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December 2014, Vol 140, No. 12, Pages 1095-1238 | 2014 AHNS/IFHNOS

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(12):1095. doi:10.1001/jamaoto.2013.4325
Original Investigation

Association of Sentinel Lymph Node Biopsy With Survival for Head and Neck Melanoma: Survival Analysis Using the SEER Database

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1101-1109. doi:10.1001/jamaoto.2014.2530

This SEER cohort analysis demonstrates no significant association between sentinel lymph node biopsy and improved disease survival for patients with melanoma arising in head and neck subsites.

Epidemiology and Treatment of Lacrimal Gland Tumors: A Population-Based Cohort Analysis

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1110-1116. doi:10.1001/jamaoto.2014.2846

This retrospective study finds that determinants of survival for tumors of the lacrimal gland include age at diagnosis and surgical therapy.

Follicular Variant of Papillary Thyroid Carcinoma: Differences From Conventional Disease in Cytologic Findings and High-Risk Features

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1117-1123. doi:10.1001/jamaoto.2014.2548

This retrospective study compares conventional papillary thyroid carcinoma and its follicular variant in the aspects of preoperative cytologic diagnosis, tumor size at diagnosis, presence of invasion, and implications on prognostic scores.

Importance of Tumor Grade in Esthesioneuroblastoma Survival: A Population-Based Analysis

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1124-1129. doi:10.1001/jamaoto.2014.2541

This retrospective, population-based cohort study shows that tumor grade should be a key factor in predicting survival in patients with esthesioneuroblastoma, and that adjuvant radiation therapy improves survival rates among patients with high-grade, but not low-grade, tumors.

The Origin of Regional Failure in Oral Cavity Squamous Cell Carcinoma With Pathologically Negative Neck Metastases

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1130-1137. doi:10.1001/jamaoto.2014.1539

Amit and colleagues set out to determine if regional treatment failure in patients with oral cavity squamous cell carcinoma and pathologically negative neck nodes might be due to an incomplete sampling procedure during surgery.

Primary Tumor Staging for Oral Cancer and a Proposed Modification Incorporating Depth of Invasion: An International Multicenter Retrospective Study

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1138-1148. doi:10.1001/jamaoto.2014.1548

Ebrahimi and colleagues determine if a modified staging system for oral cancer that integrates DOI into the T categories improves prognostic performance compared with the current American Joint Committee on Cancer T staging.

Increasing Incidence of Thyroid Cancer in the Commonwealth of Pennsylvania

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1149-1156. doi:10.1001/jamaoto.2014.1709

In this population-based study, Bann et al compared the increase in thyroid cancer incidence and tumor characteristics in Pennsylvania with the rest of the nation and assert that the observed increase in thyroid cancer annual percentage change in Pennsylvania is due to an actual increase in disease incidence.

Patients Undergoing Total Laryngectomy: An At-Risk Population for 30-Day Unplanned Readmission

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1157-1165. doi:10.1001/jamaoto.2014.1705

Graboyes set out to determine the rate of, reasons for, and risk factors that predict 30-day unplanned readmission for patients undergoing total laryngectomy.

Impact of Head and Neck Radiotherapy for Patients With Nasopharyngeal Carcinoma on Sleep-Related Breathing Disorders

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1166-1172. doi:10.1001/jamaoto.2014.2953

In this retrospective study, Lin et al conclude that early identification and treatment of obstructive sleep apnea/hypopnea syndrome may be important considerations in the comprehensive management of patients with nasopharyngeal carcinoma.

Association of Socioeconomic Status, Race, and Ethnicity With Outcomes of Patients Undergoing Thyroid Surgery

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1173-1183. doi:10.1001/jamaoto.2014.1745

Al-Qurayshi et al measure the effects of race, ethnicity, and socioeconomic status on outcomes following thyroid surgery outcomes, finding that there are significant socioeconomic and racial disparities.

Open Reduction Internal Fixation for Midline Mandibulotomy: Lag Screws vs Plates

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1184-1190. doi:10.1001/jamaoto.2014.2005

Danan and colleagues compared outcomes for midline mandibulotomy open reduction and internal fixation using plates vs lag screw technique and determined that fixation of midline mandibulotomy with lag screws results in a significantly increased rate of radiologic union compared with plates.

Learning Curve for Robot-Assisted Neck Dissection in Head and Neck Cancer: A 3-Year Prospective Case Study and Analysis

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1191-1197. doi:10.1001/jamaoto.2014.2830

This prospective case series quantifies the learning curve of robot-assisted neck dissection by measuring operation time over 3 years of a single surgeon’s experience.

A Model for Predicting Gastrostomy Tube Placement in Patients Undergoing Surgery for Upper Aerodigestive Tract Lesions

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1198-1206. doi:10.1001/jamaoto.2014.2360

This retrospective review describes a new model for predicting the need for a gastrostomy tube in patients undergoing surgery of the upper aerodigestive tract.

Transoral Robotic Surgery for Obstructive Sleep Apnea: Perioperative Management and Postoperative Complications

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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1207-1212. doi:10.1001/jamaoto.2014.2299

Glazer et al show that transoral robotic surgery can be safely performed in patients with obstructive sleep apnea with complication rates similar to those seen with other surgical treatments of obstructive sleep apnea.

Salivary Gland Cancer in BRCA-Positive Families : A Retrospective Review

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1213-1217. doi:10.1001/jamaoto.2014.1998

This retrospective review found a high observed rate of head and neck cancers in BRCA-positive probands and likely carriers.

Special Communication

Presidential Address

The Ultimate Constant of Head and Neck Oncology—The Physician-Patient Relationship

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(12):1218-1224. doi:10.1001/jamaoto.2014.1567

In his presidential address for the American Head & Neck Society, Day proposes that the ultimate constant in healthcare is the physician-patient relationship.

Unintended Consequences of Expensive Cancer Therapeutics—The Pursuit of Marginal Indications and a Me-Too Mentality That Stifles Innovation and Creativity: The John Conley Lecture

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(12):1225-1236. doi:10.1001/jamaoto.2014.1570
Clinical Problem Solving

Radiology

Carotid Space Mass

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2014;140(12):1237-1238. doi:10.1001/jamaoto.2014.2523
Correction

Error in Figure

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2014;140(12):1212. doi:10.1001/jamaoto.2014.3223
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(12):1098. doi:10.1001/jamaoto.2013.4326
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