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Issue

November 2014, Vol 140, No. 11, Pages 993-1086

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):993. doi:10.1001/jamaoto.2013.4320
Viewpoint

Defining Quality in the Era of Health Care Reform

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):997-998. doi:10.1001/jamaoto.2014.2086

This viewpoint details health care reform policies and advocates an active role of physicians in reform implementation generally and otolaryngologic reform especially.

Original Investigation

Chemoprophylaxis for Venous Thromboembolism in Otolaryngology

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JAMA Otolaryngol Head Neck Surg. 2014;140(11):999-1005. doi:10.1001/jamaoto.2014.2254

In this retrospective study, Bahl et al found that the effectiveness and safety of venous thromboembolism chemoprophylaxis in an otolaryngology population differed between patient subgroups, defined by Caprini risk score and by procedure.

Early Predictors of Hypocalcemia After Total Thyroidectomy: An Analysis of 304 Patients Using a Short-Stay Monitoring Protocol

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1006-1013. doi:10.1001/jamaoto.2014.2435

This retrospective study reports that low postoperative intact parathyroid hormone level, female sex, and presence of malignant neoplasm are all significant, independent predictors of hypocalcemia after total thyroidectomy.

Regional Control of Head and Neck Melanoma With Selective Neck Dissection

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1014-1018. doi:10.1001/jamaoto.2014.2056

This retrospective study suggests that limiting the extent of lymphadenectomy for head and neck melanoma does not compromise regional control.

Identification of Opportunities for Quality Improvement and Outcome Measurement in Pediatric Otolaryngology

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1019-1026. doi:10.1001/jamaoto.2014.2067

Shah and colleagues demonstrate that areas for targeted quality-improvement interventions in pediatric otolaryngologic surgery include tracheostomy, airway reconstruction, mastoidectomy, and abscess drainage.

Repair of Intermediate-Size Nasal Defects: A Working Algorithm

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1027-1033. doi:10.1001/jamaoto.2014.2258

Yong and coauthors review the treatment and outcomes of patients who have undergone reconstruction of intermediate-size nasal defects and provide their empirical algorithm.

The Reliability of Clinical Tonsil Size Grading in Children

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1034-1037. doi:10.1001/jamaoto.2014.2338

This cross-sectional study compares the reliability of the Brodsky and Friedman scales and a novel 3-grade scale for grading tonsil size in children.

Long-term Outcome of Airway Stenosis in Granulomatosis With Polyangiitis (Wegener Granulomatosis): An Observational Study

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1038-1044. doi:10.1001/jamaoto.2014.2430

This observational study of patients with granulomatosis with polyangiitis (Wegener’s) evaluates interventions used to achieve long-term airway patency (>12 months) and describes an algorithm for treatment.

Clinical Features and Surgical Outcomes Following Closed Reduction of Arytenoid Dislocation

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1045-1050. doi:10.1001/jamaoto.2014.2060

In this prospective case series, Lee et al describe the presenting features, multimodal diagnostic evaluation, and surgical outcomes following closed reduction of arytenoid dislocation.

Endoscopic Surgical Repair of Type 3 Laryngeal Clefts

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1051-1055. doi:10.1001/jamaoto.2014.2421

In this retrospective review, Adil et al describe the surgical technique and outcomes of endoscopic carbon dioxide laser–assisted repair in pediatric patients with type 3 laryngeal clefts.

The Pharyngeal Plexus–Mediated Glottic Closure Response and Associated Neural Connections of the Plexus

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1056-1060. doi:10.1001/jamaoto.2014.2440

This animal experimental study traces the specific neural pathway involved in the glottic closure reflex in the pharyngeal plexus and notes a variable direct pattern of innervation to the thyroarytenoid muscle.

Case Report/Case Series

Stroke After Adenotonsillectomy in Patients With Undiagnosed Moyamoya Syndrome

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1061-1064. doi:10.1001/jamaoto.2014.1990

This retrospective medical record and literature review assessed the relationship of otolaryngologic operations and the onset of moyamoya symptoms, finding an elevated prevalence of moyamoya syndrome in Down syndrome and sickle cell disease populations.

Management of a Large Antenatally Recognized Foregut Duplication Cyst of the Tongue Causing Respiratory Distress at Birth

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1065-1069. doi:10.1001/jamaoto.2014.2331

This case report describes an antenatally recognized anterior tongue lesion leading to respiratory difficulties at birth that was successfully managed with the assistance of a coordinated fetal care team.

Invited Commentary

Advantages and Disadvantages of Outpatient Thyroid Surgery

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):1076-1077. doi:10.1001/jamaoto.2014.2357
Review

Orbital Complications of Acute Sinusitis in Infants: A Systematic Review and Report of a Case

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):1070-1073. doi:10.1001/jamaoto.2014.2326

In this systematic review and case report of orbital complications secondary to acute sinusitis in neonates and infants, Sharma and Josephson conclude that drainage in this patient population appears to be paramount.

Clinical Challenges

The Pros and Cons of Outpatient Thyroidectomy

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):1074-1076. doi:10.1001/jamaoto.2014.2353
Clinical Problem Solving

Pathology

New-Onset Nasal Obstruction and Epistaxis of the Left Side of the Nose

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):1079-1080. doi:10.1001/jamaoto.2014.2245

Pathology

Nasal Congestion and Hemoptysis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):1081-1082. doi:10.1001/jamaoto.2014.2414

Radiology

Anosmia in a 9-Year-Old Boy

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):1083-1084. doi:10.1001/jamaoto.2014.2081

Radiology

Growing Mass on the Right Side of the Neck

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(11):1085-1086. doi:10.1001/jamaoto.2014.2302
JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(11):996. doi:10.1001/jamaoto.2013.4321
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