology
      Case Report
      February 1, 2023

      A 72-year-old man had mild proximal weakness that developed into progressive camptocormia, head drop, numbness, and significant muscle wasting. What is your diagnosis?

      Hematology Neurology Neuromuscular Diseases Clinical Challenge
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Pediatric Cystic Deep Neck Mass Presenting With Stridor and Dysphagia
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      November 1, 2022

      A 6-month-old girl presented to the emergency department for evaluation of fever and was noted to have mild inspiratory stridor, which began acutely at 4 months of age without any inciting illness or event. What is your diagnosis?

      Pediatrics Clinical Challenge Otolaryngology
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Adhering to Eat and Exercise Status During Radiotherapy for Oropharyngeal Cancer for Prevention and Mitigation of Radiotherapy-Associated Dysphagia
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      October 1, 2022

      This cohort study examines the longitudinal association of oral intake and swallowing exercise during radiotherapy for oropharyngeal cancer using validated clinician-graded and patient-reported outcomes.

      Otolaryngology Surgery Surgical Oncology Oncology Physical Activity
      Full Text | pdf link PDF has multimedia
    • Exophytic Laryngeal Mass
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      September 1, 2022

      A 29-year-old woman presented with postnasal drip, pharyngitis, odynophagia, cervicalgia, cervical lymphadenopathy, and right-sided otalgia that had persisted for more than a week; what is your diagnosis?

      Fungal Infections Infectious Diseases Laryngology Clinical Challenge Otolaryngology
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Comparison of Objective Measures of Trismus and Salivation With Patient-Reported Outcomes Following Treatment for Head and Neck Cancer
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      August 1, 2022

      This cross-sectional study compares objective measures with patient-reported outcome (PRO) measures of mouth function and salivary flow after head and neck cancer radiation therapy.

      Head and Neck Cancer Oncology Otolaryngology Salivary Gland Disorders Surgery
      Full Text | pdf link PDF
    • Unique Cause of Dysphagia in a Patient With Remitted Sarcoidosis
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      August 1, 2022

      This case report describes a woman in her 70s with a medical history of sarcoidosis, atrial fibrillation, asthma, gastroesophageal reflux disease, Schatzki’s ring status after multiple dilations, pulmonary hypertension, and hypothyroidism who presented with a more than 10-year history of dysphagia and was found to have sarcoid involvement of the upper esophageal sphincter.

      Otolaryngology Pulmonary Medicine
      Full Text | pdf link PDF
    • Two Concomitant and Exceedingly Rare Causes of Oropharyngeal Dysphagia
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      July 1, 2022

      This case report describes a man in his 40s who presented with a 5-month history of worsening dysphonia and dysphagia and was subsequently diagnosed with extranodal natural killer/T-cell lymphoma.

      Otolaryngology Infectious Diseases Oncology Hematology Hematologic Cancer
      Full Text | pdf link PDF
    • Assessment of Toxic Effects and Survival in Treatment Deescalation With Radiotherapy vs Transoral Surgery for HPV-Associated Oropharyngeal Squamous Cell Carcinoma: The ORATOR2 Phase 2 Randomized Clinical Trial
      JAMA Oncology
      Research
      June 1, 2022

      This randomized clinical trial examines a primary radiotherapy approach vs a primary transoral surgical approach in treatment deescalation for HPV-related oropharyngeal squamous cell carcinoma.

      Radiation Oncology Surgery Surgical Oncology Oncology Otolaryngology
      Full Text | pdf link PDF has multimedia
    • Use and Safety of Per-Oral Endoscopic Myotomy for Achalasia in the US
      JAMA Surgery
      Research
      June 1, 2022

      This cohort study investigates the use, safety, and costs associated with the use of per-oral endoscopic myotomy for achalasia in the US.

      Esophageal Disease Gastroenterology Gastroesophageal Reflux Gastroenterology and Hepatology Gastrointestinal Surgery
      Full Text | pdf link PDF
    • Per-Oral Endoscopic Myotomy Has a Role in the Treatment Algorithm of Esophageal Achalasia
      JAMA Surgery
      Opinion
      June 1, 2022
      Esophageal Disease Gastroenterology Gastroesophageal Reflux Surgery Gastroenterology and Hepatology
      Full Text | pdf link PDF
    • Unilateral Progressively Growing Neck Mass in a Young Adult
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      June 1, 2022

      An 18-year-old male presented to the primary care physician with a 4-month history of a slowly progressive painless lateral neck mass and no history of dysphagia, dysphonia, drainage, previous neck surgery, trauma, or recent fever. What is your diagnosis?

