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.
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.
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.
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.
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.
This prospective, case-control study found that hearing loss is more frequent in HIV-positive vs HIV-negative patients.
This longitudinal study evaluates the changes in speech perception and cognitive abilities in elderly patients who receive cochlear implants.
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.
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.
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.
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.
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?
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