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August 2021 - January 1925

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Issue

March 2015, Vol 141, No. 3, Pages 199-292

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(3):199. doi:10.1001/jamaoto.2014.2142
Editorial

What Makes Us Different?Unique Opportunities When You Publish in JAMA Otolaryngology–Head & Neck Surgery

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):201. doi:10.1001/jamaoto.2015.0224
Original Investigation

Hearing Loss Among HIV-Seropositive and HIV-Seronegative Men and Women

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):202-210. doi:10.1001/jamaoto.2014.3302

This study found that human immunodeficiency virus (HIV)–positive adults had significantly poorer lower and higher frequency hearing than HIV-negative adults.

Staged Laryngotracheoplasty in Adult Laryngotracheal Stenosis: Predictors of Long-term Decannulation

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):211-218. doi:10.1001/jamaoto.2014.3283

Staged laryngotracheoplasty is an option for the reconstruction laryngotracheal stenosis. The experience of Liu and colleagues shows excellent decannulation rates in the selected patients with stenosis, many of whom have failed treatment with other surgical modalities.

Influence of Age at Revision Cochlear Implantation on Speech Perception Outcomes

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):219-224. doi:10.1001/jamaoto.2014.3418

This retrospective analysis finds that age at revision cochlear implantation is not related to postrevision speech perception performance.

Association of Decreased Rate of Influenza Vaccination With Increased Subjective Olfactory Dysfunction

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):225-228. doi:10.1001/jamaoto.2014.3399

Influenza vaccination seems to be associated with a decreased rate of subjective olfactory dysfunction. This study provides a preliminary finding, and further studies would be needed to elucidate the exact role of influenza and influenza vaccination in patients with olfactory loss.

Improving Operative Flow During Pediatric Airway Evaluation: A Quality-Improvement Initiative

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):229-235. doi:10.1001/jamaoto.2014.3279

This case series demonstrates how an easily reproducible initiative improved operating room personnel flow and case timing during pediatric airway procedures, potentially reducing patient risk.

Indications, Clinical Course, and Postoperative Outcomes of Urgent Adenotonsillectomy in Children

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):236-244. doi:10.1001/jamaoto.2014.3341

Patients requiring urgent adenotonsillectomy are marked by younger age, elevated obstructive apnea-hypopnea indices, and persistent desaturations below 80% unresponsive to supplemental oxygen. Following surgery, some children have a dramatic improvement in gas exchange and will no longer require supplemental oxygen.

Tonsillar Helicobacter pylori Colonization in Chronic Tonsillitis: Systematic Review and Meta-analysis

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):245-249. doi:10.1001/jamaoto.2014.3296

In this meta-analysis of studies assessing the correlation between H pylori colonization in tonsillar tissues, Hwang et al found no evidence that H pylori infection plays a role in the pathogenesis or development of chronic tonsillitis.

Association of Keratinization With 5-Year Disease-Specific Survival in Oropharyngeal Squamous Cell Carcinoma

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):250-256. doi:10.1001/jamaoto.2014.3335

Patients with nonkeratinized OPSCC have improved survival compared with those with keratinizing tumors. Information on keratinization is most useful prognostically in those who have p16 negative and nonbasaloid tumors and in patients who are smokers. Survival can be stratified using keratinization, p16 status, and smoking status.

IGSF4 Methylation as an Independent Marker of Human Papillomavirus–Positive Oropharyngeal Squamous Cell Carcinoma

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):257-263. doi:10.1001/jamaoto.2014.3393

This retrospective cohort study found that methylation of IGSF4 is an independent predictor of human papillomavirus–positive status in oropharyngeal squamous cell carcinoma.

Laryngeal Electromyography-Guided Hyaluronic Acid Vocal Fold Injection for Unilateral Vocal Fold Paralysis: A Prospective Long-term Follow-up Outcome Report

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):264-271. doi:10.1001/jamaoto.2014.3466

In this prospective study, Wang et al evaluated the long-term treatment outcome of laryngeal electromyography-guided hyaluronic acid vocal fold injection for unilateral vocal fold paralysis, demonstrating satisfactory results.

Case Report/Case Series

The Role of Tonsillectomy in the Treatment of Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections (PANDAS)

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):272-275. doi:10.1001/jamaoto.2014.3407

The authors studied a cohort of patients with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) whose neuropsychiatric symptoms did not respond sufficiently to antibiotics and found that they may have gained benefit from tonsillectomy.

Review

Minor Salivary Gland Basal Cell Adenocarcinoma: A Systematic Review and Report of a New Case

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(3):276-283. doi:10.1001/jamaoto.2014.3344

This combination case report/systematic analysis presents a new case of minor salivary gland basal cell adenocarcinoma and a comprehensive review of the literature for this rare condition, describing nearly 3 times as many cases as previously reported.

Clinical Problem Solving

Pathology

Neck Mass With Progressive Shortness of Breath

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(3):285-286. doi:10.1001/jamaoto.2014.3411

A woman in her 40s presented with progressive dyspnea and inability to lie flat. Two years prior to presentation, she had noticed tender, firm thyroid enlargement associated with rapid weight gain. Computed tomography without contrast at the time of presentation demonstrated tracheal narrowing to 1.56 mm. Tracheostomy was recommended. Intraoperatively, the thyroid gland was fibrotic and scarred to the anterior tracheal wall, sternothyroid, prevertebral fascia, and jugular vein. What is your diagnosis?

Pathology

A Rapidly Enlarging Maxillary Lesion

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(3):287-288. doi:10.1001/jamaoto.2014.3486

Radiology

A Scalp Lesion With Intracranial Extension

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(3):289-290. doi:10.1001/jamaoto.2014.3479

In this case report, a 6-month-old girl has presented with a lesion at the midline vertex of her skull that had been present since birth. The lesion was noted to have an annular dark tuft of hair with central clearing emanating from an underlying plaque directly over the posterior fontanel. Results from initial genetic testing, including microarray and single gene testing for branchio-oto-renal syndrome, were negative for abnormalities. What is your diagnosis?

Endoscopy

Tracheal Mass

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(3):291-292. doi:10.1001/jamaoto.2014.3328
Correction

Missing Conflict of Interest Disclosures Statement

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JAMA Otolaryngol Head Neck Surg. 2015;141(3):210. doi:10.1001/jamaoto.2015.0408
JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(3):200. doi:10.1001/jamaoto.2014.2143
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