      Adolescent Medicine Endocrinology Diabetes and Endocrinology Clinical Challenge Otolaryngology
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Epidemiology and Management of Zenker Diverticulum in a Low-Threshold Single-payer Health Care System
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      March 1, 2022

      This cohort study examines population-wide incidence of Zenker diverticulum in Finland over a 20-year period and management strategies across specialties and treatment settings.

      Esophageal Disease Gastroenterology Otolaryngology Head and Neck Surgery Gastroenterology and Hepatology
      Full Text | pdf link PDF free
    • Association of Functional Outcomes in Tracheoesophageal Voicing With Intratracheal Pressures and Esophagram Findings
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      December 1, 2021

      This cohort study examines the association between intratracheal manometric pressure, speech function, and proximal esophageal abnormalities in patients with tracheoesophageal voice prosthesis.

      Radiology Otolaryngology Laryngology
      Full Text | pdf link PDF free
    • Facial Numbness, Dysarthria, Muscle Atrophy, and Weakness in a Young Patient
      JAMA Neurology
      Case Report
      October 1, 2021

      A 19-year-old man presented with 4 years of facial numbness, 3 years of progressive dysarthria and dysphagia, 18 months of arm weakness and hand atrophy, and 6 months of leg weakness. On examination, dysarthria, bilateral peripheral facial paralysis, reduced facial touch and vibration sensitivity in the mandible, temporal muscle atrophy, and poor soft palate motility were observed. What is your diagnosis?

      Neurology Clinical Challenge Facial Nerve
      Full Text | pdf link PDF | CME & MOC is active quiz
    • A Spontaneous Chyle Leak
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      August 1, 2021

      This case report describes a woman in her 40s who presented with a rapidly enlarging neck mass and was subsequently diagnosed with a chyle leak.

      Otolaryngology Laryngology Radiology Trauma and Injury Neuroimaging
      Full Text | pdf link PDF
    • Clicking Sensation on Swallowing
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      August 1, 2021

      A 42-year-old woman presented with a 3-month history of a clicking sensation and painful swallowing, mainly on the right side, with a sudden onset. What is your diagnosis?

      Otolaryngology Clinical Challenge
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Clinicopathologic Features of Oculopharyngodistal Myopathy With LRP12 CGG Repeat Expansions Compared With Other Oculopharyngodistal Myopathy Subtypes
      JAMA Neurology
      Research
      July 1, 2021

      This case series identifies and characterizes the clinicopathologic features of patients with oculopharyngodistal myopathy with CGG repeat expansion in LRP12.

      Neurogenetics Neurology Neuromuscular Diseases Otolaryngology
      Full Text | pdf link PDF free
    • Acute Airway Obstruction in a Patient Being Treated With Anticoagulation Therapy
      JAMA Otolaryngology–Head & Neck Surgery
      Case Report
      March 1, 2021

      A 71-year-old man presented to the emergency department with dyspnea, dysphonia, dysphagia, and neck swelling. What is your diagnosis?

      Head and Neck Surgery Anticoagulation Clinical Challenge Clinical Pharmacy and Pharmacology Respiratory Failure and Ventilation
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Peer Review and the Quest for Technical Excellence in Surgery—A Lesson in Self-awareness
      JAMA Surgery
      Opinion
      February 10, 2021
      Medical Education and Training Bleeding and Transfusion Health Care Quality Diet Lifestyle Behaviors
      Full Text | pdf link PDF
    • Comparison of Surgical Treatments for Zenker Diverticulum: A Systematic Review and Network Meta-analysis
      JAMA Otolaryngology–Head & Neck Surgery
      Research
      February 1, 2021

      This systematic review and network meta-analysis compares the 3 most common surgical techniques—endoscopic laser-assisted diverticulotomy, endoscopic stapler-assisted diverticulotomy, and transcervical diverticulectomy with cricopharyngeal myotomy—in adults with Zenker diverticulum.

      Esophageal Disease Facial Plastic Surgery Gastroenterology Head and Neck Surgery Gastroenterology and Hepatology
      Full Text | pdf link PDF free
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