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December 2018 - January 1925

Decade

Year

Issue

May 2015, Vol 141, No. 5, Pages 404-486

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(5):404. doi:10.1001/jamaoto.2014.2152
Original Investigation

Developing a Laddered Algorithm for the Management of Intractable Epistaxis: A Risk Analysis

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):405-409. doi:10.1001/jamaoto.2015.106

In a risk analysis of 6 laddered treatment strategies for intractable epistaxis, Leung et al found that algorithms involving posterior packing and transnasal endoscopic sphenopalatine artery ligation as first-line interventions provide the lowest risk.

Impact of a New Practice Guideline on Antibiotic Use With Pediatric Tonsillectomy

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):410-416. doi:10.1001/jamaoto.2015.95

In an unexpected association, the authors determined that AAO-HNS guideline publication decreased perioperative antibiotic use for pediatric tonsillectomy across a large pediatric health care network. Although there were no changes in otolaryngology clinic visits, emergency department visits, or admissions, they found a small but significant increase in surgery for bleeding following guideline publication.

Chronic Cough in Children

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):417-423. doi:10.1001/jamaoto.2015.0257

This retrospective chart review found that infection, airway hyperreactivity, and gastroesophageal reflux disease were the top 3 causes of pediatric chronic cough seen by otolaryngologists; initial treatment response was 83%; if first treatment failed, chest x-ray was the most common follow-up.

An Evaluation of Geographic Trends in the Otolaryngology Residency Match: Home Is Where the Heart Is

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):424-428. doi:10.1001/jamaoto.2015.0219

A significant proportion of otolaryngology residents in this cross-sectional survey attended a residency program within the same region as their medical school; this geographic association was strongest in the Midwest and South.

Higher Risk of Developing Sudden Sensorineural Hearing Loss in Patients With Chronic Otitis Media

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):429-435. doi:10.1001/jamaoto.2015.102

An association between chronic sensory hearing impairment and COM has been suggested. The authors examined the risk of developing SSNHL in COM-positive patients; COM was significantly associated with a higher risk of developing SSNHL.

Effect of HIV Infection and Highly Active Antiretroviral Therapy on Hearing Function: A Prospective Case-Control Study From Cameroon

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):436-441. doi:10.1001/jamaoto.2015.125

This prospective, case-control study found that hearing loss is more frequent in HIV-positive vs HIV-negative patients.

Improvement of Cognitive Function After Cochlear Implantation in Elderly Patients

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):442-450. doi:10.1001/jamaoto.2015.129

This longitudinal study evaluates the changes in speech perception and cognitive abilities in elderly patients who receive cochlear implants.

Clinical Predictors of Abnormal Magnetic Resonance Imaging Findings in Patients With Asymmetric Sensorineural Hearing Loss

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):451-456. doi:10.1001/jamaoto.2015.142

In patients with asymmetric sensorineural hearing loss, asymmetry of 15 dB at 3 kHz was significantly associated with an abnormal MRI finding; unilateral tinnitus and/or dizziness/vertigo were also more likely to be associated with abnormal MRI findings.

Effect of Human Papillomavirus on Patterns of Distant Metastatic Failure in Oropharyngeal Squamous Cell Carcinoma Treated With Chemoradiotherapy

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):457-462. doi:10.1001/jamaoto.2015.136

This review of patients with oropharyngeal squamous cell carcinoma (SCC) concludes that distant metastases occur later after completion of chemoradiotherapy in patients with human papillomavirus–initiated disease.

Impact of Current Smoking and Alcohol Consumption on Gastrostomy Duration in Patients With Head and Neck Cancer Undergoing Definitive Chemoradiotherapy

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):463-469. doi:10.1001/jamaoto.2015.0279

Current smoking and current heavy alcohol consumption are predictive of prolonged gastrostomy tube (GT) use in patients who undergo prophylactic GT insertion before definitive radiotherapy or chemoradiotherapy for head and neck cancer.

Characteristics and Prognostic Factors of Osteosarcoma of the Jaws: A Retrospective Cohort Study

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):470-477. doi:10.1001/jamaoto.2015.0340

This retrospective study to investigate the epidemiologic characteristics and prognostic factors for survival of patients with jaw osteosarcoma found that the determinants of survival include age at diagnosis, stage at presentation, tumor size, and surgical therapy.

Clinical Challenge

Pathology

Nasal Obstruction and Epistaxis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(5):479-480. doi:10.1001/jamaoto.2015.118

Pathology

A Man With Painful Nodules on Both Ears

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(5):481-482. doi:10.1001/jamaoto.2015.0260

Radiology

Progressive Left Periorbital Swelling

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(5):483-484. doi:10.1001/jamaoto.2015.0205

Radiology

A Painless Right Facial Mass

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(5):485-486. doi:10.1001/jamaoto.2015.0272

A healthy nonsmoking woman in her 30s presented with a 6-year history of a nontender mass on the right side of the inferior face and was taken to the operating theater, where a firm, multilobulated, yellow mass was excised through a gingivolabial incision. What is the diagnosis?

Correction

Reorganized Text

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):428. doi:10.1001/jamaoto.2015.0540

Incorrect Author Affiliation

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JAMA Otolaryngol Head Neck Surg. 2015;141(5):428. doi:10.1001/jamaoto.2015.0613
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(5):405. doi:10.1001/jamaoto.2014.2153
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