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December 2020 - January 1925

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June 20, 2011, Vol 137, No. 6, Pages 537-642

Clinical Note

Reinke Edema Finding on Positron Emission Tomography

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):620-621. doi:10.1001/archoto.2011.35

Vacuum-Assisted Closure in Revision Free Flap Reconstruction

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):622-624. doi:10.1001/archoto.2011.74

Tongue Entrapment in Metal Drinking Bottle

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):625-627. doi:10.1001/archoto.2011.94
Clinical Problem Solving: Radiology

Radiology Quiz Case 1

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):628. doi:10.1001/archoto.2011.81-a

Radiology Quiz Case 2

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):629. doi:10.1001/archoto.2011.82-a

Radiology Quiz Case 3

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):630. doi:10.1001/archoto.2011.83-a

Radiology Quiz Case 1: Diagnosis

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):631. doi:10.1001/archoto.2011.81-b

Radiology Quiz Case 2: Diagnosis

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):632-633. doi:10.1001/archoto.2011.82-b

Radiology Quiz Case 3: Diagnosis

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):633-634. doi:10.1001/archoto.2011.83-b
Clinical Problem Solving: Pathology

Pathology Quiz Case 1

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):635. doi:10.1001/archoto.2011.71-a

Pathology Quiz Case 2

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):636. doi:10.1001/archoto.2011.72-a

Pathology Quiz Case 3

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):637. doi:10.1001/archoto.2011.73-a

Pathology Quiz Case 1: Diagnosis

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):638-639. doi:10.1001/archoto.2011.71-b

Pathology Quiz Case 2: Diagnosis

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):639-640. doi:10.1001/archoto.2011.72-b

Pathology Quiz Case 3: Diagnosis

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):640-641. doi:10.1001/archoto.2011.73-b
Continued Learning

Hoarseness

Abstract Full Text
Arch Otolaryngol Head Neck Surg. 2011;137(6):616-619. doi:10.1001/archoto.2011.80
About the Cover

Mexican Gold poppies

Abstract Full Text
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Arch Otolaryngol Head Neck Surg. 2011;137(6):537. doi:10.1001/archoto.2011.104
Original Article

Effect of Endoscopic Sinus Surgery on Pulmonary Function and Microbial Pathogens in a Pediatric Population With Cystic Fibrosis

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Arch Otolaryngol Head Neck Surg. 2011;137(6):542-547. doi:10.1001/archoto.2011.68

Patterns of Frontobasal and Frontosinal Fractures in Children and Teenagers Relative to Developmental Stage of the Facial Skeleton

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Arch Otolaryngol Head Neck Surg. 2011;137(6):549-556. doi:10.1001/archoto.2011.87

Modern Technology–Assisted vs Conventional Tonsillectomy: A Meta-analysis of Randomized Controlled Trials

Abstract Full Text
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Arch Otolaryngol Head Neck Surg. 2011;137(6):558-570. doi:10.1001/archoto.2011.93

Assessment of Vocal Fold Mobility Before and After Cardiothoracic Surgery in Children

Abstract Full Text
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Arch Otolaryngol Head Neck Surg. 2011;137(6):571-575. doi:10.1001/archoto.2011.84

Effect of Fluticasone Furoate on Interleukin 6 Secretion From Adenoid Tissues in Children With Obstructive Sleep Apnea

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Arch Otolaryngol Head Neck Surg. 2011;137(6):576-582. doi:10.1001/archoto.2011.86

Pediatric Tracheal Reconstruction Using Cadaveric Homograft

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Arch Otolaryngol Head Neck Surg. 2011;137(6):583-590. doi:10.1001/archoto.2011.85

Comparison of Clonidine, Local Anesthetics, and Placebo for Pain Reduction in Pediatric Tonsillectomy

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Arch Otolaryngol Head Neck Surg. 2011;137(6):591-597. doi:10.1001/archoto.2011.45
ObjectiveTo determine if pretonsillectomy injection of local anesthetics with and without clonidine reduces pain following tonsillectomy in children.DesignA prospective, randomized, double-blind, placebo-controlled trial.SettingTertiary care academic medical center.PatientsA total of 120 children, ages 3 to 17 years, presenting for tonsillectomy.InterventionsPatients were randomized to 1 of 3 pretonsillectomy injection groups: (1) saline, (2) lidocaine plus bupivacaine, or (3) lidocaine plus bupivacaine plus clonidine.Main Outcome MeasuresThe total number of analgesic doses consumed on postoperative days (PODs) 1, 3, 5, and 7. Secondary outcome variables included total time and intravenous analgesic doses required in the recovery room, visual analog scale pain scores, and maximum tolerated diet on postoperative days 1, 3, 5, and 7.ResultsThe total number of analgesic doses on PODs 1, 3, 5, and 7 were not significantly different between the randomization groups (P = .53). The median numbers (interquartile ranges) of analgesic doses were 12.0 (9.0-16.8) for the lidocaine plus bupivacaine plus clonidine group, 12.0 (10.0-16.5) for the lidocaine plus bupivacaine group, and 14.0 (9.0-15) for the placebo group. The placebo group was found to have a more advanced diet on POD 1 (P = .04) and significantly less pain on POD 3 (P = .02). Multivariable analysis showed children in the lidocaine plus bupivacaine plus clonidine group were significantly less likely to need intravenous pain medication in the recovery room compared with children in the placebo group and again showed that the placebo group achieved a significantly more advanced diet and had less pain on PODs 1 and 3.ConclusionPretonsillectomy injection of lidocaine, 1%, and bupivacaine, 0.5%, with or without clonidine (25 μg) is not recommended for the reduction of posttonsillectomy pain.Trial Registrationclinicaltrials.gov Identifier: NCT00678379

Long-term Retention of a 3-Dimensional Educational Computer Model of the Larynx: A Follow-up Study

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Arch Otolaryngol Head Neck Surg. 2011;137(6):598-603. doi:10.1001/archoto.2011.76

Collagen Type I, Collagen Type III, and Versican in Vocal Fold Lamina Propria

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Arch Otolaryngol Head Neck Surg. 2011;137(6):604-608. doi:10.1001/archoto.2011.88

Detection of Oral Squamous Cell Carcinoma and Cervical Lymph Node Metastasis Using Activatable Near-Infrared Fluorescence Agents

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Arch Otolaryngol Head Neck Surg. 2011;137(6):609-615. doi:10.1001/archoto.2011.89
Letters to the Editor

Completion of the Patient Scar Assessment Scale via a Telephone Interview

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Arch Otolaryngol Head Neck Surg. 2011;137(6):642. doi:10.1001/archoto.2011.77

Completion of the Patient Scar Assessment Scale via a Telephone Interview—Reply

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Arch Otolaryngol Head Neck Surg. 2011;137(6):642. doi:10.1001/archoto.2011.78
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