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Issue

June 2015, Vol 141, No. 6, Pages 495-582

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(6):495. doi:10.1001/jamaoto.2014.2157
Original Investigation

Transoral Robotic Surgery Alone for Oropharyngeal Cancer: Quality-of-Life Outcomes

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):499-504. doi:10.1001/jamaoto.2015.0347

This medical record review reports statistically significant improvement in several QOL outcomes among patients with oropharyngeal squamous cell carcinoma who underwent transoral robotic surgery without adjuvant therapy.

Insurance Status and Quality of Outpatient Care for Uncomplicated Acute Rhinosinusitis

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):505-511. doi:10.1001/jamaoto.2015.0530

This cross-sectional analysis of a large database population of adults and children with chronic rhinosinusitis found that the patient’s type of medical insurance did not affect the quality of care received.

Percutaneous Ethanol Injection vs Reoperation for Locally Recurrent Papillary Thyroid Cancer: A Systematic Review and Pooled Analysis

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):512-518. doi:10.1001/jamaoto.2015.0596

This systematic review finds that reoperation is presently superior to percutaneous ethanol injection (PEI) for treatment of recurrent papillary thyroid cancer and should remain the standard of care, but PEI is a potentially effective nonsurgical treatment option for select patients.

The Impact of Compliance in Posttreatment Surveillance in Head and Neck Squamous Cell Carcinoma

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(6):519-525. doi:10.1001/jamaoto.2015.0643

In this retrospective cohort study at a tertiary academic center of a total of 332 patients with head and neck squamous cell carcinoma, compliance with posttreatment surveillance was associated with smoking cessation and traveling less than 200 miles for follow-up.

Sinus Balloon Catheter Dilation in Pediatric Chronic Rhinosinusitis Resistant to Medical Therapy

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):526-531. doi:10.1001/jamaoto.2015.0397

The sinus balloon catheter dilation procedure is a safe and effective technique for pediatric chronic rhinosinusitis resistant to medical therapy.

Endoscopic Type 1 Tympanoplasty in Pediatric Patients Using Tragal Cartilage

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):532-538. doi:10.1001/jamaoto.2015.0601

In assessing the value of the endoscopic approach using tragal cartilage in pediatric tympanoplasty, this prospective study demonstrates significant anatomical and functional success that is comparable to other techniques but with a shorter operation duration.

Using the Maxillary-Nasal Angle to Evaluate Congenital Nasal Pyriform Aperture Stenosis

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):539-542. doi:10.1001/jamaoto.2015.0639

This retrospective study found that measurement of the maxillary-nasal angle in newborns with congenital nasal pyriform aperture stenosis may be helpful in identifying which patients should undergo surgical intervention.

Response of Head and Neck Squamous Cell Carcinoma Cells Carrying PIK3CA Mutations to Selected Targeted Therapies

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):543-549. doi:10.1001/jamaoto.2015.0471

The PIK3CA mutations within the authors’ engineered cell model did not lead to enhanced oncogene-dependent cell death when treated with direct inhibition of the PI3K enzyme yet did show increased sensitivity compared with control with dual PI3K/mTOR inhibition. Additional study is required to develop new model systems and approaches to determine the role of targeted therapy in the treatment of PI3K-overactive HNSCC tumors.

Correlations Between Acoustic Rhinometry, Subjective Symptoms, and Endoscopic Findings in Symptomatic Children With Nasal Obstruction

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(6):550-555. doi:10.1001/jamaoto.2015.0468

This study explores the correlations between acoustic rhinometry, subjective symptoms, and endoscopic findings in children with nasal obstruction, finding that endoscopy appears to be the most reliable tool to estimate the degree of subjective nasal symptoms.

Medialization Laryngoplasty for Odynophonia

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(6):556-561. doi:10.1001/jamaoto.2015.0333

This retrospective review reports that in select cases of vocal fold motion impairment, medialization laryngoplasty can relieve pain related to voice use, even in the absence of significant hoarseness.

Case Report/Case Series

Intraocular Pressure Changes in Emergent Surgical Decompression of Orbital Compartment Syndrome

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JAMA Otolaryngol Head Neck Surg. 2015;141(6):562-565. doi:10.1001/jamaoto.2015.0524

An emergent lateral canthotomy and cantholysis followed by endoscopic medial wall decompression were performed. There are only rare reports of the progression of intraocular pressure prior to, and concurrent with, surgical orbital decompression. Availability of tonometry in the operating room serves to measure response to management in these rare but challenging settings where intervention may be required to prevent irreversible visual loss.

Special Communication

Incidental Thyroid Nodules and Thyroid Cancer: Considerations Before Determining Management

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(6):566-572. doi:10.1001/jamaoto.2015.0647

This special communication outlines the key medical elements and ethical considerations in the management incidentally detected thyroid nodules and thyroid cancer.

Clinical Challenge

Pathology

Pyriform Sinus Soft-Tissue Mass Recurring in Esophagus After Excision

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(6):573-574. doi:10.1001/jamaoto.2015.0384

In this case report, a woman presented with dysphagia and frequent throat clearing. A right pyriform sinus mass was seen on fiber-optic laryngoscopy. Both CT and MRI confirmed the finding of a hypopharyngeal mass. Immunohistochemical stains revealed tumor cells that were focally positive for myogenin and diffusely positive for desmin and myoglobin. An MRI scan obtained postoperatively demonstrated a persistent mass or swelling. What is the diagnosis?

Pathology

An Infratemporal Fossa Mass

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(6):575-576. doi:10.1001/jamaoto.2015.0517

A patient presented with a 10-cm right-sided facial mass extending under the auricle from the mastoid to the zygoma and inferiorly to the angle of the mandible. A core biopsy specimen demonstrated a spindle cell proliferation with abundant collagen that stained focally with CD34, smooth muscle actin, and bcl-2. What is the diagnosis?

Radiology

Incidental Masticator Space Lesion in a Teenager

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(6):577-578. doi:10.1001/jamaoto.2015.0265

Radiology

Progressive Unilateral Nasal Congestion, Facial Pain, and Vision Change in an Immunocompetent Patient

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(6):579-580. doi:10.1001/jamaoto.2015.0352

A man had an 8-month history of right-sided nasal congestion and rhinorrhea. He had developed progressive right-sided facial swelling, pain, blurred vision, and weight loss. A CT scan showed complete opacification and an invasive process in the right maxillary sinus. An endoscopic maxillary antrostomy and biopsy showed inflammatory changes and fungal organisms consistent with Aspergillus species. What is the diagnosis?

Endoscopy

Foreign Body Sensation in the Throat

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(6):581-582. doi:10.1001/jamaoto.2015.0390

A man with a history of smoking choked easily and had experienced a foreign body sensation in his throat. A laryngeal mass was removed through transoral laser microsurgery. The tumor was at the submucosa with focally ulcerated overlying epithelium. It was composed of adipocytes of various sizes in a fibromyxoid background. What is the diagnosis?

Correction

Error in Byline

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(6):531. doi:10.1001/jamaoto.2015.1107
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(6):497. doi:10.1001/jamaoto.2014.2158
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